Unaccountable

Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care Hardcover – September 18, 2012

Author: Marty Makary | Language: English | ISBN: 1608198367 | Format: PDF, EPUB

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• Book Details
• Table of Contents
• Reviews

Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care – September 18, 2012
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Review

A New York Times Bestseller

"A startling revelation of the dysfunction deeply embedded in the very culture of American medical practice, problems that health care reform scarcely begins to address."—Peter Boyer, senior correspondent for Newsweek

"A searing indictment from the inside, arguing that the modern health-care industry, unlike almost every other, doesn't disclose its performance or pricing practices to the public and keeps under wraps information about mistakes and substandard quality.”--Laura Landro, The Wall Street Journal

“Makary’s diagnosis is dangerous, damaging secrecy; his therapy is radical transparency…. [Makary’s] argument is powerful…. [he] makes a strong case that the system we have is a disaster for patients.”--Trine Tsouderos, Chicago Tribune Printers Row

"A very readable, thought-provoking book that will be of interest to health-care consumers, providers, and legislators. The problems pointed out and the solutions suggested deserve to be part of a national discussion."— Richard Maxwell, Porter Adventist Hospital Library, Denver, Library Journal

"Makary’s book makes it perfectly clear that data transparency not only allows people to make informed decisions about their health but also nudges hospitals and physicians to be more vigilant and efficient."—Tony Miksanek, Booklist

"You will be a wiser health consumer for reading this book."—Michael E Johns, M.D., Chancellor, Emory University

"This thought-provoking guide from a leader in the field is a must-read for M.D.s, and an eye-opener for the rest of us."—Publishers Weekly

"Unaccountable is a gripping story about what’s wrong with the American healthcare system and what we might do to make it better."—Peter Pronovost MD, PhD, Executive Vice-President, Johns Hopkins Hospital

"Every once in a while a book comes along that rocks the foundations of an established order that's seriously in need of being shaken. The modern American hospital is that establishment and Unaccountable is that book."—Shannon Brownlee, author of Overtreated

"A galvanizing book full of shocking truths about the current state of health care."—Kirkus Reviews

About the Author

Marty Makary, M.D., M.P.H. is a surgeon at Johns Hopkins Hospital and a professor of Health Policy at the Johns Hopkins School of Public Health. He is a regular medical commentator for CNN and FOX News, and appears weekly on a wide variety of programs to discuss health topics. He is a leading patient-safety researcher and led the World Health Organization effort to develop ways to measure healthcare quality. He tweets @DrMartyMD.

Direct download links available for Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care – September 18, 2012

• Hardcover: 256 pages
• Publisher: Bloomsbury Press; 1 edition (September 18, 2012)
• Language: English
• ISBN-10: 1608198367
• ISBN-13: 978-1608198368
• Product Dimensions: 9.3 x 6.2 x 0.9 inches
• Shipping Weight: 12.8 ounces (View shipping rates and policies)
• Amazon Best Sellers Rank: #29,170 in Books (See Top 100 in Books)
  • #10 in Books > Medical Books > Administration & Medicine Economics > Hospital Administration
  • #10 in Books > Medical Books > Administration & Medicine Economics > Health Care Administration
  • #20 in Books > Politics & Social Sciences > Sociology > Medicine

Dr. Marty Makary, a cancer surgeon at the renowned John's Hopkins School of Medicine, has written a provocative, well-researched, and quite scary book that should be read by physicians, nurses, patients, and hospital administrators. Here are some shocking statistics he gives: One in four hospital patients is hurt by a medical mistake. Thirty to forty percent of our health care dollars pays for fraudulent or unnecessary care. Ten to fifteen percent of patients are not given all their options regarding their care. Possibly the most shocking statistic of all: surgeons operate on the wrong body part 40 times per week!

To a physician like myself, these statistics are unfortunately not all that surprising. Medicine is administered by humans, and thus subject to human error. Makary writes that the key to improving health care outcomes (and excess cost) is greater transparency. Basically, doctors and hospitals need to be more open with their complication rates, alternative treatments, and be more willing to prevent bad doctors from practicing medicine. Because doctors and hospitals won't make these changes, the key is patient empowerment.

In that way Makary's book pushes patients to act in their best interests and not accept the status quo. It hearkens back to his contributions with author and medical essayist Atul Gawande in The Checklist Manifesto: How to Get Things Right. In my hospital, as many others around the country, many of his recommendations are, in fact, being instituted such as with the Keystone initiative.

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