无处不在的最佳医疗
Best care anywhere
Phillip Longman · 初版 2007 年
1人推荐
2位读者提及
4次提及
长期备受诟病的退伍军人健康管理局（Veterans Health Administration）如今已成为全美服务质量最高的医疗机构。这一振奋人心的转变不仅惠及退伍军人，也为拯救美国自身深陷困境的医疗体制提供了一份蓝图。Best Care Anywhere 展现了这样一个政府官僚机构，如何在默默无闻中树立了最佳实践与控制成本的标准，而私营部门在这两个领域却相形见绌。作者 Phillip Longman 挑战了传统观念，详尽阐述了市场力量究竟是如何导致医疗质量下降和价格飙升的。
Hacker News 上怎么说
正在加载完整评论……
有一本讲这部分历史的极佳小册子，叫《Best Care Anywhere: Why VA Healthcare Is Better Than Yours》，作者是 Phillip Longman。退伍军人事务部（VA）使用的 VistA 系统完全是由医生和实习生们自下而上开发出来的，他们当时甚至违抗规定，偷偷把小型机搬进医院……
A great little book that covers some of the history involved is Best Care Anywhere: Why VA Healthcare Is Better Than Yours by Phillip Longman. The VistA system used by the VA was developed in bottom-up fashion by doctors and interns, who snuck minicomputers into the hospitals in defiance…
……前台人员。他们刷一下你的卡，你的病历就弹在屏幕上了，不管他们做了什么操作，都能保证在一周内拿到报酬，不过问任何问题。（另一方面，另一本好书是《Best Care Anywhere》，它主张把退伍军人事务部（VA）的模式推广给所有人。书中很有意思的一点是 VistA 电子病历系统，那是 VA 的医生和实习生们自己攒出来并开源的。后来被好几家……
…office staff. They swipe your card, your medical records pop up on screen, and whatever they do they're guaranteed to get paid in a week, no questions asked. (On the other hand, another good book is Best Care Anywhere, which advocates extending the V.A. model to everyone. A nice bit from that book is the VistA medical records system, which V.A. doctors and interns built and opensourced. It's been adopted by several…
我现在找不到链接了，不过一两个月前 NPR 采访过（我猜应该是）这本书的作者：http://www.amazon.com/Best-Care-Anywhere-Health-Better/dp/09... 在采访中他聊到了 70 年代 VA 的几位医生是怎么自己捣鼓出一个计算机病历系统的，以及拥有这些电子病历实际上如何……
I can't find a link right now, but a month or two ago there was an interview on NPR with the author of (I believe) this book: http://www.amazon.com/Best-Care-Anywhere-Health-Better/dp/09... In the interview he talked about how some doctors at the VA hacked together a computerized medical records system in the 70s, and how having these computerized records actually…
……做出了一个在当时非常贴合他们需求的系统，所以哪怕按现在的标准看他们的源码简直是噩梦，他们也绝对功不可没。他们的故事记录在《Best Care Anywhere》这本书里。https://www.amazon.com/dp/B0073HW03I/
…made a system that fit their needs quite well at the time, so they deserve quite a bit of credit, even though their source code is a nightmare by modern standards. Their story is recounted in the book Best Care Anywhere. https://www.amazon.com/dp/B0073HW03I/