Managing the Myths of Health Care (Audio)

Bridging the Separations between Care, Cure, Control, and Community

Henry Mintzberg (Author) | Tom Kruse (Narrated by)

Publication date: 05/15/2017

Managing the Myths of Health Care (Audio)
“Health care is not failing but succeeding, expensively, and we don't want to pay for it. So the administrations, public and private alike, intervene to cut costs, and herein lies the failure.”

In this sure-to-be-controversial book, leading management thinker Henry Mintzberg turns his attention to reframing the management and organization of health care.

The problem is not management per se but a form of remote-control management detached from the operations yet determined to control them. It reorganizes relentlessly, measures like mad, promotes a heroic form of leadership, favors competition where the need is for cooperation, and pretends that the calling of health care should be managed like a business.

“Management in health care should be about dedicated
and continuous care more than interventionist and episodic cures.”

This
professional form of organizing is the source of health care's great strength as well as its debilitating weakness. In its administration, as in its operations, it categorizes whatever it can to apply standardized practices whose results can be measured. When the categories fit, this works wonderfully well. The physician diagnoses appendicitis and operates; some administrator ticks the appropriate box and pays. But what happens when the fit fails—when patients fall outside the categories or across several categories or need to be treated as people beneath the categories or when the managers and professionals pass each other like ships in the night?

To cope with all this, Mintzberg says that we need to reorganize our heads instead of our institutions. He discusses how we can think differently about systems and strategies, sectors and scale, measurement and management, leadership and organization, competition and collaboration.

“Market control of health care is crass, state control is crude, professional control is closed. We need all three—in their place.”

The overall message of Mintzberg's masterful analysis is that care, cure, control, and community have to work together, within health-care institutions and across them, to deliver quantity, quality, and equality simultaneously.

Read more and meet author below



Audio Book:
9781626569096

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Overview

“Health care is not failing but succeeding, expensively, and we don't want to pay for it. So the administrations, public and private alike, intervene to cut costs, and herein lies the failure.”

In this sure-to-be-controversial book, leading management thinker Henry Mintzberg turns his attention to reframing the management and organization of health care.

The problem is not management per se but a form of remote-control management detached from the operations yet determined to control them. It reorganizes relentlessly, measures like mad, promotes a heroic form of leadership, favors competition where the need is for cooperation, and pretends that the calling of health care should be managed like a business.

“Management in health care should be about dedicated
and continuous care more than interventionist and episodic cures.”

This
professional form of organizing is the source of health care's great strength as well as its debilitating weakness. In its administration, as in its operations, it categorizes whatever it can to apply standardized practices whose results can be measured. When the categories fit, this works wonderfully well. The physician diagnoses appendicitis and operates; some administrator ticks the appropriate box and pays. But what happens when the fit fails—when patients fall outside the categories or across several categories or need to be treated as people beneath the categories or when the managers and professionals pass each other like ships in the night?

To cope with all this, Mintzberg says that we need to reorganize our heads instead of our institutions. He discusses how we can think differently about systems and strategies, sectors and scale, measurement and management, leadership and organization, competition and collaboration.

“Market control of health care is crass, state control is crude, professional control is closed. We need all three—in their place.”

The overall message of Mintzberg's masterful analysis is that care, cure, control, and community have to work together, within health-care institutions and across them, to deliver quantity, quality, and equality simultaneously.

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Meet the Author & Other Product Contributors


Visit Author Page - Henry Mintzberg
Henry Mintzberg is Cleghorn Professor of Management Studies at McGill University in Montreal, the winner of awards from the most prestigious academic and practitioner institutions in management (Harvard Business Review, Academy of Management, Association of Management Consulting Firms, and others), and the recipient of twenty honorary degrees from around the world. He is the author or coauthor of fifteen books, including Managers Not MBAs, Strategy Safari, and The Rise and Fall of Strategic Planning, and is a founding partner of CoachingOurselves.com.

Narrated by Tom Kruse
Tom Kruse brings years of business experience to his narrations and audiobooks. Years of teaching Finance and Economics at Graduate and Undergraduate levels, and years of leading development teams building fascinating artificial intelligence applications to underwrite insurance policies and to diagnose complex machinery gave him a unique background that he gives to technical material. His normal voice is deep and resonant, but he has narrated several characters including females, children, monsters, and some rather weird people. He's narrated serious historical books, young adult, and a variety of fiction. His academic background (PhD) gives him an understanding in the fields of Economics and Finance. His 10 years as a board certified massage therapist gives him a comfort level with healthcare issues.

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