Oxford University Press Next in Line: Lowered Care Expectations in the Age of Retail- and Value-Based Health

For all the political branding and rebranding of healthcare in the United States, its fundamental unit of currency remains the doctor-patient relationship. This relationship has undergone seismic changes during the twenty-first century, including the introduction of new players (the so-called healthcare "team") and care delivery in settings like big-box stores and bureaucratic health systems. But are any of us better off? Next in Line is the first book to examine the doctor-patient relationship in the context of its new environs, in particular the impact of efficiency-driven innovation and retail-care models on physician mindsets and the patient experience. The overall picture is one of lowered expectations-a transactional, impersonal, and institutionally-limited incarnation of the medical bedside that leaves all parties underwhelmed and overstressed. By first conducting a macro-analysis of key industry trends (including the widespread use of performance metrics and retail principles), then measuring these trends' impacts through interviews with physicians and patients, Next in Line^ is both an examination and a critique of a care system at a crossroads. It is essential reading for understanding why relational care matters -- and why it must be saved in a corporatized health system bent on using retail approaches to deliver care.