The Health Care System

  • James W. Mold


Dr. S. had become increasingly active on the staff of a comprehensive rehabilitation hospital. He was particularly interested in geriatric rehabilitation, becoming the most frequent admitter of older patients to the facility. With the encouragement of the Chief of Staff and the administrator of the hospital, he began having meetings with the staff to discuss ways to improve the care of older rehabilitation patients. One of the ideas he presented to the group, which was made up of physicians, nurses, speech—language pathologists, occupational therapists, physical therapists, recreational therapists, social workers, case managers, and dieticians, was to have providers document their portions of the initial assessment in a single unified section of the chart and to put all progress notes within another single unified section using a goal-oriented, rather than a problem-oriented (SOAP), format.


Family Therapy Physical Therapist Health Care Team Ally Health Professional Medical Technologist 
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Recommended Readings

  1. Lecca, P. J., and McNiel, J. S. (Eds.). (1985). Interdisciplinary team practice: Issues and trends. New York: Praeger. This text is a state-of-the-art review of interdisciplinary team practice, including rationale for development of such an approach, models, and projections for the future. Specific chapters describe various types of team care, including rehabilitation, mental health, and hospice care.Google Scholar
  2. Mechanic, D. (Ed.). (1983). Handbook of health, health care, and the health professions. New York: The Free Press. This text is a broad-based book on the determinants of health and illness and the organization and provision of health care in this country. Two sections on health care delivery and management and health occupations are especially pertinent to this chapter.Google Scholar
  3. Williams, S. J., and Torrens, R. R. (Eds.). (1988). Introduction to health services, 3rd ed. New York: John Wiley and Sons. This text describes the major features of the American health care system from a macro level and thus serves as a nice complement to this chapter’s microview. It also addressed several economic issues, such as health manpower and the evaluation and regulation of health care programs, and concludes with a discussion on health policy.Google Scholar
  4. Wynne, L. C., McDaniel, S. H., and Weber, T. T. (Eds.). (1986). Systems consultation: A new perspective for family therapy. New York: Guilford Press. This text views organizations, using health care organizations in the majority of their chapters, from a systemic viewpoint. It describes a method for consultation when such systems are dysfunctional that derives from family therapy. Case examples show that this approach can be remarkably fruitful when other approaches have failed.Google Scholar

Copyright information

© Springer Science+Business Media New York 1991

Authors and Affiliations

  • James W. Mold

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