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Book Review Efficient Healthcare: Overcoming Broken Paradigms Reviewed by Nicholas Watkins, PhD Efficient Healthcare: Overcoming Broken Par- health care crisis that is viewed always from the adigms (2009), David Chambers. Houston, TX: perspective of the built environment” (p. 6). Rice University Building Institute. 104 pages. ISBN 978-0-9842221-0-0 The first section, entitled “A Call for Change: (Incrementalists Need Not Apply),” is brief and Manifestos, statements, and proclamations have powerful. The purpose of this section is to iden- been issued imploring a wider recognition of tify the real task at hand, to pull us from our di- the impact of healthcare design on the quality versions and urge us to consider solutions that of healthcare delivery (ASHE, 2008; Hendrich, are proportionate to the monumental task ahead Chow, & Goshert, 2009). Each document has of us. Chambers’s inspirations follow from forces advanced an argument on how research does or that converge on what could be a pivotal moment does not help us understand that impact. David in the history of the United States and, perhaps, Chambers’s manifesto, Efficient Healthcare: Over- of global healthcare. First, Chambers is a survivor coming Broken Paradigms, contributes an archi- of a recent heart attack. During his experience, he tect’s voice to the discourse. Published in 2009 by had firsthand exposure to—and proof of—a bro- the Rice University Building Institute, the mani- ken healthcare system. Second, Chambers refer- festo is introduced as “…the first in a series on the ences the mind-numbing statistic that a mount- ing bulk of the U.S. gross domestic product is dedicated to a healthcare system whose gluttony Author’s Note: The author would like to thank the project is disproportionate to the value it struggles to de- managers, healthcare planners, and clients he collaborates with on research and design-related projects. liver. In short, the road ahead is rocky and will Author Affiliation: Nicholas Watkins, PhD, is Director of Re- not be easily traversed by light-duty vehicles that search & Innovation for HOK. His professional work focuses on offer only incremental solutions. Chambers di- the interactions between humans and the built environments that reflect excellence in design and contribute to physical rects our attention to talented architects as our and psychological well-being. overlooked saviors. 124 WWW.HERDJOURNAL.COM iSSN: 1937-5867 HERD VolumE 3, NumbER 3, pp 124-129 CopyRigHt ©2010 VENDomE gRoup, llC Book Review The author cogently argues that the first cost of ingly impossible geography of operations and a capital project is a small slice of a healthcare plan the journey toward an actionable solution. organization’s total dir
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