Battling Healthcare Burnout

Download Battling Healthcare Burnout PDF Online Free

Author :
Publisher : Berrett-Koehler Publishers
ISBN 13 : 152308992X
Total Pages : 351 pages
Book Rating : 4.5/5 (23 download)

DOWNLOAD NOW!


Book Synopsis Battling Healthcare Burnout by : Thom Mayer, MD

Download or read book Battling Healthcare Burnout written by Thom Mayer, MD and published by Berrett-Koehler Publishers. This book was released on 2021-06-29 with total page 351 pages. Available in PDF, EPUB and Kindle. Book excerpt: When physicians and nurses suffer from burnout, patients suffer as well. This book pinpoints the how and why and shows what healthcare providers and their organizations can do. Burnout is among the most critical topics in healthcare as it deprives us of our most important resource—the talents and passion of those who perform the difficult work of caring for patients and their families. The purpose of this book is to provide not only a taxonomy of burnout within the landscape of healthcare but also to provide pathways for healthcare professionals to guide themselves and their organizations toward changing the culture and systems of their organization. The work of battling burnout begins from within. Thom Mayer views every healthcare team member as both a leader and performance athlete, engaged in a cycle of performance, training, and recovery. In these roles, they must both lead and protect themselves and their teams. Battling Healthcare Burnout looks at individuals' role in promoting change within themselves and their organization and addresses solutions to change the culture and systems of work. Both are presented with a pragmatic focusand a liberal use of examples and case studies, including those from several nationally recognized healthcare systems.

Taking Action Against Clinician Burnout

Download Taking Action Against Clinician Burnout PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 0309495474
Total Pages : 335 pages
Book Rating : 4.3/5 (94 download)

DOWNLOAD NOW!


Book Synopsis Taking Action Against Clinician Burnout by : National Academies of Sciences, Engineering, and Medicine

Download or read book Taking Action Against Clinician Burnout written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-02 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.

Burnout in Healthcare

Download Burnout in Healthcare PDF Online Free

Author :
Publisher : Independently Published
ISBN 13 : 9781082440571
Total Pages : 106 pages
Book Rating : 4.4/5 (45 download)

DOWNLOAD NOW!


Book Synopsis Burnout in Healthcare by : Rajeev Kurapati

Download or read book Burnout in Healthcare written by Rajeev Kurapati and published by Independently Published. This book was released on 2019-07-26 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt: A must-read for every medical professional, healthcare consumer, and patient advocate.Burnout among medical professionals has reached epidemic proportions. Much of this distress can be attributed to the pile-on of duties and responsibilities healthcare workers face, including an increasing workload, complex quality measures, and expanding policy stipulations-on top of providing quality patient care. At the same time, these growing tasks are coupled with staff shortages and waning organizational support. It's hardly a surprise that the rates of depression and suicide continue to increase among exhausted medical professionals. Burnout is not only harmful to overworked, unsupported healthcare professionals, it also puts patients at risk. In this book, award-winning author and hospital physician Rajeev Kurapati offers a guide to recognizing burnout, as well as providing practical, actionable techniques for developing resilience at both the individual and organizational levels. Based on the latest evidence-based research, these steps will help practitioners regain joy and gain freedom from burnout.

The Other Side of Burnout

Download The Other Side of Burnout PDF Online Free

Author :
Publisher : Dog Ear Publishing
ISBN 13 : 1457557002
Total Pages : 156 pages
Book Rating : 4.4/5 (575 download)

DOWNLOAD NOW!


Book Synopsis The Other Side of Burnout by : Melissa Wolf

Download or read book The Other Side of Burnout written by Melissa Wolf and published by Dog Ear Publishing. This book was released on 2017-09-23 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: “I love the realistic, relatable, and all-encompassing content; it’s raw, it’s real, and brutally honest!” said one reviewer. “Are you sure you want to put this in print?” asked another. YES! was our unequivocal answer. We appreciate your boldness in choosing this absolutely uncensored book, The Other Side of Burnout: Solutions for Healthcare Professionals, and we know you will find answers here! • Read about our personal experiences with physician burnout. • Explore our assessment of the real causes of burnout— beyond the traditional concepts of emotional exhaustion, depersonalization, and diminished sense of personal achievement. • Learn sensible, tangible, implementable, and useful solutions for conquering burnout. This book is guaranteed to spark meaningful conversations with your fellow physicians and healthcare organizations. Best of all, The Other Side of Burnout: Solutions for Healthcare Professionals is a quick, concise read, because we understand that you are already stretched thin!

Handbook of Stress and Burnout in Health Care

Download Handbook of Stress and Burnout in Health Care PDF Online Free

Author :
Publisher : Nova Science Pub Incorporated
ISBN 13 : 9781604565003
Total Pages : 243 pages
Book Rating : 4.5/5 (65 download)

DOWNLOAD NOW!


Book Synopsis Handbook of Stress and Burnout in Health Care by : Jonathon R. B. Halbesleben

Download or read book Handbook of Stress and Burnout in Health Care written by Jonathon R. B. Halbesleben and published by Nova Science Pub Incorporated. This book was released on 2008-01-01 with total page 243 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this book is to summarise the state of the science in the study of stress and burnout among health care professionals. Moreover, this book seeks to set the agenda for future research in the areas of stress and burnout. Despite the popularity of these topics as subjects for empirical study, particularly among health professionals, there has been no attempt to build a comprehensive summary of the literature concerning stress and burnout in health care. This book fills the void by bringing together leaders in the academic study of stress and burnout and by summarising the research on the measurement of stress and burnout, the unique causes of this condition for health care professionals as well as the consequences of stress and burnout and the patients they serve. It covers evidence-based mechanisms for the prevention and reduction of stress and burnout. Each chapter provides a synthesis of the critical stress and burnout literature as well as ideas for what research is needed to fill current voids in the literature. Final chapter of the book provides a research agenda to promote research concerning this phenomenon in health professions.

Mayo Clinic Strategies to Reduce Burnout

Download Mayo Clinic Strategies to Reduce Burnout PDF Online Free

Author :
Publisher :
ISBN 13 : 0190848960
Total Pages : 329 pages
Book Rating : 4.1/5 (98 download)

DOWNLOAD NOW!


Book Synopsis Mayo Clinic Strategies to Reduce Burnout by : Stephen Swensen

Download or read book Mayo Clinic Strategies to Reduce Burnout written by Stephen Swensen and published by . This book was released on 2020 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mayo Clinic Strategies to Reduce Burnout: 12 Actions to Create the Ideal Workplace tells a story of hope for professional fulfillment and well-being through organizational interventions that nurture positivity and push negativity aside. The authors provide a road map based on their experience in quality, department operations, leadership and organization development, management, safe havens, and care teams. They draw from their roles as president, chief wellness officer, chief quality officer, associate dean, chair, principal investigator, senior fellow, and board director.

Managing Stress and Preventing Burnout in the Healthcare Workplace

Download Managing Stress and Preventing Burnout in the Healthcare Workplace PDF Online Free

Author :
Publisher : ACHE Management
ISBN 13 : 9781567933437
Total Pages : 0 pages
Book Rating : 4.9/5 (334 download)

DOWNLOAD NOW!


Book Synopsis Managing Stress and Preventing Burnout in the Healthcare Workplace by : Jonathon R. B. Halbesleben

Download or read book Managing Stress and Preventing Burnout in the Healthcare Workplace written by Jonathon R. B. Halbesleben and published by ACHE Management. This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stress is an easy thing to ignore. It seems normal. Everyone is stressed, right? But do you know that stress among your clinical staff and administrative employees significantly affects the quality of care patients receive? It leads to medical errors, near misses, and lower patient satisfaction. As a leader in your organization, you cannot ignore the significant impact that stress can have on organizational performance. This is not a self-help book. Rather, it is an "other-help" book that will explain how to evaluate and address the stress your clinicians and administrators regularly face. After making the business case for addressing stress, it explains how to reverse the burnout your employees are experiencing and reengage them in their work. Topics covered include: The direct and indirect costs associated with stress from the perspective of clinical staff, administrative staff, and the organization as a whole The main theories about stress management and the primary stressors facing clinical and administrative staff How to assess stress and burnout, and tools you can use to determine the extent of the problem in your organization How to identify the common underlying stressors leading to burnout among employees Strategies that shift emphasis from individuals and focus instead on changing the stressful environment in which they work Techniques for sustaining a positive environment so it can remain stress free

Thriving in Healthcare

Download Thriving in Healthcare PDF Online Free

Author :
Publisher :
ISBN 13 : 9781622181087
Total Pages : pages
Book Rating : 4.1/5 (81 download)

DOWNLOAD NOW!


Book Synopsis Thriving in Healthcare by : Gary Simonds

Download or read book Thriving in Healthcare written by Gary Simonds and published by . This book was released on 2019-07-09 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: A happy, long-lasting career in healthcare requires more than just mental fortitude.Far too often, you hear of colleagues leaving healthcare; they're burnt out, their work stress has crept into their home life, and they just need some respite. Meanwhile, their responsibilities are dispersed amongst the remaining team, and the cycle is perpetuated by the added work, lack of resources, and feelings of inadequacy. In Thriving in Healthcare, Drs. Simonds and Sotile provide a "survival guide for the psyche," packed with insights and strategies to help you develop the resilience needed to succeed and grow-both personally and professionally-in the modern healthcare industry. Based on their decades of experience coaching healthcare professionals, and building upon their findings from a five-year resilience development program at Virginia Tech Carilion School of Medicine, Simonds and Sotile bring solutions to the top barriers healthcare professionals face, including:¿Debunking the myth of work-life balance and, rather, finding the blend that works for you¿Hardwiring healthy coping mechanisms for dealing with on-the-job stressors ¿Fostering a collaborative and joyful workplace culture that encourages teamworkHealthcare is one of the hardest-and most rewarding-professions. However, you can't help others if you don't take care of yourself. It's time to take charge of your path and own your future career, happiness, and results.

Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy

Download Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy PDF Online Free

Author :
Publisher : Rand Corporation
ISBN 13 : 0833082205
Total Pages : 149 pages
Book Rating : 4.8/5 (33 download)

DOWNLOAD NOW!


Book Synopsis Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy by : Mark W. Friedberg

Download or read book Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy written by Mark W. Friedberg and published by Rand Corporation. This book was released on 2013-10-09 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report presents the results of a series of surveys and semistructured interviews intended to identify and characterize determinants of physician professional satisfaction.

Patient Safety and Quality

Download Patient Safety and Quality PDF Online Free

Author :
Publisher : Department of Health and Human Services
ISBN 13 :
Total Pages : 592 pages
Book Rating : 4.:/5 (318 download)

DOWNLOAD NOW!


Book Synopsis Patient Safety and Quality by : Ronda Hughes

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Extinguish Burnout

Download Extinguish Burnout PDF Online Free

Author :
Publisher :
ISBN 13 : 9781586446345
Total Pages : 0 pages
Book Rating : 4.4/5 (463 download)

DOWNLOAD NOW!


Book Synopsis Extinguish Burnout by : Robert Bogue

Download or read book Extinguish Burnout written by Robert Bogue and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: An authoritative and relevant guide that provides practical advice for how to avoid and recover from burnout and embark on the pathway to thriving. Trapped. Stuck. Helpless. These are the words that people experiencing burnout use to describe their lives, but they don't have to. The words used after extinguishing burnout are hopeful, thriving, flourishing, and powerful. Nearly everyone has experienced burnout. Some have escaped burnout's grips, but at what cost, and after how long? When we find ourselves succumbing to the pressures of today that move us towards burnout, we need a clear path to get out and avoid it in the future. That's what Rob and Terri Bogue have put together - a clear path out of burnout. In the book, you'll learn: - What causes burnout and how to escape - How to more realistically value the results you're getting - When to ask for and receive more support - What four simple physical self-care activities reduce burnout - How to change your self-talk for the better - What to do to manage your demands so you're not so exhausted - How to better recognize your personal value - How to integrate your self-image and reduce your stress - How to identify and eliminate barriers to your efficacy - How to build resilience against setbacks - Why hope is essential - Why failure isn't final - How to be detached without being disengaged Rob and Terri convert abstract concepts into tangible activities that you can do to escape burnout. They convert nearly incomprehensible research into practical steps anyone can take. Intentionally short chapters can be read in only a few minutes, so you don't have to commit to a long book or chapter to start feeling better. "If you need to read one book about well-being, this is absolutely it." - Sharlyn Lauby, Author of HR Bartender

Preventing Physician Burnout

Download Preventing Physician Burnout PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : 264 pages
Book Rating : 4.6/5 (441 download)

DOWNLOAD NOW!


Book Synopsis Preventing Physician Burnout by : Mph Diane W Shannon, MD

Download or read book Preventing Physician Burnout written by Mph Diane W Shannon, MD and published by . This book was released on 2020-06 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: The COVID-19 pandemic has exacerbated burnout for clinicians and administrators alike, heightening the need for this practical guide that provides a comprehensive approach to empowering physicians while ensuring organizational resilience. In this second edition of Preventing Physician Burnout: Curing the Chaos and Returning Joy to the Practice of Medicine, doctors Paul DeChant and Diane Shannon define burnout, explore the consequences for physicians, patients, and the health care system, identify the underlying causes that are fueling the burnout epidemic, and provide case studies with specific interventions that have demonstrated success in healing the broken clinical workplace.Based on their experience and extensive interviews with experts in burnout, health care, and Lean management, they give voice to patient advocates, burnout researchers, leaders of health care organizations, and the physicians themselves. DeChant and Shannon also share examples of strategies that hospitals and physician practices across the United States are using to address the root causes of burnout among physicians, including action items for preventing burnout and curbing the crisis."It is hard to see how we can create the health care system we want and need on the backs of joyless and unengaged doctors. This well-written, practical book offers the prescription we need to address this crisis." Robert Wachter, MD, author of The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age

Healthcare Anonymous

Download Healthcare Anonymous PDF Online Free

Author :
Publisher :
ISBN 13 : 9781953153661
Total Pages : 246 pages
Book Rating : 4.1/5 (536 download)

DOWNLOAD NOW!


Book Synopsis Healthcare Anonymous by : Simon Maltais

Download or read book Healthcare Anonymous written by Simon Maltais and published by . This book was released on 2022-04-05 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perfection is endemic in the healthcare environment. The system that we have dedicated our life to is gradually eating our life away. In Healthcare Anonymous, Dr. Simon Maltais allows us to understand using real-life inspiring stories that training, misguided references, maladapted interactions with the system, and increasingly demanding hours have created a perfect nidus to manifest healthcare disease. He thoroughly exposes how it can lead to personal, professional, and potential lifelong devastating consequences for healthcare workers, patients, and society. In this eye-opening, core shattering, and inspiring book, Maltais lays bare the real source of anxiety, addiction, and burnout. He explains how our healthcare system and the way we interface with it can create a vicious cycle that directly impacts our entire system. Healthcare Anonymous describes: * HealthCare Disease: how the system getting you well is creating sick workers. * How high-intensity environments impact the delivery of care and the performance of our nation's finest medical minds. * The symptoms of maladapted healthcare workers. * Findings of an in-depth compassionate case study on healthcare workers. * Simple steps to prevent, stop, and heal from healthcare disease and breakthrough a better life. As the global pandemic has tested the core of our medical systems and pushed healthcare workers to their breaking point, Maltais exposes the fragility and vulnerability of our healthcare workforce. At times core shattering, Healthcare Anonymous is an "open heart" window written with a baffling humility by a unique up and rising non-fiction doctor/writer, John M Stulak, MD (cardiac surgeon and educational leader). Maltais' remarkable insight into a controversial and often forgotten topic of actuality provides an inspiring insight into our world's largest industry.

Connecting Healthcare Worker Well-Being, Patient Safety and Organisational Change

Download Connecting Healthcare Worker Well-Being, Patient Safety and Organisational Change PDF Online Free

Author :
Publisher : Springer Nature
ISBN 13 : 3030609987
Total Pages : 345 pages
Book Rating : 4.0/5 (36 download)

DOWNLOAD NOW!


Book Synopsis Connecting Healthcare Worker Well-Being, Patient Safety and Organisational Change by : Anthony Montgomery

Download or read book Connecting Healthcare Worker Well-Being, Patient Safety and Organisational Change written by Anthony Montgomery and published by Springer Nature. This book was released on 2021-01-25 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume delineates the ways in which key areas of healthcare, well-being, patient safety and organisational change overlap with and contribute to unhealthy workplaces for healthcare professionals. There is a growing realisation within healthcare that healthcare worker well-being, patient outcomes and organisational change are symbiotically linked. Burnout and stress in healthcare workers and toxic organisational cultures can lead to a cycle of patient neglect, medical errors, sub-optimal care and further stress. This topical volume therefore outlines the ways in which worker well-being, patient outcomes and organisational change can be aligned to contribute to a healthy workplace and therefore better medical care. The volume includes an array of authors from different disciplines including primary care, clinical medicine, psychology, sociology, management, clinical governance, health policy and health services research. It succeeds in integrating different voices and reaches meaningful conclusions to address the challenges facing the healthcare workforce.

Depression, Burnout and Suicide in Physicians

Download Depression, Burnout and Suicide in Physicians PDF Online Free

Author :
Publisher : Springer Nature
ISBN 13 : 3030847853
Total Pages : 185 pages
Book Rating : 4.0/5 (38 download)

DOWNLOAD NOW!


Book Synopsis Depression, Burnout and Suicide in Physicians by : Luigi Grassi

Download or read book Depression, Burnout and Suicide in Physicians written by Luigi Grassi and published by Springer Nature. This book was released on 2021-11-30 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a reference and contextual basis for depression, burnout and suicide among oncology and other medical professionals. Oncology as a medical subspecialty is at a unique apex of this crisis. While the same pressures in medicine certainly apply to oncologists, oncology is particularly stressful as a changing field with diverse patient and societal expectations for outcomes. In addition to experiencing the stress of caring for patients that could succumb to their cancer diagnoses, these professionals are regularly confronted with an onslaught of new medical information and a landscape that is changing at a breakneck pace. These are just a few factors involved in the increasing rates of burnout among oncologists as well as other medcial professionals. By addressing a gap in identifying mental health problems among health care professionals, this book sheds light on mental health problems and suicide among physicians. Importantly, this book is a call to action of the professional and administrative organizations to work on improving mental health of physicians. Anxiety and depression affect not only the individual doctor but also patient care. Given the increasing attention to these issues along with limited yet applicable data regarding how to address these issues, the text aims to bring the latest data face to face with consensus opinion and can be used to ultimately enhance oncologic and psychiatric practices. Written by experts in the field, Depression, Burnout and Suicide in Physicians: Insights from Oncology and Other Medical Professions aims to significantly increase awareness and contribute to understanding the necessity of preventive measures on individual, family, and care givers levels.

Physician Burnout

Download Physician Burnout PDF Online Free

Author :
Publisher :
ISBN 13 : 9781612061030
Total Pages : 192 pages
Book Rating : 4.0/5 (61 download)

DOWNLOAD NOW!


Book Synopsis Physician Burnout by : Tom Murphy

Download or read book Physician Burnout written by Tom Murphy and published by . This book was released on 2015-05-20 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: Given the current state of the American healthcare system, physician burnout is an almost inevitable response. It doesn't have to be that way. Eighteen years after his enthusiastic first day in medical school, Dr. Tom Murphy was a burned-out physician disillusioned enough to leave clinical medicine at the age of 43. His crisis is not unique. Burnout among physicians has reached epidemic proportions. Worse, it can begin as early as medical school. Burnout is not some psychological abnormality to be embarrassed to mention in public quite the contrary. Research in the past five years shows 87% of American physicians experience symptoms of burnout. Burnout is not limited to the medical profession. Several high-stress public service occupations have high rates of burnout, including law enforcement, education, and healthcare but physicians suffer a much higher rate compared to other working adults. In Physician Burnout: A Guide to Recognition and Recovery, Dr. Murphy shares research and his experiences on what causes physician burnout, and what it takes to recover. He explains how changing critical aspects of the modern healthcare workplace at the individual clinic and the institutional level can ease the burnout crisis. The benefits of these changes may go far beyond the initial goals they can result in happier doctors, staff, and patients and higher quality healthcare. Each person will have unique issues to resolve and different solutions. You can learn how to recognize early signs of burnout and how medical schools and hospital systems can initiate the cultural paradigm shift needed to change the course of the burnout epidemic facing the healthcare industry.

Joy in Medicine?

Download Joy in Medicine? PDF Online Free

Author :
Publisher : CRC Press
ISBN 13 : 0429828659
Total Pages : 494 pages
Book Rating : 4.4/5 (298 download)

DOWNLOAD NOW!


Book Synopsis Joy in Medicine? by : Eve Shapiro

Download or read book Joy in Medicine? written by Eve Shapiro and published by CRC Press. This book was released on 2020-11-02 with total page 494 pages. Available in PDF, EPUB and Kindle. Book excerpt: Eve Shapiro has been writing about patient-centered care, physician–patient communication, and relationships between doctors and their patients since 2007. In Joy in Medicine? What 100 Healthcare Professionals Have to Say about Job Satisfaction, Dissatisfaction, Burnout, and Joy, Eve turns her attention to those on the healthcare delivery side of this "sacred interaction." These healthcare professionals share their enthusiasm, joys, frustrations, disappointments, insights, advice, stories, fears, and pain, explaining how it looks and feels to work in healthcare today no matter who you are, where you work, or what your position is in the organizational hierarchy. The healthcare professionals who provide patient care deserve our collective interest in their humanity. Without some insight into who they are and the forces with which they struggle every day, we cannot fully appreciate the obstacles to providing the care we all want for ourselves and our families during the best of times, let alone in the uncertain times that lie ahead.