Doctor Bruce Leff is a hospital skeptic. A practicing geriatrician who’s been on the faculty at the Johns Hopkins University School of Medicine for 25 years, Leff argues that hospitals don’t have their priorities straight. advertisement advertisement “A lot of hospitals have what I would call an edifice complex,” Leff says. “All they want to do is build buildings.” Few would argue that hospitals aren’t important—see: the coronavirus pandemic—and Leff is not among them. But his concern with hospitals, and the hospital business, is that all those hospital buildings end up adding to the total cost of providing healthcare. “A lot of the money that rolls into hospitals goes to cover the fixed costs of maintaining those buildings,” he says. Shifting the finances back toward the patient has been Leff’s goal since the 1990s, when he began pushing for hospitals in the United States to consider a concept known as “hospital at home.” Common in Australia and pretty much what it sounds like, hospital at home enables some healthcare services to be provided to patients directly in their homes, freeing up hospital beds for more serious conditions and bringing down the overall cost of care. “You’re not using the dollar… Read full this story
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