In this three-part assessment of the current state of health care, Mintzberg begins by confronting common myths about health care, including that it should be treated like a business. He then examines how health care is organized in relation to what we know about differentiation, separation, and integration...
, revealing that health care is generally imbalanced, with more differentiation happening than integration.
According to Mintzberg, this imbalance has resulted in excessive separations: curtains across the specialties, sheets over the patients, and walls and floors between the administrators.
Ultimately, Mintzberg offers guidelines to reframe the core components of health care: its strategy, organization, scale, ownership, management, and the system itself.