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    Cover of The Innovators Prescription

    The Innovators Prescription

    Clayton M. Christensen · 2009

    A groundbreaking prescription for health care reform--from a legendary leader in innovation...Our health care system is in critical condition. Each year, fewer Americans can afford it, fewer businesses can provide it, and fewer government programs can promise it for future generations.We need a cure, and we need it now.Harvard Business School’s Clayton M. Christensen—whose bestselling The Innovator’s Dilemma revolutionized the business world—presents The Innovator’s Prescription, a comprehensive analysis of the strategies that will improvehealth care and make it affordable.Christensen applies the principles of disruptive innovation to the broken health care system with two pioneers in the field—Dr. Jerome Grossman and Dr. Jason Hwang. Together, they examine a range of symptoms and offer proven solutions.YOU’LL DISCOVER HOW“Precision medicine” reduces costs and makes good on the promise of personalized careDisruptive business models improve quality, accessibility, and affordability by changing the way hospitals and doctors workPatient networks enable better treatment of chronic diseasesEmployers can change the roles they play in health care to compete effectively in the era of globalizationInsurance and regulatory reforms stimulate disruption in health care

    Startups & EntrepreneurshipBusiness & ManagementBiology & Medicine
    Open LibraryAmazon
    Stats for nerds
    2recommend
    4mentions
    3people
    2011–2022years
    50% recommend50% neutral

    Mentions per year

    2011201320152017201920212022

    What Hacker News says

    1. davecap1Dec 2012
      One of the main issues here is that medical care is largely non-procedural and intuition-based. That's why doctors have to spend years doing training, followed by years of experience. Their "checklists" are created one step at a time, per-patient.

      This is exactly what needs to be changed in order to disrupt healthcare. Once medical care becomes procedural (ie generated by smart software, per patient, based on the patient's electronic health record which includes genomic and molecular data), we can begin replacing highly specialized doctors with non-specialized ones (and eventually with nurses). Of course, there are probably tons of areas where "simpler" checklists can be made to have a significant impact on outcomes (for example making sure the right patient gets the right drugs, etc..).

      Clay Christensen's book, Innovator's Prescription, goes into a lot of detail about how this will most likely play out: http://www.amazon.com/Innovators-Prescription-Disruptive-Sol...

      thread
    2. tryitnowNov 2011
      I agree. A lot of these technologies will lead to improved outcomes at lower costs (for certain sets of basic problems).

      Guild professions (like doctors) are inclined to keep doing even the basic simple-minded aspects of their job because they get paid "economic rents" for doing so thanks to the regulations that insist even basic tasks must be done by someone with 10+ years of education.

      Insurance companies on the other hand ultimately have to respond to employer demands for lower premiums (unfortunately this process is slow and HR departments are usually horrible at keeping costs under control). Insurers and to an extent employers are going to be the impetus for a lot of improvements in effectiveness and affordability.

      Read Clayton Christensen "The Innovators Prescription" for more on how this might play out.

      thread
    3. mferJan 2022
      A lot of it goes to inefficiency. Think of it this way. If you have a factory that makes 1 thing it can optimize around that. It can become cost effective. If you have a factory that can manufacture 10 different things, it becomes less cost effective because you need to be able to switch between the different things. If a factory can produce 100 different things it's even less efficient.

      Hospitals deal with thousands of things. Their overhead and complexity are high. This leads to inefficiency which costs more.

      I've read that the math around the costs map fairly well to the cost models around factories [1].

      [1] https://www.amazon.com/Innovators-Prescription-Disruptive-So...

      thread
    4. mferJan 2022
      Do you have any references to their analysis? I would love to read it.

      Most people talk about ideas and politics without getting into the technical details of what's happening.

      The Innovators Prescription[1] is written by 3 PhD's (2 in medical and running institutions and one in business) who provide an analysis as part of the book.

      [1] https://www.amazon.com/Innovators-Prescription-Disruptive-So...

      thread

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