
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
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...
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.
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...
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...