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Redefining Health Care: Creating Value-Based Competition on Results, by Michael E. Porter, Elizabeth Olmsted Teisberg
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The U.S. health care system is in crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by skyrocketing premiums—not to mention the stability of state and federal government budgets.
In Redefining Health Care, internationally renowned strategy expert Michael Porter and innovation expert Elizabeth Teisberg reveal the underlying—and largely overlooked—causes of the problem, and provide a powerful prescription for change.
The authors argue that competition currently takes place at the wrong level—among health plans, networks, and hospitals—rather than where it matters most, in the diagnosis, treatment, and prevention of specific health conditions. Participants in the system accumulate bargaining power and shift costs in a zero-sum competition, rather than creating value for patients. Based on an exhaustive study of the U.S. health care system, Redefining Health Care lays out a breakthrough framework for redefining the way competition in health care delivery takes place—and unleashing stunning improvements in quality and efficiency.
With specific recommendations for hospitals, doctors, health plans, employers, and policy makers, this book shows how to move health care toward positive-sum competition that delivers lasting benefits for all.
- Sales Rank: #134468 in Books
- Brand: Brand: Harvard Business Review Press
- Published on: 2006-05-25
- Original language: English
- Number of items: 1
- Dimensions: 9.50" h x 6.50" w x 1.50" l, 2.23 pounds
- Binding: Hardcover
- 528 pages
- Used Book in Good Condition
Review
"...a profound and powerful critique of America’s health-care system. It deserves to be read widely. And probably will be." -- Economist.com
About the Author
Michael Porter acts as one of the World Economic Forum's Global Competitiveness Report's primary editors.
Most helpful customer reviews
0 of 0 people found the following review helpful.
Highly theoretical and cumbersome
By m v kamath md pc
Misses the reality in the trenches. Health care delivery is mostly controlled by insurance companies and health care costs are high because of regulatory burden, overcharging by big pharmaceuticals and expensive technology. Access to care is a major problem in the current system, an issue not dealt with much in this book.
0 of 0 people found the following review helpful.
competition is good for health care
By Larry Boeldt
Redundant book gets to one single point, competition is good for health care. The redundancy is really making the same point from different perspectives within the industry. Probably good for swaying different factions of the industry, not so much a good general business read.
3 of 4 people found the following review helpful.
outstanding in spite of obvious "flaws"
By Engineer and Anesthesiologist
This book is an excellent opinion piece - defining and clarifying some important ideas which are still as un-tested today as they were when it was written.
The main criticisms of this book are that there are few data to support their concepts. The reason for this is no one has tried anything like the approaches they suggest in either quality improvement or safety (if we accept, for the moment that these are separate areas of activity).
The whole point is that they are suggesting one point, which, I agree, they hammer and re-hammer over and over: health care *must* be devaluated, measured, paid for on the basis of outcome measured over the entire cycle of the patient's disease.
Unfortunately, the best we have so far is to measure mini-outcomes. And when it comes to many kinds of cancer of CAD or stroke, etc., one procedure, one O.R. episode, or even one hospitalization is a TINY portion of the health care that the patient in question will receive.
It is the wrong (narrow) focus in time and other incorrect foci that they discuss.
If their ideas were in place, then someone (maybe they) will write a book evaluating how effective their ideas are. There are no data - at best we have data on very short term result. Often evaluations are based on process variables, intermediate variables, or whatever name you want for them.
I'm waiting for some data to analyze.
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