We must move away from a supply-driven health care system organized around what physicians do and toward a patient-centered system organized around what patients need. At its core is maximizing value for patients: that is, achieving the best outcomes at the lowest cost.
It’s time for a fundamentally new strategy. Health care leaders and policy makers have tried countless incremental fixes-attacking fraud, reducing errors, enforcing practice guidelines, making patients better “consumers,” implementing electronic medical records-but none have had much impact. Around the world, every health care system is struggling with rising costs and uneven quality, despite the hard work of well-intentioned, well-trained clinicians. In health care, the days of business as usual are over.
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