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Product details
File Size: 6017 KB
Print Length: 497 pages
Simultaneous Device Usage: Up to 4 simultaneous devices, per publisher limits
Publisher: McGraw-Hill Education; 1 edition (October 31, 2008)
Publication Date: October 31, 2008
Sold by: Amazon Digital Services LLC
Language: English
ASIN: B001FA0NS8
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#303,599 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
Christensen and his co-authors have written a clear and compelling guide to putting the healthcare industry on a path to more rapid productivity breakthroughs that deliver increasing value/$. Their prescription for changing the HC industry has the potential to increase the well being of all Americans while radically lowering costs and increasing quality. It is the first book I have read on the industry that puts all of the pieces together to describe the root causes of current roadblocks and the pathway to improvement. The authors organize their ideas around the "disruptive innovation" and "jobs to be done" theories that Professor Christensen has developed. I recommend this book to anyone who is serious about introducing disruptive technology and business model innovation to the healthcare industry. The examples and well researched footnotes on the industry are thorough and valuable.
This was a hard one to read. A bloody hard slog. If I see the word 'disruption' one more time I'm going to throw up.There is valuable insight in the first half of the book which I recommend. However the last 3-4 chapters were severely repetitive with a lot of prescriptive comments about what innovators 'must' do.If you are a doctor, this is an interesting read. It opens your mind to what could be, and suddenly nothing seems as safe and cosy.If you are a businessman, you'll need a lot more than what this book has to offer. You'll probably look at the entrenched systems of health, throw your hands in the air and decide to tackle some other industry.
For anyone looking to understand the healthcare system to a greater degree, and especially the current problems with how our system functions, this book will do a fantastic job at getting to the heart of the problem without getting too bogged down in extraneous details. Even more importantly, this book states explicit actions that need to be taken to make our system more streamlined, more accessible, and overall, how to improve quality while decreasing cost. For those who don't have a firm grasp on business models and economics, the authors provide excellent examples and analogies to make complicated ideas clear. I suggest this book for anyone wishing to have a clear grasp of our current problems in healthcare and/or for anyone wishing to understand the direction healthcare will take in this country.
As a 23-year healthcare industry veteran and the author of [...], I thought the authors did an excellence job of identifying many of the critical issues facing healthcare and providing a roadmap for change. The problems with our healthcare system are complex and have many root causes. The authors provide insights on how three elements of disruptive innovation can make healthcare more accessible and affordable. These three elements are:1. Technology enablers2. Business model innovation3. Value networksAnyone who has worked in healthcare realizes that the regulatory framework and reimbursement scheme often drives much of the behaviors and constraints that adversely impact access and affordability. The authors do a nice job of discussing the regulatory and reimbursement reforms needed to enable disruptive solutions for healthcare. In full disclosure, I'm a fan of Mr. Christensen. I've read many of his books and have seen him speak a number of times. This book is an excellent contribution to helping solve our healthcare crisis.
It is a commonplace that the U.S. healthcare system is broken, but the discussion often degenerates into a debate about who is responsible. This book takes a different approach, focusing on what is wrong with the healthcare system and needs to change so it can work better.The proposed solution is to discard the current fee for healthcare service model, in which healthcare providers are systematically paid to treat illness without recompense for fostering welfare, and create a three-track system:(1) Fee for service would continue to apply to diagnostic services, where - due to the nature of the patient's condition and the state of medical knowledge - there is a high need for intuitive investigation versus results-based treatment for conditions that are well understood. (The process described brings to mind episodes of House, a TV show in which a brilliant but irascible doctor challenges a team of colleagues to find the problem before the patient dies.)(2) Fee for result would apply for treating conditions that are well understood and have a clearly defined solution -- colonoscopies, laser eye surgery, implantation of stents, etc.(3) User networks for patients with chronic conditions/ unhealthy practices to learn how they can help themselves and be motivated to do so.As is pointed out again and again, disruptive changes will be needed to get from A to B. Thus, hospitals must be redirected to focus on diagnostic services and cede provision of standardized care and wellness coordination to specialized clinics and other agencies. Primary care physicians (the traditional "family doctor") should concentrate on diagnostic services at a lower level rather than acting as "gatekeepers" for referrals to specialists. Enabling changes in reimbursement rules, health insurance arrangements, and medical record keeping are spelled out in detail.When the dust settles, there will be fewer hospitals (with the survivors focused on enhanced diagnosis, like the Mayo Clinic), fewer medical specialists (who currently operate in narrow niches, often without a full grasp of a patient's situation), more primary care physicians and nurses with augmented responsibilities, a new model for pharmaceutical companies that focuses on targeted medications for precisely defined conditions versus the development and marketing of "blockbuster" drugs that only help a fraction of the users and require enormously expensive mass clinical trials, and a lot of medical work performed by less highly trained personnel with better diagnostic tools.Andy Kessler presented an analogous vision in "The End of Medicine: How Silicon Valley (and Naked Mice) Will Reboot Your Doctor," Harper Collins (2006). His book is very entertaining, but this one covers the ground in a more disciplined and comprehensive manner. I would recommend "The Innovator's Prescription" for anyone who is seriously concerned about the current healthcare system.Doctors, hospitals, and other healthcare providers cannot make the needed changes on their own, because they do not control all the levers. Having the government take the lead is said to be problematic, for reasons that are dispassionately stated and I happen to agree with. The authors suggest that the best candidate entities for leading the transition to healthcare in the new mode might be employers that profit from the good health of their employees. Then there is the intriguing possibility of expanding the role of integrated healthcare providers,e.g., Kaiser Permanente.Let's hope our country chooses the right path.
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