INCENTIVE
1. Physicians get paid to do more.
- incentivizes overuse of tests, technologies
- make far more money doing procedures than interacting with patients
Structural difference between current and desired healthcare.
1. Specialist driven.
2. Fragmented and uncoordinated (due to specialist driven and extensive use of IT)
Patient-centered medical home (patient centric)
- improve care coordination and communication
Problem 1: Single greatest cost of rising healthcare spending in the US is the growing prevalence of chronic disease.
Medicare provides to US citizen 65 or older.
Problem 2: Quality of our system appears to be lower than other OECD countries.
Good news: Chances of survival in US is greatest than anywhere else. (from health attack, acute, life threatening problems)
Bad news: Vulnerable elders receive 50% of recommended care with inconsistent quality, 210,000 preventable adverse events per year that contribute to death of hospital patients.
RESULT in other countries life expectancy higher than US.
Summary: US is putting a lot of money in healthcare, in order to reap greater profits. However, this does not always lead to the most efficient or best outcome for the patient, due to specialization and use of IT.
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