AHIP: Gawande, Gladwell on Healthcare's Chauffeur Problem
The healthcare industry's unwillingness to let go of the so-called "chauffeur model" has prevented commodification and customer autonomy from developing in healthcare delivery, according to Malcolm Gladwell, the noted New Yorker writer and book author.
"That person who stands between the consumer and a (medical) service or technology, and serves as a powerful intermediary, remains in place in healthcare" today just as that person did at the beginning of the healthcare industry, Gladwell asserted Friday at the 2012 conference for America's Health Insurance Plans.
HealthLeaders Media Breakthroughs
The Promise of Healthcare Analytics
Healthcare is rich in data. Yet healthcare lags in using data analytics to learn about the people it serves and to improve its operations and bottom line. Leaders are overcoming structural and cultural hurdles to involve many end users—executives, managers, and clinicians—as well as analysts.
Not so, countered Harvard professor and author Atul Gawande, MD, who joined Gladwell on stage. "The real problem with the healthcare industry is that it focuses on having great components. We're obsessed with components. We want the best drugs, best tools, and best specialists, but we spend very little time thinking about how everything will work together."
He likened the obsession with the best components to building a car with Porsche brakes, a Ferrari engine, a Volvo body, and a BMW chassis. "Put it all together and what you have is an expensive pile of junk that doesn't go anywhere because the pieces don't work together."
- CDC Warns of Antibiotic Overuse in Hospitals
- Don't Underestimate Emotional Intelligence
- Two-Midnight Rule Must be Fixed or Replaced, Say Providers
- The Secret to Physician Engagement? It's Not Better Pay
- Care Coordination Tough to Define, Measure
- SCOTUS Review of NC Board Case 'A Very Big Deal' to Providers
- Yale New Haven Health Partners with Tenet Healthcare in CT
- Physicians Take SGR Repeal Message to Washington
- Size Matters in Antibiotic Overuse
- Evidence-Based Practice and Nursing Research: Avoiding Confusion