AHIP: Gawande, Gladwell on Healthcare's Chauffeur Problem
For his part, Atul Gawande clicked off a number of industries were the chauffeur still exists, such as teaching, firefighting, and police work, and yet progress is made. For Gawande the range of costs in healthcare is key. "We know that the most expensive services don't always yield the best results. If it was just a matter of the highest price providing the best care then we would be having a rationing conversation. We know that facilities that have systematic care environments where treatments and services joined together consistently have the best clinical results."
He contends that penicillin, for all its positive attributes, fooled the healthcare industry and consumers into thinking that there would always be easy fixes. "A simple injection that saved thousands of lives. It made us think that the future of medical innovation was going to be just like that. But it wasn't. Healthcare is intensely complicated. We can't perform our own knee operations. We're all in the position of having to hire intermediaries or chauffeurs."
Margaret Dick Tocknell is a reporter/editor with HealthLeaders Media.
- Hospital Groups Strike Back at Hospital Rating Systems
- 5 Hot Healthcare Ideas from SXSW
- AHIP: Enormity of HIX Challenges Sinks In
- The Secret to Physician Engagement? It's Not Better Pay
- Hospital CEO Turnover Hits Record High
- Another SGR Patch Likely, Lawmaker Says
- Rules to Rein in HIX Narrow Networks Could Drive Away Payers
- How Succession Planning Boosts Employee Retention Rates
- 4 Reasons PCMH Principles Aren't Going Away
- Two-Midnight Rule Must be Fixed or Replaced, Say Providers