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.
- CEO Exchange: Preparing for Population Health
- Interventional Radiology No Longer a Sub-Specialty
- Advocate, NorthShore Deal Would Create 16-Hospital System
- Top Reason for Nurse Turnover: Managers
- CEO Exchange: Pressure is On to Partner, Drive Quality
- Power of price: In South FL and the nation, healthcare costs often are shrouded in secrecy
- Hospital mergers may lead to higher prices
- House OKs Cassidy's 'keep your plan' bill
- Healthcare data of 1 million NJ patients compromised since 2009