重新定义医疗保健
Redefining health care
Michael E. Porter · 初版 2006 年
1人推荐
2位读者提及
3次提及
“美国及其他国家的医疗卫生体系正与患者需求及经济现实发生严重冲突。不断攀升的成本、日益突出的质量问题，以及越来越多的无医保公民，这些现状令人无法接受——且难以维继。在 Redefining Health Care 中，Michael E. Porter 和 Elizabeth Olmstead Teisberg 提出了医疗卫生体系的新愿景：让每个参与者都聚焦于提升价值，即以每花费一美元所取得的健康成果来衡量。作者们制定了一套强有力且切实可行的变革议程。”——封二。
Hacker News 上怎么说
正在加载完整评论……
…就没办法利用市场来促进改善。目前我们并不衡量长期效益，决策也与成本脱节。（没错，我也喝了这碗 Kool-Aid：http://www.amazon.com/Redefining-Health-Care-Value-Based-Com...）
…will have no way to use the market to stimulate improvement. Right now we don't measure long term benefits and decisions are insulated from costs. (Yeah, I drink the Kool aid: http://www.amazon.com/Redefining-Health-Care-Value-Based-Com...)
这就是《Redefining Health Care》这本书里讨论的内容。由雇主主导的医保模式完全坏掉了。你描述的其实是医疗领域更开放的资本主义模式，人人都处在公开公平的竞技场上。多年前我也曾对此深信不疑……
This is what was talked about in the book "Redefining Health Care." The employer based model is totally broken. What you're describing is more open capitalism in health care where everyone is on an open playing field. I use to really believe in this at one point years…
…这正值大力推行 HSA 的时候，当时宣传健康人群如何利用它省钱，并在晚年将这笔钱转入 IRA 用于养老，或者留在 HSA 里应付 medicare 医疗开销。我们在公司读了《Redefining Health Care》，当时讨论很多，但始终都是以盈利为目的（即便我们是一家 not-for-profit 机构，注意别和 non-profit 混淆）。我离开美国待了一段时间，发现挺有意思的……
…This was during the big push to HSAs and how healthy people could save using them and roll that money over to an IRA later in life to aid in retirement, or kept in the HSA for medicare costs. We read Redefining Health care at work and there was a lot of talk, but always with the for-profit ends (even through we were a non-for-profit, not to be confused with a non-profit). I left the US for a while and I found it interesting…