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A groundbreaking prescription for health care reform--from a legendary leader in innovation . . .
Our health care system is in critical condition. Each year, fewer Americans can afford it, fewer businesses can provide it, and fewer government programs can promise it for future generations.
We need a cure, and we need it now.
Harvard Business School’s Clayton M. Christensen―whose bestselling The Innovator’s Dilemma revolutionized the business world―presents The Innovator’s Prescription, a comprehensive analysis of the strategies that will improve health care and make it affordable.
Christensen applies the principles of disruptive innovation to the broken health care system with two pioneers in the field―Dr. Jerome Grossman and Dr. Jason Hwang. Together, they examine a range of symptoms and offer proven solutions.
YOU’LL DISCOVER HOW
- “Precision medicine” reduces costs and makes good on the promise of personalized care
- Disruptive business models improve quality, accessibility, and affordability by changing the way hospitals and doctors work
- Patient networks enable better treatment of chronic diseases
- Employers can change the roles they play in health care to compete effectively in the era of globalization
- Insurance and regulatory reforms stimulate disruption in health care
- Sales Rank: #29037 in Books
- Brand: Christensen, Clayton M./ Grossman, Jerome H., M.D./ Hwang, Jason
- Published on: 2009
- Original language: English
- Number of items: 1
- Dimensions: 9.20" h x 1.43" w x 6.30" l, 1.85 pounds
- Binding: Hardcover
- 496 pages
Most helpful customer reviews
7 of 7 people found the following review helpful.
Hard slog
By Jigokumon
This was a hard one to read. A bloody hard slog. If I see the word 'disruption' one more time I'm going to throw up.
There is valuable insight in the first half of the book which I recommend. However the last 3-4 chapters were severely repetitive with a lot of prescriptive comments about what innovators 'must' do.
If you are a doctor, this is an interesting read. It opens your mind to what could be, and suddenly nothing seems as safe and cosy.
If you are a businessman, you'll need a lot more than what this book has to offer. You'll probably look at the entrenched systems of health, throw your hands in the air and decide to tackle some other industry.
1 of 1 people found the following review helpful.
A disruptive innovators guide to improving healthcare productivity, quality, and affordability
By Leif C. Ulstrup
Christensen and his co-authors have written a clear and compelling guide to putting the healthcare industry on a path to more rapid productivity breakthroughs that deliver increasing value/$. Their prescription for changing the HC industry has the potential to increase the well being of all Americans while radically lowering costs and increasing quality. It is the first book I have read on the industry that puts all of the pieces together to describe the root causes of current roadblocks and the pathway to improvement. The authors organize their ideas around the "disruptive innovation" and "jobs to be done" theories that Professor Christensen has developed. I recommend this book to anyone who is serious about introducing disruptive technology and business model innovation to the healthcare industry. The examples and well researched footnotes on the industry are thorough and valuable.
103 of 106 people found the following review helpful.
What rather than who
By William Whipple III
It is a commonplace that the U.S. healthcare system is broken, but the discussion often degenerates into a debate about who is responsible. This book takes a different approach, focusing on what is wrong with the healthcare system and needs to change so it can work better.
The proposed solution is to discard the current fee for healthcare service model, in which healthcare providers are systematically paid to treat illness without recompense for fostering welfare, and create a three-track system:
(1) Fee for service would continue to apply to diagnostic services, where - due to the nature of the patient's condition and the state of medical knowledge - there is a high need for intuitive investigation versus results-based treatment for conditions that are well understood. (The process described brings to mind episodes of House, a TV show in which a brilliant but irascible doctor challenges a team of colleagues to find the problem before the patient dies.)
(2) Fee for result would apply for treating conditions that are well understood and have a clearly defined solution -- colonoscopies, laser eye surgery, implantation of stents, etc.
(3) User networks for patients with chronic conditions/ unhealthy practices to learn how they can help themselves and be motivated to do so.
As is pointed out again and again, disruptive changes will be needed to get from A to B. Thus, hospitals must be redirected to focus on diagnostic services and cede provision of standardized care and wellness coordination to specialized clinics and other agencies. Primary care physicians (the traditional "family doctor") should concentrate on diagnostic services at a lower level rather than acting as "gatekeepers" for referrals to specialists. Enabling changes in reimbursement rules, health insurance arrangements, and medical record keeping are spelled out in detail.
When the dust settles, there will be fewer hospitals (with the survivors focused on enhanced diagnosis, like the Mayo Clinic), fewer medical specialists (who currently operate in narrow niches, often without a full grasp of a patient's situation), more primary care physicians and nurses with augmented responsibilities, a new model for pharmaceutical companies that focuses on targeted medications for precisely defined conditions versus the development and marketing of "blockbuster" drugs that only help a fraction of the users and require enormously expensive mass clinical trials, and a lot of medical work performed by less highly trained personnel with better diagnostic tools.
Andy Kessler presented an analogous vision in "The End of Medicine: How Silicon Valley (and Naked Mice) Will Reboot Your Doctor," Harper Collins (2006). His book is very entertaining, but this one covers the ground in a more disciplined and comprehensive manner. I would recommend "The Innovator's Prescription" for anyone who is seriously concerned about the current healthcare system.
Doctors, hospitals, and other healthcare providers cannot make the needed changes on their own, because they do not control all the levers. Having the government take the lead is said to be problematic, for reasons that are dispassionately stated and I happen to agree with. The authors suggest that the best candidate entities for leading the transition to healthcare in the new mode might be employers that profit from the good health of their employees. Then there is the intriguing possibility of expanding the role of integrated healthcare providers,e.g., Kaiser Permanente.
Let's hope our country chooses the right path.
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