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The Innovator's Prescription : A Disruptive Solution for Health Care
Book:
The Innovator's Prescription : A Disruptive Solution for Health Care
Quotes of Book: The Innovator's Prescription :
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Clayton M. Christensen
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The Innovator's Prescription :
The Indivo system resolves the Problem of Mutual Accommodation of Interdependent Systems summarized earlier by inserting a layer of virtualization between two interdependent structures. It makes the data open, modular, and conformable, so that the applications using the data can be optimized. By being modular {open source}, the data in PHRs are commoditized-it is no longer a strategic asset, nor where money can be made. Instead, profit in the industry will be made by firms that build applications that use the data. Some
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Clayton M. Christensen
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The Innovator's Prescription :
Doctors today are under such pressure to see more patients that they simply don't have the time to spend with drug company salespeople. And doctors are much less dependent upon detailers to learn about drugs: there are alternatives. The Internet enables physicians to search for the right drug, and to refresh their knowledge of its side effect profile and possible interactions with other drugs, even while the patient is in the office.
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Clayton M. Christensen
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The Innovator's Prescription :
But there is not a single billing code for patient adherence or improvement, or for helping patients stay well.
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Clayton M. Christensen
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The Innovator's Prescription :
any program for resolving our runaway health-care costs that does not have a credible plan for changing the way we care for the chronically ill can't make more than a small dent in the total problem.
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Clayton M. Christensen
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The Innovator's Prescription :
Few people have physically and emotionally survived more than one SAP implementation project.42
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Clayton M. Christensen
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The Innovator's Prescription :
The job that an EHR is designed to do is a systemic job, not a local one. It is designed to enable different providers in different locations to see what kinds of care other doctors and institutions have given or are rendering to a patient. It
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Clayton M. Christensen
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The Innovator's Prescription :
Rather, in our distorted fee-for-service world, the work to coordinate and oversee care just isn't as profitable as other activities.
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Clayton M. Christensen
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The Innovator's Prescription :
On the other hand, the shortage of primary care physicians is so severe that 43.7 percent of the 21,885 residency positions in internal medicine in 2005 were filled by graduates of foreign medical schools30-because most of those coming out of American medical schools opt for training as specialists. This
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Clayton M. Christensen
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The Innovator's Prescription :
People who don't want to do something that they know they should do have marvelously inventive abilities to ignore what they know. They
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Clayton M. Christensen
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The Innovator's Prescription :
We will get growth and affordability in health care not by replicating the expertise of today's physicians in the form of new physicians. We will get it by embodying their expertise in devices and equipment, so expertise becomes widely available, more affordable, and much easier to obtain. This
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Clayton M. Christensen
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The Innovator's Prescription :
Interestingly, even though MinuteClinic employs no doctors in its clinics, it has never been sued for malpractice. The reason is that malpractice lawsuits arise primarily in cases of mis-diagnosis and flawed therapeutic judgment.16 Because MinuteClinic practices in the realm of precision medicine, its diagnoses are precise and its therapies predictably effective.
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Clayton M. Christensen
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The Innovator's Prescription :
As Medicare, Medicaid, and private health assistance companies pervasively inserted themselves between patients and providers, the market ultimately evolved toward what economists call monopsony-where a few huge, powerful buyers essentially determine the prices they will pay to their more fragmented suppliers.
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