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Cómo los médicos pueden cambiar el futuro de la atención médica
Michael E Porter1, Elizabeth Olmsted Teisberg
1Harvard University, Cambridge, Mass, USA. mporter@hbs.edu
JAMA
|March 16, 2007
Resumen
La reforma dirigida por el médico que se centra en el valor del paciente y los resultados medibles es crucial para la atención médica. Este enfoque fomenta la competencia para obtener mejores resultados, beneficiando a pacientes y médicos, mientras que contiene los costos.
Área de la Ciencia:
- Servicios de salud Investigación Servicios de salud Investigación
- Economía médica La economía médica.
- Gestión de la Gestión de la Atención Médica.
Sus antecedentes:
- Los esfuerzos actuales de reforma de la atención médica a menudo priorizan la reducción de costos sobre el bienestar del paciente, lo que afecta negativamente a médicos y pacientes.
- El liderazgo médico es fundamental para impulsar mejoras significativas en el valor de la atención médica.
Objetivo del estudio:
- Proponer una estrategia basada en el mercado y dirigida por médicos para la reforma de la atención médica centrada en mejorar el valor del paciente.
- Para delinear los principios para la organización de la práctica médica en torno a las condiciones y ciclos de atención para mejorar los resultados.
Principales métodos:
- Abogar por un cambio hacia la competencia basada en el valor, donde los proveedores compiten en resultados medibles.
- Haciendo hincapié en la importancia de los resultados ajustados al riesgo y la medición de costos para impulsar la mejora.
- Destacando la necesidad del liderazgo médico en la implementación de estas reformas.
Principales resultados:
- La competencia basada en valores puede conducir a una mejor atención al paciente, recompensas a los médicos por la excelencia y contención de costos.
- La organización de la práctica médica en torno a las condiciones y los ciclos de atención mejora la eficiencia y la eficacia.
- La reforma dirigida por los médicos aumenta la satisfacción profesional y reduce las cargas administrativas.
Conclusiones:
- La reforma de la atención médica debe priorizar el valor del paciente, impulsado por el liderazgo médico y la competencia por los resultados.
- Implementar un sistema basado en valores requiere organizar la atención en torno a las condiciones y medir los resultados.
- La incapacidad de los médicos para liderar este cambio corre el riesgo de aumentar el control administrativo sobre la medicina.
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