The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
How Physicians Can Change the Future of Health Care
Abstract
Today's preoccupation with cost shifting and cost reduction undermines physicians and patients. Instead, health care reform must focus on improving health and health care value for patients. We propose a strategy for reform that is market based but physician led. Physician leadership is essential. Improving the value of health care is something only medical teams can do. The right kind of competition--competition to improve results--will drive dramatic improvement. With such positive-sum competition, patients will receive better care, physicians will be rewarded for excellence, and costs will be contained. Physicians can lead this change and return the practice of medicine to its appropriate focus: enabling health and effective care. Three principles should guide this change: (1) the goal is value for patients, (2) medical practice should be organized around medical conditions and care cycles, and (3) results--risk-adjusted outcomes and costs--must be measured. Following these principles, professional satisfaction will increase and current pressures on physicians will decrease. If physicians fail to lead these changes, they will inevitably face ever-increasing administrative control of medicine. Improving health and health care value for patients is the only real solution. Value-based competition on results provides a path for reform that recognizes the role of health professionals at the heart of the system.
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Cites
To Err Is Human: Building a Safer Health System
(2000) · National Academies Press eBooks · doi:10.17226/9728 · Cited by 14,044
Crossing the Quality Chasm: A New Health System for the 21st Century
Baker, A. (2001) · BMJ · doi:10.1136/bmj.323.7322.1192 · Cited by 10,736
The quality of health care delivered to adults in the United States
McGlynn, E. A., Asch, S. M., Adams, J., Keesey, J., Hicks, J., DeCristofaro, A., & Kerr, E. A. (2003) · New England Journal of Medicine · doi:10.1056/nejmsa022615 · Cited by 5,079
Hospital Volume and Surgical Mortality in the United States
Birkmeyer, J. D., Siewers, A. E., Finlayson, E. V. A., Stukel, T. A., Lucas, F. L., Batista, I., Welch, H. G., & Wennberg, D. E. (2002) · New England Journal of Medicine · doi:10.1056/nejmsa012337 · Cited by 4,999
Surgeon volume and operative mortality in the United States
Birkmeyer, J. D., Stukel, T. A., Siewers, A. E., Goodney, P. P., Wennberg, D. E., & Lucas, F. L. (2004) · ACC Current Journal Review · doi:10.1016/j.accreview.2003.12.065 · Cited by 1,113
Risk Adjustment for Measuring Healthcare Outcomes
Iezzoni, L. I. (1994) · Cited by 955
The Dartmouth Atlas of Health Care
Kirby, R. S. (1998) · Cartographic Perspectives · doi:10.14714/cp29.675 · Cited by 843
Variations in Morbidity after Radical Prostatectomy
Begg, C. B., Riedel, E. R., Bach, P. B., Kattan, M. W., Schrag, D., Warren, J. L., & Scardino, P. T. (2002) · New England Journal of Medicine · doi:10.1056/nejmsa011788 · Cited by 840
Ferguson, T. B., Hammill, B. G., Peterson, E. D., DeLong, E. R., & Grover, F. L. (2002) · The Annals of Thoracic Surgery · doi:10.1016/s0003-4975(01)03339-2 · Cited by 652
Connections Between Quality Measurement and Improvement
Berwick, D. M., James, B., & Coye, M. J. (2003) · Medical Care · doi:10.1097/00005650-200301001-00004 · Cited by 575
Cited by
Gaps between knowing and doing: Understanding and assessing the barriers to optimal health care
Cochrane, L. J., Olson, C. A., Murray, S., Dupuis, M., Tooman, T., & Hayes, S. (2007) · Journal of Continuing Education in the Health Professions · doi:10.1002/chp.106 · Cited by 500
Core Principles & Values of Effective Team-Based Health Care
University of Washington, Mitchell, P. H., Wynia, M. K., American Medical Association, Golden, R., Rush University Medical Center, McNellis, B., American Academy of Physician Assistants, Okun, S., PatientsLikeMe, et al. (2012) · NAM Perspectives · doi:10.31478/201210c · Cited by 349
Riordain, R. N., Glick, M., Mashhadani, S. S. A. A., Aravamudhan, K., Barrow, J., Cole, D., Crall, J. J., Gallagher, J. E., Gibson, J., Hegde, S., et al. (2021) · International Dental Journal · doi:10.1111/idj.12604 · Cited by 94
The GAAP in Quality Measurement and Reporting
Pronovost, P. J., Miller, M., & Wachter, R. M. (2007) · JAMA · doi:10.1001/jama.298.15.1800 · Cited by 92
Competing logics in a hybrid organization: ICT service provision in the Italian health care sector
Maran, L., & Lowe, A. (2022) · Accounting, Auditing & Accountability Journal · doi:10.1108/aaaj-12-2019-4334 · Cited by 27
Metadata
- Authors
- Porter, M. E., & Teisberg, E. O.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2007-03-14
- Volume
- 297
- Issue
- 10
- Pages
- 1103
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2087672551
- Cited by
- 417
- References
- 27
- FWCI
- 73.92
- Type
- journal article
- Language
- en
- Open access
- closed
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
