Will disruptive innovations cure health care

摘要: It's no secret that health care delivery is convoluted, expensive, and often deeply dissatisfying to consumers. But what less obvious a way out of this crisis exists. Simpler alternatives expensive are already here--everything from $5 eyeglasses people can use correct their own vision angioplasty instead open-heart surgery. Just as the PC replaced mainframe telephone telegraph operator, disruptive innovations changing landscape care. Nurse practitioners, general even patients do things in less-expensive, decentralized settings could once be performed only by specialists centralized, inconvenient locations. established institutions--teaching hospitals, medical schools, insurance companies, managed facilities--are fighting these tooth nail. Instead embracing change, they're turning thumbscrews on old processes--laying off workers, delaying payments, merging, adding layers overhead workers. Not at root consumer dissatisfaction with present system, it sows seeds its destruction. The history tells us incumbent institutions will ones whose business models appropriate new technologies markets. working preserve existing systems, regulators, physicians, pharmaceutical companies need ask how they enable more emerge. If natural process disruption allowed proceed, result higher quality, lower cost, convenient for everyone.