Ten 10-year trends for the future of healthcare: implications for academic health centers.
Ten 10-year trends for the future of healthcare: implications for academic health centers.
复制标题
医疗保健未来的十大十年趋势：对学术健康中心的影响。
作者：
A. Garson;S. A. Levin
在过去的十年中，对美国学术健康中心（AHC）的威胁已经被报道，最重要的是通过降低患者护理的感知价值和显着减少对AHC医生的直接支付。这些减少要求AHC变得更有效，并增加了在患者护理和研究方面提高生产力的压力。美国医疗保健系统继续发展，以应对这些挑战以及成本增加和未投保人数增加的额外压力。未来十年的十大趋势是显而易见的：1）更多的患者，2）更多的技术，3）更多的信息，4）患者作为最终消费者，5）不同的交付模式的发展，6）竞争驱动的创新，7）成本增加，8）未投保人数增加，9）提供者支付更少，以及10）对新医疗体系的持续需求。为了应对这些趋势，AHC必须通过加强研究人员、临床医生和教育工作者之间的合作来继续提高效率，同时展示他们如何“与众不同”和“优于”竞争对手。AHC拥有的工具和人员不仅可以改善患者护理流程，还可以了解如何在保持质量的同时降低成本。AHC还具有规模和专业知识，可以控制其他地方无法提供的服务的地理市场份额。这些计划必须能够发展和应对市场压力，AHC必须成为创新的引擎，不断更新新的知识和“卓越中心”和适当的行业合作伙伴计划。推动这种进展的是各级更好的沟通和更多的信息共享与合作，包括建立更好的医生转诊网络。这些成就，由技术驱动，将允许AHC提高护理质量和提高效率，即使在病人和无保险的负担日益增加的情况下。这将使AHCs成为改善国家医疗保健系统的最重要的倡导者和领导者。
The threat to the United States' Academic Health Centers (AHCs) has been reported for the past decade, signified most importantly by the decrease in the perceived value of patient care delivered and a significant reduction in direct payments to physicians in AHCs. These reductions have required AHCs to become more efficient and increased pressures to become more productive in both patient care and research. The U.S. healthcare system continues to evolve in response to these challenges and the additional pressures of increasing costs and the increasing numbers of uninsured. Ten trends for the next decade are evident: 1) more patients, 2) more technology, 3) more information, 4) the patient as the ultimate consumer, 5) development of a different delivery model, 6) innovation driven by competition, 7) increasing costs, 8) increasing numbers of uninsured, 9) less pay for providers, and 10) the continued need for a new healthcare system. In response to these trends, AHCs will have to continue to improve efficiency by increasing cooperation between researchers, clinicians, and educators while demonstrating how they are "different" and "better" than the competition.The AHC has the tools and the personnel not only to improve patient care processes but also to understand how to decrease costs while maintaining quality. AHCs also have the size and expertise to establish control over geographic market share with services not available elsewhere. Such programs must be able to evolve and respond to market pressures, and the AHC must be an engine of innovation, continuously regenerating new knowledge and programs with "Centers of Excellence" and appropriate industry partnerships. Such progress is driven by better communication and greater sharing of information and collaboration at all levels, including building better physician referral networks. These accomplishments, driven by technology, will allow AHCs to improve quality of care and increase efficiency even under the increasing burden of patients and uninsured. This will position AHCs as the most important advocates and lead players in the development of an improved national healthcare system.