Era 3 for Medicine and Health Care

This article in JAMA Network segments the medicine of the past and future into three eras. Era 1, dating back to Hippocrates’ time, elevated the profession of medicine and was soon shaken out of place when racial and social injustices, injury rates due to error, and profiteering was discovered. Era 2, dominating today’s healthcare, revolves around themes of inspection and control, incentives, and markets. Naturally, this shift has made the care providers feel angry, misunderstood, and over controlled and payers, governments, and consumer groups suspicious and helpless. The future of healthcare rests on creation of an morality-centered Era 3, in which we (1) Reduce Mandatory Measurement, (2) Stop Complex Individual Incentives, (3) Shift the Business Strategy From Revenue to Quality, (4) Give Up Professional Prerogative When It Hurts the Whole, (5) Use Improvement Science, (6) Ensure Complete Transparency, (7) Protect Civility, (8) Hear the Voices of the People Served, and (9) Reject Greed.

Topics:
Organizational Factors, Society and Culture

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