000			02753cam a2200325 i 4500
999			_c9281 _d9281
001			20353875
005			20210611144222.0
008			180131s2018 mau 001 0 eng c
020			_a9781633693661
040			_aMH/DLC _cMH
082	0	0	_a362.1 _bGOV
100	1		_aGovindarajan, Vijay, _eauthor.
245	1	0	_aReverse innovation in health care : _bhow to make value-based delivery work / _cVijay Govindarajan and Ravi Ramamurti.
260			_aBoston, Mass. : _bHarvard Business Review Press, _c2018
300			_aviii, 265 pages ; _c25 cm
500			_aIncludes index.
520			_aHealth care in the United States and other nations is on a collision course with patient needs and economic reality. For more than a decade, leading thinkers including Michael Porter and Clayton Christensen have argued passionately for value-based health care reform: replacing delivery based on volume and fee-for-service with competition based on value, as measured by patient outcomes per dollar spent. Though still a pipe dream here in the United States, this kind of value-based competition is already a reality--in India. Facing a giant population of poor, underserved people and a severe shortage of skills and capacity, some risk-taking private enterprises have found a way to deliver high-quality health care, at ultra-low prices, to all patients who need it. Govindarajan and Ramamurti studied these Indian value-based models in depth. After investigating forty health care organizations and conducting field research on sixteen, they identified seven "exemplar" providers that consistently delivered high-quality health care at ultra-low cost, while being profitable, financially sustainable, and able to scale up their operations. Their secret sauce consists of five principles that work together to produce value-based care. Arguing that now is the time for the United States and other "rich" nations to learn from the "poor," this book shows how the innovations developed by these Indian exemplars are already being practiced by some far-sighted US providers--reversing the typical flow of innovation in the world. The authors describe four different pathways being used by these organizations to apply Indian-style principles to attack the exorbitant costs, uneven quality, and incomplete access to health care in the United States.--
650		0	_aMedical care
650		0	_aMedical care
650		0	_aMedical care
650		0	_aMedical care
650		0	_aValue analysis (Cost control)
650		0	_aCompetition.
650		0	_aHealth planning.
653			_aVấn đề và dịch vụ xã hội cụ thể
653			_aNguyên nhân xã hội
700	1		_aRamamurti, Ravi,
942			_2ddc _cBK