評論
打印
So no wonder that some of my old colleagues are frustrated.
怪不得我過去的同事們那么沮喪。
At BCG, we looked at this,
在BCG（波士頓咨詢公司），我們分析了這個問題，
and we asked ourselves,
我們問自己，
this can't be the right way of managing healthcare.
這樣管理醫(yī)療保健的方法肯定是不正確的。
And so we took a step back and we said,
所以我們退一步想,
What is it that we are trying to achieve?
我們到底想要取得什么成效？
Ultimately, in the healthcare system,
歸根結底，在醫(yī)療保健系統(tǒng)里，
we're aiming at improving health for the patients,
我們的目標是要改善病人的身體狀況，
and we need to do so at a limited,
而且是要在一定限度內
or affordable, cost.
或者說能負擔得起的情況下。
We call this value-based healthcare.
我們稱之為以價值為基礎的醫(yī)療保健。
On the screen behind me, you see what we mean by value:
在我身后的屏幕上你們可以看到我所謂價值就是：
outcomes that matter to patients relative to the money we spend.
對病人有用的結果除以看病的費用。
This was described beautifully in a book in 2006 by Michael Porter and Elizabeth Teisberg.
這在一本2006年出版的由Michael Porter和Elizabeth Teisberg合著的書里解釋得非常清楚。
On this picture, you have my father-in-law surrounded by his three beautiful daughters.
在這張照片里，你們可以看到我的岳父和他的三個漂亮的女兒。
When we started doing our research at BCG,
我們開始在BCG做研究的時候，
we decided not to look so much at the costs,
我們決定先不看費用是多少，
but to look at the quality instead,
而是看質量。
and in the research, one of the things that fascinated us was the variation we saw.
在研究中，（醫(yī)院之間）懸殊的治療質量相當引人注目。
You compare hospitals in a country,
比較同一個國家里的不同醫(yī)院
you'll find some that are extremely good,
你會找到一些做的非常好的醫(yī)院，
but you'll find a large number that are vastly much worse.
但是也有大量醫(yī)院做的極為糟糕。
The differences were dramatic.
這之間的差異非常顯著。
Erik, my father-in-law,he suffers from prostate cancer,
我的岳父，Erik，患有前列腺癌，
and he probably needs surgery.
很可能需要手術。
Now living in Europe, he can choose to go to Germany that has a well-reputed healthcare system.
他住在歐洲，他可以選擇去德國治療，那里有聲望不錯的醫(yī)療保健系統(tǒng)。
If he goes there and goes to the average hospital,
如果他去了德國的一家普通醫(yī)院，
he will have the risk of becoming incontinent by about 50 percent,
他將面臨大小便失禁的風險，差不多有五十百分的幾率，
so he would have to start wearing diapers again.
那他將有可能要重新開始穿尿布。
