評論
打印
The United States has, for many diseases,
事實(shí)上，美國在很多疾病上,
actually a quality which is below the average
的保健質(zhì)量是低于OECD平均水平的。
Now, if the American healthcare system would focus a lot more on measuring quality,
那么，如果美國醫(yī)療系統(tǒng)致力于做更多的質(zhì)量評價，
and raise quality just to the level of average OECD,
并且把質(zhì)量提高到OECD的平均水平，
it would save the American people 500 billion U.S. dollars a year.
可為美國人民縮減每年五千億美元的開支。
That's 20 percent of the budget,
這占到了美國整個國家,
of the healthcare budget of the country.
醫(yī)療保健預(yù)算的20%。
Now you may say that these numbers are fantastic, and it's all logical,
你可能會說，這些數(shù)字看上去很美，也符合邏輯，
but is it possible?
可這現(xiàn)實(shí)嗎？
This would be a paradigm shift in healthcare,
這將是醫(yī)療保健的模式改變，
and I would argue that not only can it be done,
我認(rèn)為，這不僅可以做到，
but it has to be done.
而且必須做到。
The agents of change are the doctors and nurses in the healthcare system.
而醫(yī)生和護(hù)士將是醫(yī)療系統(tǒng)變革的主力。
In my practice as a consultant,
在我做顧問期間，
I meet probably a hundred or more than a hundred doctors and nurses and other hospital or healthcare staff every year.
我每年要接觸上百名醫(yī)生，護(hù)士，以及醫(yī)院職工。
The one thing they have in common is they really care about what they achieve in terms of quality for their patients.
他們有著一個共同點(diǎn)，就是他們真正最關(guān)心的是如何保障病人的醫(yī)療質(zhì)量。
Physicians are, like most of you in the audience,
醫(yī)生和在做的各位一樣，
very competitive.
是非常有競爭意識的。
They were always best in class.
他們一直是班上最優(yōu)秀的，
We were always best in class.
我們總是班上最優(yōu)秀的。
And if somebody can show them that the result they perform for their patients is no better than what others do,
如果有人能告訴他們，他們的醫(yī)療效果并不比其他醫(yī)生強(qiáng)，
they will do whatever it takes to improve.
他們將不惜一切來改善現(xiàn)狀。
But most of them don't know.
但是他們很多人不知道。
But physicians have another characteristic.
醫(yī)生還有一個特點(diǎn)，
They actually thrive from peer recognition.
他們喜歡得到同行的褒獎。
If a cardiologist calls another cardiologist in a competing hospital and discusses why that other hospital has so much better results, they will share.
如果一個心臟科醫(yī)生向另一家競爭醫(yī)院的心臟科醫(yī)生咨詢?yōu)槭裁此麄兊闹委熜Ч茫麄儠窒斫?jīng)驗(yàn)。
