評論
打印
Compare apples to apples. Who's better?
比較治療方案之間哪個更好，
Why is that?
為什么更好？
Five months ago,
五個月前，
I led a workshop at the largest university hospital
我在北歐最大的醫學院
in Northern Europe.
組織了一次專題討論會。
They have a new CEO, and she has a vision:
他們換了新的CEO，而她的愿景是：
I want to manage my big institution much more on quality, outcomes that matter to patients.
我希望把管理重點放在保證病人的治療質量和效果上。
This particular day, we sat in a workshop
在這天的研討會上，我們跟醫護人員
together with physicians, nurses and other staff,
和后勤人員一起,
discussing leukemia in children.
談到患白血病的孩子。
The group discussed,how do we measure quality today?
我們討論到,我們該如何評價治療結果？
Can we measure it better than we do?
我們在評估上能如何改進？
We discussed, how do we treat these kids,
我們還討論到，該如治療這些孩子？
what are important improvements?
哪些對他們來說是重要的改善？
And we discussed what are the costs for these patients,
我們還提到費用問題。
can we do treatment more efficiently?
我們有更有效的治療方案嗎？
There was an enormous energy in the room.
整個討論氣氛非常熱烈。
There were so many ideas, so much enthusiasm.
每個人都熱情洋溢，提出了很多想法。
At the end of the meeting,
會議結束的時候，
the chairman of the department, he stood up.
部門主席站了起來，
He looked over the group and he said,
他注視著大家，然后說，
first he raised his hand, I forgot that,
差點忘了，他先舉手了，
he raised his hand, clenched his fist,
他舉起手來，攥成拳頭，
and then he said to the group, Thank you.
然后，他對大家說：謝謝。
Thank you. Today, we're finally discussing
謝謝。今天我們終于討論到了
what this hospital does the right way.
我們這家醫院做的一件正確的事情。
By measuring value in healthcare,
（我們所說的）醫療保健的價值，
that is not only costs but outcomes that matter to patients,
不只是要考慮費用，還要為我們的病人帶來有效的治療。
we will make staff in hospitals and elsewhere in the healthcare system not a problem but an important part of the solution.
我們要讓醫院和醫保系統的員工,不再是（醫療成本的）負擔，而成為（化解成本的）重要組成部分。
I believe measuring value in healthcare will bring about a revolution,
我相信，通過衡量醫療保健的價值會帶來一次革命，
and I'm convinced that the founder of modern medicine, the Greek Hippocrates,who always put the patient at the center,
我也相信現代醫學的奠基人一位以病人至上的古希臘的希波克拉底（希臘的名醫，稱醫藥之父）
he would smile in his grave.
看到這些，會含笑九泉的。
Thank you.
謝謝。
