exceptional take on healthcareJune 10, 2009 Nikolaos Kakavoulis(New York, NY) 1 out of 1 found this review helpful
Extremely interesting, well written, a great read for those interested in getting a better understanding of healthcare and disruptive technologies
Diagnosis better than prescriptionJune 6, 2009 Peter H. Elias(Maine) 2 out of 3 found this review helpful
The author applies his paradigm of innovative versus disruptive innovations and some useful concepts about business models to the health care industry. I found his writing clear and his reasoning easy to follow. He gives lots of examples from the non-health business world. His descriptions of health care are consistent with a 30,000 foot conceptual view: accurate and useful, but disconcerting in the lack of apparent familiarity with ground level activity. His descriptions of what is broken and how we got here and what keeps us from progressing I found useful and thought provoking. But I felt his 'prescription' was shallow and invoked entirely too much magic and handwaving: the regulatory agencies have to allow different approaches (how does he suggest making that happen?) and hospitals need to decentralize and split into more coherent units with consistent business models (sure, but how?). Overall, definitely a worthwhile read to learn more and have a better understanding of the issues - just don't expect to have any more sense of practical solutions when you are done reading.
The future of medical education concept deserves a book of its ownMay 27, 2009 Lance Manning(Dallas, TX USA) In Innovator's Prescription, the authors spend less time reviewing the failures of the past, as was the case in Innovator's Dilemma. Exhaustive examination of failed technology business models is replaced by more of what the future of the health care industry will look like. Hospitals as we know them are not yet extinct. Also, the inefficiencies of care remain insulated from full market elasticity. However, this is changing with HSA-driven, consumer cost consciousness, and quality-inducing Medicare/Medicaid reimbursements.
Unlike contemporary books on this topic, the authors are careful not to blind readers with best technologies yet to come. More importantly, topics such as medical education and fee-for-service delivery models are deliberated with understandable eventuality amidst validated economic and market forces.
The compelling vision that is the future of medical education deserves a book of its own. The diminishing role cited of today's medical schools slaps a wake up call onto the face of this traditional cash cow. As the Toyota Production System impacts time, cost, and quality with a jump from series to parallel processes, it's suggested that the same will happen for the medical school. Just how science learning and clerkship will merge together remains to be seen. Absent from this dialogue is the "speed to competency" movement gaining ground for medical simulation and certification.
The unsustainability of medical education meeting the needs of the masses receives no better example than the following field and need disparity:
-more are being trained and less are needed (specialists)
-less are trained when more are needed (nurses)
To resolve this issue, the current Administration seeks to adopt incentives (student loan reimbursement, etc.) to offset the imbalance. This trend, however, feeds the ongoing demand for specialty hospitals as maximized quality follows free market models versus mandated models.
Innovator's Prescription concludes that `fee for service' and `direct to consumer' health care will become more prevalent. The successful business models of the future in this market space reflect disaggregation of `hospital care as we know it' services. Point-of-care diagnostics, outpatient surgery clinics, retail health clinics, are among the spectrum of simplifying innovations in health care standards of the future.
Most important book on healthcare reform this yearMay 6, 2009 Brian Ahier(The Dalles, Oregon) 1 out of 1 found this review helpful
This is a very thought provoking book that gives great insight into many of the problems facing healthcare today. Anyone interested in using disruptive technology to reform healthcare should read this book.
I have gone through this book twice and will soon post more on my blog at
http://ahier.blogspot.com/
The Innovator's Prescription: A Disruptive Solution for Health Care
Innovator's prescriptionApril 29, 2009 Thomas E. Kottke(St. Paul, MN USA) 1 out of 1 found this review helpful
This book is a must read for any stakeholder in medical care, whether they are a health care professional, manager or a purchaser of health care. Christensen describes in this book where health care will end up if we are all lucky enough to survive the transition.
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