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By Zoltan Lantos, Client Management Director
Developed countries have been struggling for some time with increasing twofold cost pressure on their health care systems. On one side, procedure volumes are rising because of the greater medical needs of the aging; on the other side, unit values have increased with the cost of improved medical technologies and procedures. To cope with these cost pressures, health care reforms have mainly focused on reduction of the reimbursement. This measure is usually referred to as cost containment but has little correlation with the real cost of a procedure or intervention, rather, only reflecting the expenditure of the reimbursing body. As a result of these financially based actions, the expression of health care reform has become equal to superfluous combat.
Meanwhile, for practicing physicians, with their knowledge of medical procedures and their own curative experiences, the clear need for patient centricity has become ever more obvious. In 1993 Harvard Medical School with the Picker Institute (Gerteis 1993) formulated the characteristics of a well-functioning, patient-centered care system. For more than a decade, however, this concept couldn’t gain traction in medical practice until Michael E. Porter and Elizabeth Olmsted Teisberg published their epoch-making book, “Redefining Health Care,” in 2006. The book’s subtitle, “Creating Value-Based Competition on Results,” concisely reflects the essence of the new foundation of modern health care. It is creating value at the level of patients as end users – value that is measured by results on patient health.
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