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The Innovator's Prescription: A Disruptive Solution for Health Care [INNOVATO... [Paperback]

4.8 out of 5 stars  See all reviews (5 customer reviews)

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  • Paperback
  • Publisher: McGraw-Hill (2009)
  • ASIN: B001TI7M1M
  • Average Customer Review: 4.8 out of 5 stars  See all reviews (5 customer reviews)

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8 of 9 people found the following review helpful
4.0 out of 5 stars Rigorous Analysis of How to Fund Healthcare 27 July 2009
Format:Hardcover|Verified Purchase
Having been exposed to Christensen's theory of disruption in his previous books (The Innovator's Dilemma: The Revolutionary Book That Will Change the Way You Do Business (Harperbusiness Essentials) and The Innovator's Solution: Creating and Sustaining Successful Growth) and also from taking his course at business school, I bought this book to give me a refresher in the theory and to also see one of the world's most impressive minds apply his knowledge to one of the world's biggest problems; how to make healthcare affordable for ageing populations.

Overall, the book doesn't disappoint. In Christensen's logical, structured style the various points he makes are illustrated well with insightful case studies (both within healthcare and from other industries such as electronics that readers of the previous books will be familiar with) and a clear narrative flow. He carefully dissects the various issues and applying the various elements of disruption theory builds a framework for how to build a healthcare system that works on all levels.

I can't do it justice in a paragraph but his major argument is that having hospitals (which are structured to solve complex problems) as the main repository of care is very inefficient. Instead, various activities of hospitals such as routine dialysis or hip operations should be hived off into much more efficient external clinics that are more able to charge on a results-basis and drive down costs by using more skilled technicians rather than high cost doctors.
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8 of 9 people found the following review helpful
5.0 out of 5 stars So painfully true! 14 Dec 2009
By Dr V
I am a UK medical doctor and was passed this book by a family member. My initial reluctance to engage with the detail eventually gave way to the painful realisation that much of what is said here is true and applies to the UK as it does to the US. This book has changed my view of healthcare and specifically how badly we deliver it. Worth a read even if you are skeptical!
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5.0 out of 5 stars Great therapy for the health care system 24 Mar 2010
By Rolf Dobelli TOP 500 REVIEWER
Political fights over health care reform have generated countless pages of editorials, commentaries and polemics, and hundreds of hours of television and radio programming. However, the onslaught has included depressingly few carefully considered, thoughtfully presented proposals for holistic reform of the health care system. This book by Clayton M. Christensen, Jerome H. Grossman and Jason Hwang is one of a very small number to transcend agitprop and offer an intelligent way forward. Its thesis is that in the natural course of economic progress many changes will happen inevitably in the health care industry. The book explains that health care is not fundamentally dissimilar to other industries where "disruptive innovation" has brought efficiency, economy and quality. Since the health care industry is likely to follow, for example, the path of the computer industry, getAbstract suggests this book as a must-read for health care professionals, policy makers and anyone with an interest in the future of the field. Perhaps these ideas - or even the thinking provoked by disagreeing with some of them - could help shape a robust solution to a vexing global problem, if that solution survives the legislative process (evoking the old saying that you should never watch laws or sausages being made - alas, it's too late for that).
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2 of 4 people found the following review helpful
5.0 out of 5 stars A different view of Health Services 10 Jan 2010
Format:Hardcover|Verified Purchase
This is a great book if a little heavy in places. Based o the problems in the American health services it has some eye opening views that could be translated for use in the UK
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0 of 2 people found the following review helpful
"For I know the thoughts that I think toward you, says the LORD, thoughts of peace and not of evil, to give you a future and a hope." -- Jeremiah 29:11 (NKJV)

In The Innovator's Prescription, disruptive innovation expert Professor Clayton M. Christensen teams with Jerome H. Grossman, M.D., and Jason Hwang, M.D. to consider how new technologies, improved business models, changed processes, improved regulation, and better ways of training can greatly expand the amount of health care that can be provided for what is being spent now, opportunities to speed better treatments through development and testing, and patients can be encouraged to do more for themselves. The basic arguments are based on analogies to other major industries where disruptive innovation caused costs to drop as greatly simplification and specialization occurred.

I think that few will disagree that the opportunities described here are mostly real ones. I wasn't convinced that the foundations for change are sufficiently well established to make serious shifts in the United States. I believe that what is described here is very likely to occur rather in the rapidly developing part of the emerging market countries such as India (home of Aravind Eye Care System) where the lack of any health care for many creates a humanitarian incentive to lower regulatory barriers and to push aside old, outmoded habits.

Americans don't seem to be fundamentally unhappy with their system of very expensive health care that produces results in many categories that are inferior to what is achieved in other developed countries. It's a lot like the benefits the U.S. government dispenses when it runs trillion dollar deficits. Most people are getting a lot more back than what they put in.
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