Controlling healthcare costs by removing waste: what American doctors can do now

被引：33

作者：

Swensen, Stephen J. ^{[1
]}

Kaplan, Gary S. ^{[2
]}

Meyer, Gregg S. ^{[3
,4
]}

Nelson, Eugene C. ^{[5
]}

Hunt, Gordon C. ^{[6
]}

Pryor, David B. ^{[7
]}

Weissberg, Jed I. ^{[8
]}

Daley, Jennifer ^{[9
,10
]}

Yates, Gary R. ^{[11
]}

Chassin, Mark R. ^{[12
]}

机构：

[1] Mayo Clin, Rochester, MN 55905 USA

[2] Virginia Mason Hlth Syst, Seattle, WA USA

[3] Massachusetts Gen Hosp, Ctr Qual & Safety, Boston, MA 02114 USA

[4] Massachusetts Gen Phys Org, Boston, MA USA

[5] Dartmouth Hitchcock Med Ctr, Lebanon, NH 03766 USA

[6] Sutter Hlth, Sacramento, CA USA

[7] Ascens Hlth, St Louis, MO USA

[8] Kaiser Permanente, Qual & Care Delivery Excellence, Oakland, CA USA

[9] Univ Massachusetts, Mem Med Ctr, Worcester, MA 01605 USA

[10] Univ Massachusetts, Sch Med, Worcester, MA USA

[11] Sentara Healthcare, Norfolk, VA USA

[12] Int Joint Commiss, Oak Brook Terrace, IL USA

来源：

BMJ QUALITY & SAFETY | 2011年 / 20卷 / 06期

关键词：

CONCEPTUAL-FRAMEWORK; RANDOMIZED-TRIAL; ANTIBIOTIC USE; VERTEBROPLASTY; FRACTURES; QUALITY; IMPACT;

D O I：

10.1136/bmjqs.2010.049213

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Healthcare costs are unsustainable. The authors propose a solution to control costs without rationing (deliberate withholding of effective care) or payment reductions to doctors and hospitals. Three physician-led strategies comprise this solution: reduce (1) overuse of health services, (2) preventable complications and (3) waste within healthcare processes. These challenges know no borders.

引用

页码：534 / 537

页数：4

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