Donald M. Berwick, MD, MPP
Potential Financial Conflicts of Interest: None disclosed.
Berwick D.; My Right Knee. Ann Intern Med. 2005;143:237-238. doi: 10.7326/0003-4819-143-3-200508020-00020
Download citation file:
Published: Ann Intern Med. 2005;143(3):237-238.
I understand Dr. Sapers' skepticism, given how poorly designed health care is today. My vision, however, is hardly that of a “Wal-Mart.” It is of a health care system that seeks to address each individual patient on his or her own terms, so far as possible. I believe that dedicated clinicians indeed try to do that as a matter of personal mission, and I also believe that modern understandings of health care as a system (not “aping business models”) with open-minded, scientific redesigns, can go a long way toward that vision. For example, waiting times can be reduced dramatically with relatively simple changes in time-honored, but illogical, scheduling systems (1). Much safer care is within our reach, if only we will commit to new levels of reliability in our processes.
to gain full access to the content and tools.
Learn more about subscription options.
Register Now for a free account.
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only