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1 - Baseline Observations

Published online by Cambridge University Press:  14 July 2022

Mark Pauly
Affiliation:
University of Pennsylvania
Flaura Winston
Affiliation:
Children's Hospital of Philadelphia
Mary Naylor
Affiliation:
University of Pennsylvania School of Nursing
Kevin Volpp
Affiliation:
University of Pennsylvania Health System
Lawton Robert Burns
Affiliation:
University of Pennsylvania
Ralph Muller
Affiliation:
University of Pennsylvania Health System
David Asch
Affiliation:
University of Pennsylvania School of Medicine
Rachel Werner
Affiliation:
University of Pennsylvania School of Medicine
Bimal Desai
Affiliation:
University of Pennsylvania School of Medicine
Krisda Chaiyachati
Affiliation:
University of Pennsylvania School of Medicine
Benjamin Chartock
Affiliation:
Wharton School, University of Pennsylvania
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Summary

Over the last 40 years, spending on both hospital and physician services in the United States has inexorably increased, often faster than gross domestic product (GDP) or any other aggregate measure. In contrast to industries such as computer software, hospitality, sports and recreation – where spending has also grown faster than the economy – health care spending growth is not thought to be matched by increased customer or patient satisfaction or improved outcomes. For some groups, especially those that are socially disadvantaged or lower income, measures of health have remained stubbornly lower relative to the rest of the population. Despite continuous criticism of the status quo and calls for transformation, little has changed. Why has this sector of the economy uniquely resisted changes in products, productivity, and services aimed at improving consumer satisfaction or reducing spending growth?

Type
Chapter
Information
Seemed Like a Good Idea
Alchemy versus Evidence-Based Approaches to Healthcare Management Innovation
, pp. 1 - 10
Publisher: Cambridge University Press
Print publication year: 2022

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