Abhishek Gopalka: How motivation can fix public systems
阿布舍克·古泊卡: 发自内心的动力是如何修复公共系统的
BCG's Abhishek Gopalka advises governments on innovative approaches to deliver better outcomes for citizens. Full bio
Double-click the English transcript below to play the video.
as the leader of a country.
of your biggest priorities
with high-quality healthcare.
高质量的医疗保健。
was fundamentally broken?
已经烂到根子里了,
亦或是护理质量堪忧。
system of Rajasthan,
clinical innovation --
医疗创新——
without one key ingredient.
能发挥作用的关键要素。
or tried to change a personal habit,
或是试图改变个人习惯,
doesn't just appear.
动力不会凭空出现。
你才会去在意。
that all of us humans care about,
我们全人类都在意,
to shine in front of society.
发自内心的渴望。
was supposed to serve in the first place.
机关系统服务的人。
its public health system dramatically
的急剧转型,
to trigger motivation.
of India's largest states,
最大的邦州之一,
health system of Rajasthan,
公共健康系统工作时,
处于危机状态了。
mortality rate --
before their first month birthday --
死亡率十倍之多。
to a public health facility."
in a public health facility,
公立医疗场所看病,
or "primary health center."
也就是“初级保健中心”。
are expected to go to a PHC every day.
每天接待至少40名来访病人。
only one out of four PHCs
每四所里只有一所
number of patients.
had lost faith in the system.
已然不抱希望。
is at the core of it.
正是问题的核心。
uncontrollable dysentery.
350 rupees or five dollars.
也就是5美元的日薪。
to the government PHC.
政府的初级保健中心,
that she's entitled to have run out,
to reorder them on time.
药物已经用完了。
to the private medical center,
私立医疗中心,
worsening with every passing hour,
随着时间流逝而恶化。
to the private medical center
for the consultation and drugs.
门诊与医药费。
for this incredible failure of the system.
耸人的系统失职
and heartache to Sudha.
还令她备受煎熬。
that just had to be fixed.
由数据导向的审查
to improve accountability.
performance dashboards
花哨的绩效展示牌
of the health department
through internal mechanisms,
由这些审查会议之类的
has been diluted.
作用就被淡化了。
back into the equation,
让公民们再次起到作用,
the coffee shop strategy.
被我称为“咖啡店策略”。
one of these signs in a coffee shop,
见过这样的指示牌,
the coffee is free."
咖啡就算您免费。”
and applied it to Rajasthan.
应用在了拉贾斯坦。
across the state,
初级保健中心的计划,
citizen promises along the wall.
都清清楚楚地印在了墙上。
a doctor each time."
您每次都能看上医生。”
your free drugs each time."
领取到您的免费药物。”
your free diagnostics each time."
with elected representatives
初级保健中心重新开业,
with the community
将这些公民承诺
was out there in the open.
in less than a year.
就提升了两成。
was getting back into business.
the maternal health in my community,
我们社区的妇产保健,
by administrative officers
simply weren't motivated enough
却没有足够的动力
of the public health department,
with a brilliant idea.
the performance of every district
在每项重大疾病
the media got involved,
媒体就都参与进来了,
on which districts were doing well
and the worst-performing districts.
与最次的地区,
to motivate every district.
所有地区的动力。
from soccer leagues,
的排名系统,
were to decline,
were to improve,
to the premiere league.
to be known as exemplars.
争当典范。
if you think about it.
is only being reviewed by your manager
在内部环境里
in each and every one of us.
and public competition,
to improve citizen health.
公共健康系统。
a more motivated health system,
背后充满动力了,
that was now much more ready for support.
for the support,
相应的支持都要跟上来。
data or skill building.
in the district of Ajmer.
参加地区会议。
that had been rising rapidly
of passionate doctors
on how to better support their teams.
他们的团队出谋划策。
had up-skilled health workers
让业务娴熟的护工
in creative ways
通讯软件WhatsApp
with his frontline workers.
的消息与想法。
who are missing from immunization?
for immunization?
were now significantly motivated,
现在动力十足,
better and better.
more resources and tools.
固然需要更多资源与工具,
the motivation challenge.
off resources and tools.
来自资源与工具的回报。
a key question.
我还没回答:
of Rajasthan's public health system?
绩效如何?
out of 21 large states.
拉贾斯坦排名第20位。
one of the highest improvements
one of the highest reductions
降低程度最大的指标
being saved every year.
take a long time, even decades.
旷日累时,可达数十年之久,
Rajasthan-specific about what we learned.
并不仅限于拉贾斯坦。
of using the citizen to trigger motivation
激发动力的方法
to public health systems.
that if there is any public system,
to the citizen.
political representation.
我们都能用上。
on the basis of student enrollment.
入学人数进行公开评比。
on the basis of cleanliness.
of a scorecard
就他们提升公民
improving citizen lives.
out there in the world.
ABOUT THE SPEAKER
Abhishek Gopalka - Public sector strategistBCG's Abhishek Gopalka advises governments on innovative approaches to deliver better outcomes for citizens.
Why you should listen
BCG's Abhishek Gopalka is a Managing Director and Partner in the New Delhi office, with more than 11 years of experience working with governments, foundations, international institutions, NGOs and private sector.
Gopalka has deep expertise in large-scale transformation of public delivery systems to drive citizen outcomes, with a focus on public health and education. He has worked across multiple geographies, including India and the US.
Gopalka holds an MBA from the Ross School of Business (University of Michigan, Ann Arbor) and a B.E. in Computer Science from R.V. College of Engineering (Visvesvaraya Technological University), Bangalore.
Abhishek Gopalka | Speaker | TED.com