TED@BCG Singapore
Stefan Larsson: What doctors can learn from each other
Stefan Larsson: Što liječnici mogu naučiti jedni od drugih
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Različite bolnice postižu različite rezultate u raznim postupcima. Ali pacijenti nisu upoznati s tim podacima, zbog čega je odabir kirurga igra pogađanja s visokim ulozima. Stefan Larsson razmatra što se dogodi kada liječnici odrede i podijele svoje rezultate u operaciji zamijene kuka, kako bi na primjer vidjeli koje se tehnike pokazuju najučinkovitijima. Može li zdravstvena skrb postati bolja – i jeftinija – ako liječnici uče jedni od drugih u neprekinutoj petlji povratne sprege? {Snimljeno na TED@BCG}
Stefan Larsson - Value-based health care advocate
A doctor by training, Stefan Larsson of BCG researches how transparency of medical outcomes and costs could radically transform the healthcare industry. Full bio
A doctor by training, Stefan Larsson of BCG researches how transparency of medical outcomes and costs could radically transform the healthcare industry. Full bio
Double-click the English transcript below to play the video.
00:12
Five years ago, I was on a sabbatical,
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Prije pet godina, bio sam na dopustu,
00:15
and I returned to the medical university
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i vratio sam se na medicinski fakultet
00:17
where I studied.
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gdje sam studirao
00:19
I saw real patients and I wore the white coat
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Vidio sam prave pacijente i nosio sam bijelu kutu
00:24
for the first time in 17 years,
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prvi put u 17 godina,
00:26
in fact since I became a management consultant.
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zapravo otkako sam postao upravni konzultant.
00:30
There were two things that surprised me
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Dvije su me stvari iznenadile
00:32
during the month I spent.
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tijekom mjeseca koji sam tamo proveo.
00:34
The first one was that the common theme
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Prva je da su česta tema
00:36
of the discussions we had were hospital budgets
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razgovora koje smo vodili bili bolnički budžeti
00:39
and cost-cutting,
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i smanjivanje troškova,
00:41
and the second thing, which really bothered me,
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druga stvar koja me jako smetala,
00:43
actually, was that several of the colleagues I met,
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je zapravo da sam susreo nekoliko kolega,
00:46
former friends from medical school,
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nekadašnjih prijatelja s medicinskog fakulteta,
00:48
who I knew to be some of the smartest,
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koje sam znao kao neke od najpametnijih,
00:50
most motivated, engaged and passionate people
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najmotiviranijih, najangažiranijh i najstrastvenijih ljudi
00:53
I'd ever met,
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koje sam ikada upoznao,
00:55
many of them had turned cynical, disengaged,
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mnogi od njih su postali cinični, neangažirani,
00:59
or had distanced themselves
from hospital management.
from hospital management.
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ili su se distancirali od bolničke uprave.
01:02
So with this focus on cost-cutting,
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S ovim fokusom na smanjivanje troškova,
01:05
I asked myself, are we forgetting the patient?
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Zapitao sam se, zaboravljamo li pacijenta?
01:09
Many countries that you represent
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Mnoge od zemalja koje vi predstavljate,
01:11
and where I come from
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i ona iz koje sam ja došao,
01:13
struggle with the cost of healthcare.
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bore se s troškovima zdravstvene skrbi.
01:16
It's a big part of the national budgets.
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To je velik dio državnih proračuna.
01:19
And many different reforms aim
at holding back this growth.
at holding back this growth.
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I mnoge se reforme trude da se taj rast zaustavi.
01:22
In some countries, we have long waiting times
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U nekim zemljama, imamo duge liste čekanja
01:24
for patients for surgery.
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pacijenata na operacije.
01:27
In other countries, new drugs
are not being reimbursed,
are not being reimbursed,
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U drugim se zemljama ne nabavljaju novi lijekovi,
01:29
and therefore don't reach patients.
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te tako nisu dostupni pacijentima.
01:32
In several countries, doctors and nurses
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U nekim zemljama, lječnici i medicinske sestre
01:34
are the targets, to some extent, for the governments.
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su u nekoj mjeri mete vladama.
01:38
After all, the costly decisions in health care
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Na posljetku, skupe odluke u zdravstvenoj skrbi
01:42
are taken by doctors and nurses.
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donose liječnici i sestre.
01:44
You choose an expensive lab test,
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Vi birate skupu laboratorijsku pretragu,
01:47
you choose to operate on an old and frail patient.
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birate operirati starog i slabog pacijenta.
01:51
So, by limiting the degrees of freedom of physicians,
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Tako da je ograničavanje slobode liječnika
01:55
this is a way to hold costs down.
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način za snižavanje troškova.
01:58
And ultimately, some physicians will say today
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Na kraju, neki liječnici danas kažu
02:01
that they don't have the full liberty
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kako nemaju punu slobodu
02:03
to make the choices they think
are right for their patients.
are right for their patients.
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donijeti odluke za koje mislie da su najbolje za njihove pacijente.
02:07
So no wonder that some of my old colleagues
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Nije čudo da su neki od mojih starih kolega
02:09
are frustrated.
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frustrirani.
02:12
At BCG, we looked at this,
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Na BCG-u smo ovo razmatrali,
02:14
and we asked ourselves,
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i zaključili smo,
02:16
this can't be the right way of managing healthcare.
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da to ne može biti ispravan način upravljanja zdravstvenom skrbi.
02:19
And so we took a step back and we said,
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Odmakli smo se korak unazad i zapitali,
02:23
"What is it that we are trying to achieve?"
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„Što to pokušavamo postići?“
02:25
Ultimately, in the healthcare system,
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Konačno, u sustavu zdravstvene skrbi,
02:27
we're aiming at improving health for the patients,
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želimo poboljšati zdravlje pacijenta,
02:31
and we need to do so at a limited,
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i to trebamo napraviti uz ograničen,
02:34
or affordable, cost.
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ili prihvatljiv trošak.
02:36
We call this value-based healthcare.
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Zovemo to zdravstveni sustav usmjeren na vrijednost.
02:38
On the screen behind me, you see what we mean
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Na zaslonu iza mene, vidite što mislimo
02:40
by value:
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kada kažemo vrijednost:
02:42
outcomes that matter to patients
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ishodi koji su važni pacijentima
02:44
relative to the money we spend.
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u odnosu na novac koji potrošimo.
02:47
This was described beautifully in a book in 2006
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Ovo je prekrasno opisano u knjizi iz 2006.
02:50
by Michael Porter and Elizabeth Teisberg.
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koju su napisali Michael Porter i Elizabeth Teisberg.
02:54
On this picture, you have my father-in-law
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Na ovoj slici, imate mog zeta
02:57
surrounded by his three beautiful daughters.
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okruženog s njegove prekrasne tri kćeri.
03:01
When we started doing our research at BCG,
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Kada smo započeli s našim istraživanjem na BCG-u,
03:04
we decided not to look so much at the costs,
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odlučili smo se ne posvetiti toliko troškovima,
03:06
but to look at the quality instead,
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nego kvaliteti,
03:09
and in the research, one of the things
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i u istraživanju, jedna od stvari
03:11
that fascinated us was the variation we saw.
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koja nas je fascinirala bila je raznolikost koju smo vidjeli.
03:14
You compare hospitals in a country,
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Ako usporedite bolnice u jednoj zemlji,
03:17
you'll find some that are extremely good,
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naći ćete neke izrazito dobre,
03:19
but you'll find a large number
that are vastly much worse.
that are vastly much worse.
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ali naći ćete i velik broj onih koje su značajno lošije.
03:22
The differences were dramatic.
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Razlike su bile dramatične.
03:25
Erik, my father-in-law,
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Erik, moj punac,
03:27
he suffers from prostate cancer,
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pati od raka prostate,
03:29
and he probably needs surgery.
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i vjerojatno treba operaciju.
03:32
Now living in Europe, he can
choose to go to Germany
choose to go to Germany
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Kako živi u Europi, može izabrati otići u Njemačku
03:34
that has a well-reputed healthcare system.
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čiji je zdravstveni sustav na dobrom glasu.
03:38
If he goes there and goes to the average hospital,
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Ako ondje ode u prosječnu bolnicu,
03:42
he will have the risk of becoming incontinent
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imat će rizik da postane inkontinentan
03:46
by about 50 percent,
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od oko 50 posto,
03:48
so he would have to start wearing diapers again.
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znači da opet mora početi nositi pelene.
03:51
You flip a coin. Fifty percent risk. That's quite a lot.
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To je kao bacanje novčića. Rizik od 50 posto je prilično velik.
03:55
If he instead would go to Hamburg,
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Ako bi umjesto toga išao u Hamburg,
03:57
and to a clinic called the Martini-Klinik,
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u kliniku koja se zove Martini-Klinik
04:00
the risk would be only one in 20.
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rizik bi ondje bio jedan od 20.
04:03
Either you a flip a coin,
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Tako da ili bacate novčić,
04:04
or you have a one in 20 risk.
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ili imate rizik 1 prema 20.
04:06
That's a huge difference, a seven-fold difference.
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To je ogromna razlika, sedmerostruka razlika.
04:10
When we look at many hospitals
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Ako gledamo puno bolnica
04:12
for many different diseases,
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i puno bolesti,
04:13
we see these huge differences.
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vidimo ogromne razlike.
04:16
But you and I don't know. We don't have the data.
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Ali vi i ja ne znamo. Nemamo podatke.
04:19
And often, the data actually doesn't exist.
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Često, podaci zapravo ni ne postoje.
04:21
Nobody knows.
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Nitko ne zna.
04:23
So going the hospital is a lottery.
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Tako da je odlazak u bolnicu lutrija.
04:27
Now, it doesn't have to be that way. There is hope.
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Ne mora biti tako. Postoji nada.
04:32
In the late '70s, there were a group
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U kasnim '70-im bila je grupa
04:34
of Swedish orthopedic surgeons
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švedskih ortopeda
04:37
who met at their annual meeting,
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koji su imali godišnji sastanak,
04:38
and they were discussing the different procedures
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razgovarali su o različitim postupcima
04:40
they used to operate hip surgery.
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koje su koristili u operaciji kuka.
04:44
To the left of this slide, you see a variety
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Na lijevoj strani vidite mnoštvo
04:45
of metal pieces, artificial hips that you would use
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metalnih komada, umjetnih kukova koji se koriste
04:48
for somebody who needs a new hip.
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kada osobi treba novi kuk.
04:51
They all realized they had
their individual way of operating.
their individual way of operating.
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Shvatili su da svatko od njih ima svoj individualni način operiranja.
04:55
They all argued that, "My technique is the best,"
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Svi su govorili kako je njihova tehnika najbolja,
04:57
but none of them actually knew,
and they admitted that.
and they admitted that.
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ali nitko od njih nije zapravo znao, priznali su to.
05:00
So they said, "We probably need to measure quality
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Rekli su: „Trebamo odrediti kvalitetu
05:04
so we know and can learn from what's best."
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tako da znamo i možemo učiti od najboljega.“
05:08
So they in fact spent two years debating,
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Proveli su dvije godine u raspravi,
05:11
"So what is quality in hip surgery?"
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„Što zapravo znači kvaliteta u operaciji kuka?“
05:13
"Oh, we should measure this."
"No, we should measure that."
"No, we should measure that."
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„Trebali bismo mjeriti ovo.“
„Ne, trebali bi mjeriti ono.“
„Ne, trebali bi mjeriti ono.“
05:16
And they finally agreed.
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I konačno su se složili.
05:18
And once they had agreed, they started measuring,
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Jednom kada su se složili, krenuli su mjeriti,
05:20
and started sharing the data.
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i dijeliti svoje podatke.
05:23
Very quickly, they found that if you put cement
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Vrlo su brzo shvatili da ako stave cement
05:25
in the bone of the patient
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u pacijentovu kost
05:27
before you put the metal shaft in,
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prije nego što stave metalnu osovinu,
05:29
it actually lasted a lot longer,
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trajat će duže,
05:31
and most patients would never have to be
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i većina pacijenata neće morati biti
05:33
re-operated on in their lifetime.
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ponovo operirana do kraja života.
05:35
They published the data,
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Objavili su podatke,
05:37
and it actually transformed
clinical practice in the country.
clinical practice in the country.
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i promijenili kliničku praksu u zemlji.
05:40
Everybody saw this makes a lot of sense.
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Svi su vidjeli da to ima smisla.
05:43
Since then, they publish every year.
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Od tada, svake godine objavljuju.
05:46
Once a year, they publish the league table:
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Jednom godišnje objave ljestvicu:
05:47
who's best, who's at the bottom?
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tko je najbolji, tko je na dnu?
05:50
And they visit each other to try to learn,
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Posjećuju jedni druge pokušavajući učiti,
05:53
so a continuous cycle of improvement.
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tako nastaje neprekidan krug pobojšanja.
05:56
For many years, Swedish hip surgeons
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Već mnogo godina, švedski ortopedi
05:59
had the best results in the world,
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imaju najbolje rezultate na svijetu,
06:02
at least for those who actually were measuring,
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barem među onima koji su ih mjerili,
06:04
and many were not.
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a mnogi nisu.
06:07
Now I found this principle really exciting.
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Smatram ovu ideju vrlo uzbudljivom.
06:09
So the physicians get together,
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Liječnici se okupe,
06:11
they agree on what quality is,
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slože se oko toga što znači kvaliteta,
06:13
they start measuring, they share the data,
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počnu mjeriti, podijele podatke,
06:17
they find who's best, and they learn from it.
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otkriju tko je najbolji, i uče od njega.
06:21
Continuous improvement.
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Stalni napredak.
06:23
Now, that's not the only exciting part.
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To nije jedini uzbudljivi dio.
06:26
That's exciting in itself.
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To je uzbudljivo samo po sebi.
06:28
But if you bring back the cost side of the equation,
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Ako se sjetimo novčane strane jednadžbe,
06:31
and look at that,
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i pogledamo ju,
06:32
it turns out, those who have focused on quality,
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ispadne da oni koji su se usredotočili na kvalitetu,
06:35
they actually also have the lowest costs,
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imaju najniže troškove,
06:37
although that's not been the purpose
in the first place.
in the first place.
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iako im to nije bila prvotna svrha.
06:40
So if you look at the hip surgery story again,
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Ako se vratimo na priču o operaciji kuka,
06:43
there was a study done a couple years ago
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prije nekoliko godina je rađena studija
06:45
where they compared the U.S. and Sweden.
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gdje su uspoređeni SAD i Švedska.
06:49
They looked at how many patients have needed
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Razmatralo se koliko je pacijenata trebalo
06:51
to be re-operated on seven years after the first surgery.
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reoperaciju unutar sedam godina nakon prve operacije.
06:55
In the United States, the number was three times
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U SAD-u je broj bio tri puta
06:58
higher than in Sweden.
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veći nego u Švedskoj.
07:01
So many unnecessary surgeries,
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Toliko nepotrebnih operacija,
07:04
and so much unnecessary suffering
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toliko nepotrebne patnje
07:07
for all the patients who were operated on
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za sve pacijente koji su bili ponovo operirani
07:08
in that seven year period.
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u tom sedmogodišnjem periodu.
07:11
Now, you can imagine how much savings
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Možete zamisliti koliko bi tu uštede
07:12
there would be for society.
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bilo za društvo.
07:15
We did a study where we looked at OECD data.
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Napravili smo studiju u kojoj smo gledali podatke OECD-a.
07:18
OECD does, every so often,
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OECD povremeno
07:21
look at quality of care
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uspoređuje kvalitetu njege
07:23
where they can find the data
across the member countries.
across the member countries.
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u zemljama članicama u kojima mogu naći podatke.
07:28
The United States has, for many diseases,
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SAD ima, za mnoge bolesti
07:30
actually a quality which is below the average
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kvalitetu koja je ispod prosjeka
07:32
in OECD.
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OECD-a.
07:34
Now, if the American healthcare system
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Kada bi se američki sustav zdravstvene skrbi
07:36
would focus a lot more on measuring quality,
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više usredotočio na mjerenje kvalitete,
07:38
and raise quality just to the level of average OECD,
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i podigao kvalitetu samo na razinu prosjeka OECD-a,
07:43
it would save the American people
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to bi uštedjelo Amerikancima
07:45
500 billion U.S. dollars a year.
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500 milijardi dolara godišnje.
07:49
That's 20 percent of the budget,
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To je 20 posto proračuna,
07:52
of the healthcare budget of the country.
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proračuna za zdravstvo u državi.
07:55
Now you may say that these numbers
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Možda ćete reći da su svi ti brojevi
07:57
are fantastic, and it's all logical,
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fantastični, i da je sve logično,
08:00
but is it possible?
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no je li moguće?
08:02
This would be a paradigm shift in healthcare,
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To bi bila promjena paradigme u zdravstvenom sustavu,
08:05
and I would argue that not only can it be done,
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i ja smatram da to ne samo može biti napravljeno,
08:08
but it has to be done.
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nego to mora biti napravljeno.
08:10
The agents of change are the doctors and nurses
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Pokretači promjene su liječnici i medicinske sestre
08:14
in the healthcare system.
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u zdravstvenom sustavu.
08:16
In my practice as a consultant,
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Dok sam radio kao konzultant,
08:19
I meet probably a hundred or more than a hundred
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upoznao sam vjerojatno stotinu ili više
08:21
doctors and nurses and other hospital
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liječnika i medicinskih sestara i drugog bolničkog
08:24
or healthcare staff every year.
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ili zdrastvenog osoblja svake godine.
08:27
The one thing they have in common is
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Jedna osobina koja im je svima zajednička
08:29
they really care about what they achieve
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je to da zbilja brinu o tome što će postići
08:31
in terms of quality for their patients.
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u vidu kvalitete za svoje pacijente.
08:34
Physicians are, like most of you in the audience,
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Liječnici su, kao većina vas u publici,
08:36
very competitive.
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vrlo kompetitivni.
08:39
They were always best in class.
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Uvijek su bili najbolji u razredu.
08:41
We were always best in class.
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Mi smo uvijek bili najbolji u razredu.
08:44
And if somebody can show them that the result
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Ako im netko pokaže da rezultat
08:47
they perform for their patients
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rada koji obave za pacijente
08:48
is no better than what others do,
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nije ništa bolji od onoga što drugi rade,
08:51
they will do whatever it takes to improve.
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napravit će što god treba da to poprave.
08:54
But most of them don't know.
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Ali mnogi od njih ne znaju.
08:56
But physicians have another characteristic.
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Liječnici imaju još jednu osobinu.
08:59
They actually thrive from peer recognition.
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Vrlo su sretni kada dobiju priznanje drugih liječnika za svoj rad.
09:03
If a cardiologist calls another cardiologist
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Ako kardiolog pozove drugog kardiologa
09:05
in a competing hospital
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u konkurentsku bolnicu
09:07
and discusses why that other hospital
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da rasprave zašto ta druga bolnica
09:09
has so much better results, they will share.
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ima toliko bolje rezultate, oni će dijeliti.
09:12
They will share the information on how to improve.
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Oni će dijeliti informacije o tome kako napredovati.
09:15
So it is, by measuring and creating transparency,
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Tako da, mjerenjem i stvaranjem transparentnosti
09:19
you get a cycle of continuous improvement,
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dobijete ciklus stalnog napredovanja,
09:22
which is what this slide shows.
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što je upravo ovdje prikazano.
09:25
Now, you may say this is a nice idea,
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Možda ćete reći da je ovo zgodna ideja,
09:28
but this isn't only an idea.
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ali to nije samo ideja.
09:30
This is happening in reality.
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To se događa u stvarnosti.
09:32
We're creating a global community,
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Stvaramo globalnu zajednicu,
09:35
and a large global community,
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veliku globalnu zajednicu,
09:37
where we'll be able to measure and compare
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gdje ćemo biti sposobni izmjeriti i usporediti
09:40
what we achieve.
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naša postignuća.
09:41
Together with two academic institutions,
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Zajedno s dvije akademske institucije,
09:44
Michael Porter at Harvard Business School,
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Michael Porter u Harvard Business School,
09:46
and the Karolinska Institute in Sweden,
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i Karolinska Institutom u Švedskoj,
09:48
BCG has formed something we call ICHOM.
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BCG je stvorio nešto što zovemo ICHOM.
09:52
You may think that's a sneeze,
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Možda mislite da to zvuči kao kihanje,
09:54
but it's not a sneeze, it's an acronym.
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ali to nije kihanje, nego akronim.
09:57
It stands for the International Consortium
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Stoji za Internacionalni Konzorcij
10:00
for Health Outcome Measurement.
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za Mjerenje Zdravstvenih Ishoda.
10:03
We're bringing together leading physicians
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Okupljamo vodeće liječnike
10:05
and patients to discuss, disease by disease,
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i pacijente kako bismo raspravili, bolest po bolest,
10:09
what is really quality,
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što je zapravo kvaliteta,
10:11
what should we measure,
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što bi trebali mjeriti,
10:13
and to make those standards global.
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kako bismo izradili globalne standarde.
10:16
They've worked -- four working groups have worked
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Radili su – četiri grupe su radile
10:18
during the past year:
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tijekom prošle godine:
10:20
cataracts, back pain,
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mrene, bolovi u leđima,
10:23
coronary artery disease, which is,
for instance, heart attack,
for instance, heart attack,
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bolesti koronarnih arterija, što je npr. infarkt,
10:27
and prostate cancer.
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i rak prostate.
10:29
The four groups will publish their data
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Četiri će grupe objaviti svoje podatke
10:32
in November of this year.
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u studenome ove godine.
10:33
That's the first time we'll be comparing
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To je prvi put da ćemo uspoređivati
10:36
apples to apples, not only within a country,
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„jabuke i jabuke“, ne samo unutar zemlje,
10:39
but between countries.
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nego i među različitim zemljama.
10:42
Next year, we're planning to do eight diseases,
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Iduće godine, planiramo obraditi osam bolesti,
10:46
the year after, 16.
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godinu poslije, 16.
10:48
In three years' time, we plan to have covered
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U tri godine, planiramo pokriti
10:51
40 percent of the disease burden.
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40 posto tereta bolesti.
10:54
Compare apples to apples. Who's better?
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Uspoređujemo jabuke i jabuke. Tko je bolji?
10:57
Why is that?
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Zašto je to tako?
11:00
Five months ago,
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Prije pet mjeseci,
11:03
I led a workshop at the largest university hospital
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vodio sam radionicu u najvećoj sveučilišnoj bolnici
11:06
in Northern Europe.
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u sjevernoj Europi.
11:07
They have a new CEO, and she has a vision:
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Imaju novu glavnu izvršnu direktoricu, ona ima viziju:
11:11
I want to manage my big institution much more
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Želim upraviti ovu veliku instituciju više prema
11:14
on quality, outcomes that matter to patients.
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kvaliteti, ishodima koji su važni pacijentima.
11:19
This particular day, we sat in a workshop
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Toga smo dana sjedili na radionici
11:22
together with physicians, nurses and other staff,
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zajedno sa liječnicima, sestrama i drugim osobljem,
11:25
discussing leukemia in children.
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raspravljajući o leukemiji kod djece.
11:29
The group discussed,
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Grupa je raspravljala,
11:31
how do we measure quality today?
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o tome kako danas mjerimo kvalitetu?
11:33
Can we measure it better than we do?
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Može li se mjeriti bolje nego sada?
11:36
We discussed, how do we treat these kids,
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Razgovarali smo o tome kako liječimo tu djecu,
11:38
what are important improvements?
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koja su važna poboljšanja?
11:40
And we discussed what are
the costs for these patients,
the costs for these patients,
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I raspravljali smo o troškovima tih pacijenata,
11:43
can we do treatment more efficiently?
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možemo li efikasnije provesti liječenje?
11:45
There was an enormous energy in the room.
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U sobi je postojala ogromna energija.
11:47
There were so many ideas, so much enthusiasm.
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Bilo je toliko ideja, toliko entuzijazma.
11:51
At the end of the meeting,
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Na kraju sastanka,
11:53
the chairman of the department, he stood up.
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predsjednik odjela je ustao.
11:56
He looked over the group and he said --
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Pogledao je grupu i rekao --
12:01
first he raised his hand, I forgot that --
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prvo je podigao ruku, to sam zaboravio --
12:03
he raised his hand, clenched his fist,
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podigao je ruku, stisnuo šaku,
12:05
and then he said to the group, "Thank you.
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i obratio se grupi, „Hvala vam.
12:08
Thank you. Today, we're finally discussing
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Hvala vam. Danas konačno raspravljamo
12:11
what this hospital does the right way."
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o onome što ova bolnica radi na pravi način.“
12:14
By measuring value in healthcare,
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Mjerenjem vrijednosti u zdravstvenoj skrbi,
12:17
that is not only costs
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što nisu samo troškovi
12:19
but outcomes that matter to patients,
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nego i ishodi bitni pacijentima,
12:21
we will make staff in hospitals
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učinit ćemo osoblje u bolnicama
12:23
and elsewhere in the healthcare system
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i drugdje u zdravstvenom sustavu
12:25
not a problem but an important part of the solution.
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ne problemom, nego važnim dijelom rješenja.
12:29
I believe measuring value in healthcare
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Vjerujem da će mjerenje vrijednosti u zdravstvenom sustavu
12:31
will bring about a revolution,
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donijeti revoluciju,
12:33
and I'm convinced that the founder
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i uvjeren sam da bi se osnivač
12:36
of modern medicine, the Greek Hippocrates,
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moderne medicine, grčki Hipokrat,
12:39
who always put the patient at the center,
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koji je uvijek stavljao pacijenta u središte,
12:42
he would smile in his grave.
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nasmiješio u svom grobu.
12:44
Thank you.
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Hvala vam.
12:47
(Applause)
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(Pljesak)
ABOUT THE SPEAKER
Stefan Larsson - Value-based health care advocateA doctor by training, Stefan Larsson of BCG researches how transparency of medical outcomes and costs could radically transform the healthcare industry.
Why you should listen
In the developed world, health care represents 9 to 18 percent of the GDP -- and these costs are rising faster than economic growth. Stefan Larsson -- a senior partner and managing director in BCG’s Stockholm office, the global leader of BCG’s Health Care Payers and Providers sector, and a BCG Fellow since 2010 -- believes that the answer isn’t just managing costs, but improving patient outcomes.
The idea at the center of this approach: registries of health outcomes. By coming up with criteria for measuring quality of care, sharing data on how procedures and parts are working, and learning from each other constantly, doctors and nurses can become agents of change, providing better care and lower costs at the same time.
Larsson is co-founder of the International Consortium of Health Outcomes Measurement, a not-for-profit organization for global standardization of outcomes measurement, which has Michael Porter, HBS and Karolinska Institute as partners.
Stefan Larsson | Speaker | TED.com