Wonderful description but not a solution
While this is probably the most important book on the subject to ever be written, it still is far short of a solution to our serious problems. It is much more of a description rather than a prescription. The most serious question left unanswered is: Why have our current true integrated delivery systems, which the book specifically references, not done a much better job at better care at lower costs? The only answer given in the book is that these IDSs operate in the current system and therefore have no real incentive to do better. Why would they not maximize profits? Why is there current market share so small? Why have their past expansion attempts been so disappointing?
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Comment by Jason Hwang on July 5, 2011 at 12:56pm -
Frank, the questions you pose were some of the most important ones yet to be answered when we published the book. That's why our biggest research project at Innosight Institute (the not-for-profit think tank started by Clayton Christensen, Jason Hwang, and Michael Horn) has involved the study of integrated health systems. We've been exploring questions such as: why do some integrated health systems succeed while others lag behind; why are they so intensely regional and why do they experience difficulty when trying to expand; what is the impact of characteristics like culture, size, not-for-profit status, urban vs. rural, etc.; is there a common pathway via which we could encourage the development of more integrated health systems? I encourage you to visit http://www.innosightinstitute.org to view our latest work, and to stay tuned for more.
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