Wednesday, December 2, 2009

Insightful article says look to architecture for ideas on how to fix U.S. health care

UCSF's Kevin Grumbach, who is one of the nation's top experts on efforts to reform health care and reduce health disparities, writes in the Dec. 2, 2009, issue of the Journal of the American Medical Association that policy makers ought to look at architecture for ideas on how best to reform our health care system:

Traditionally, approaches to health care delivery design view the extravagantly rococo structure of the existing health care system and propose additions or minor alterations to this dysfunctional structure. What if there was a different starting point—the intended function of the health system—and planners worked backward to determine the form most suitable to that function?

In his commentary, he points to bauhaus as the model to follow, as it focuses on creating a home around individuals rather than trying to fit individuals into a structure already created or built without their participation.


Kevin Grumbach
Redesign of the Health Care Delivery System: A Bauhaus "Form Follows Function" Approach
JAMA. 2009;302(21):2363-2364.

(Disclosure: Dr. Grumbach is chair of the department at UCSF in which I have a faculty appointment.)

Posted via web from Doug's posterous

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