Health Administration

L'amélioration de la santé humaine est une anomalie à l'échelle de l'évolution. Pendant des dizaines de milliers d'années, les humains ne vivaient pas plus de trente ans en moyenne. La grande extension de notre espérance de vie a commencé autour des années 1750 en Occident. Lente mais continue, elle est principalement due à la désinfection et à une meilleure alimentation. C'est ainsi que, en deux siècles, notre longévité a doublé. Depuis 1950, les progrès de la médecine et de la pharmacie ont permis de gagner encore vingt-cinq années de vie.

On May 3, 2006, Ted Giovanis emailed a US government official, seeking clarity on an arcane issue: the calculation used by Medicare to determine reimbursement rates for certain kinds of hospitals. Though he expected a routine exchange, what unfolded was anything but.

Unser Gesundheitssystem steht unter hohem Veränderungsdruck: Wir leben aufgrund bahnbrechender medizinischer Fortschritte immer länger, jedoch führt unser zunehmend ungesunder Lebensstil dazu, dass wir immer häufiger an chronischen Krankheiten leiden. Dies treibt die Kosten im Gesundheitswesen in die Höhe und bringt unser erfolgreiches System ins Wanken. Die Digitalisierung im Gesundheitswesen zu forcieren, ist ein möglicher Weg, den Kostensteigerungen zu begegnen und gleichzeitig Kranke besser zu versorgen.

In Unhealthy: Corruption and Malpractice in the American Health System, Dr. Richard Kradin, a professor at Harvard Medical School and expert in pulmonary infectious diseases, explores the history of the corporate and ideological transformation of America’s medical profession and how it has diminished the quality of health care. He describes how progressive medical education has produced a generation of physicians as concerned with political activism as they are with medical science.

For decades, researchers have chased a pharmaceutical cure for memory loss. But despite the fact that no disease-modifying biotech treatments have emerged, new research suggests that dementia rates have actually declined in the United States and Western Europe over the last decade. Why is this happening? And what does it mean for brain health in the future?

Why a book on health care? Our systems have long been broken, even before the Covid-19 pandemic hit. The great progress in medicine is just not affordable any longer. Widespread frustration prevails and finger pointing in a silo-mentality are dominating the public narrative on the matter. Why have we missed the train of digitalization and value-based principles in health care? Any other industry has long recognized that customer focus is the holy grail to success. But, in health care, why have we so terribly lost focus on our ultimate customer - the patient?