{"id":1925,"date":"2010-05-04T00:15:57","date_gmt":"2010-05-03T23:15:57","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=1925"},"modified":"2010-05-04T09:01:41","modified_gmt":"2010-05-04T08:01:41","slug":"i-spy-the-future-now-it-integration-innovation-and-incentives","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2010\/05\/04\/i-spy-the-future-now-it-integration-innovation-and-incentives\/","title":{"rendered":"David Pencheon: I spy the future now- IT, integration, innovation, and incentives"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.bmj.com\/columns\/icons\/david_pencheon.jpg\" alt=\"David Pencheon\" width=\"160\" height=\"127\" align=\"left\" \/>Just before each general election, I am always intrigued to see how the <a href=\"http:\/\/www.economist.com\/\">Economist<\/a> will cast their vote. Although I don\u2019t always agree with their decisions on this or any other matter they address, it\u2019s always a stimulating read.\u00a0 Actually the article that really caught my eye this week (1st May, 2010) was the analysis of how some US healthcare providers are controlling costs whilst improving quality.<br \/>\n<!--more--><br \/>\nThe involvement of patients is clearly a key part of this cost containment and quality improvement &#8211; perhaps a little like we have seen with petrol stations, supermarkets and banking.\u00a0 Odd really, as I loathe using any of them.\u00a0 The Economist article (which highlights the strategy taken by Kaiser Permanente, well studied by many policy wonks on this side of the pond) sees four features in a sustainable health care system. 1) enabling patients to genuinely consult the system using simple IT; 2) vertical integration from specialist care through to self-care and prevention; 3) innovation: systematic improvement of value, efficiency and outcome by changing traditional practice (sometimes transformationally);\u00a0 4) aligning incentives to improve real prevention and minimise those investigations and interventions that add little value.\u00a0 Two thoughts:\u00a0 a) when I worked in China, some people seemed to pay their health care workers until they got sick and then stopped paying them.\u00a0 Quite an incentive.\u00a0 Secondly, the sustainability Kaiser Permanente\u2019s approach is more than just financial; their system, like that of Cuba, seems much more compatible with a low carbon future.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Just before each general election, I am always intrigued to see how the Economist will cast their vote. Although I don\u2019t always agree with their decisions on this or any [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2010\/05\/04\/i-spy-the-future-now-it-integration-innovation-and-incentives\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":51,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-1925","post","type-post","status-publish","format-standard","hentry","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>David Pencheon: I spy the future now- IT, integration, innovation, and incentives - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2010\/05\/04\/i-spy-the-future-now-it-integration-innovation-and-incentives\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"David Pencheon: I spy the future now- IT, integration, innovation, and incentives - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Just before each general election, I am always intrigued to see how the Economist will cast their vote. 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