20090501 Kaiser Permanente Leadership Program Copyright 2009 Michael E. Porter Medical Association, 2007; 297:1103:1111. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means — electronic, mechanical, photocopying, recording, or otherwise — without the permission of Michael E. Porter and Elizabeth Olmsted Teisberg. Further inform...

Outcomes research on treatments for schizophrenia has identified a number of efficacious interventions. The degree to which such scientific knowledge influences the care delivered in everyday practice depends on a large number of patient, practitioner, service system, and other social factors. The current atmosphere for change in the health care delivery system poses both risks and opportunitie...

Patients, payers, and the public have increased expectations concerning the quality, safety and costs of our health care delivery systems. Whether or not to redesign our complex delivery systems is no longer in question. In order to succeed in optimizing care and outcomes (clinical and financial) for our stakeholders, we must design and evaluate tests of change. This journey will require a fund...

Patient or client-centered care has been widely accepted as an essential component of health care delivery in many countries. Few studies explore actual implementation of client-centered principles and clients' and health care providers' (HCPs) experiences with these approaches. Our objective was to explore current models of delivery of rehabilitation services from the perspectives of patients,...

INTRODUCTION A novel assessment of systems-based practice and practice-based learning and improvement learning objectives, implemented in a first-year patient-centered medicine course, is qualitatively described. METHODS Student learning communities were asked to creatively demonstrate a problem and solution for health care delivery. Skits, filmed performances, plays, and documentaries were c...

The retention of physicians in rural areas is a problem in developing nations. A community-oriented approach in the medical curriculum proved successful for the Ateneo de Zamboanga University School of Medicine (ADZU-SOM). Based on the 2010 alumni records of ADZU-SOM, 95% of its graduates have stayed in the country to serve, with 51% serving in rural areas. After deploying physicians to communi...

The U.S. health care system is undergoing a shift from individual clinical practice toward team-based care. This move toward team-based care requires fresh thinking about clinical leadership and responsibilities to ensure that the unique skills of each clinician are used to provide the best care for the patient as the patient's needs dictate, while the team as a whole must work together to ensu...

190 J Pak Med Assoc Madam, Communication and Interpersonal Skills (CIPS) comprise an integral component of medical professionalism.1-4 Effective CIPS augment quality health care delivery, patient satisfaction, outcomes and physician's confidence.1-3,5 Quite understandably, regulatory bodies such as Accreditation Council for Graduate Medical Education (USA), General Medical Council (UK) and Coll...

The time spent waiting for an outpatient appointment limits demand in health care delivery systems that do not use financial prices for this purpose. Although outpatient waiting times have been relatively low in the United States, there is reason to believe they may increase in the near future. We estimate models of physician utilization and insurance plan choice for American veterans who were ...

Interprofessional education is broadly defined as a teaching and learning process that fosters collaborative work between two or more health care professions. Interprofessional education, as a proven, beneficial approach to collaborative learning that addresses the problems of fragmentation in health care delivery and separation among health care professionals, is frequently promulgated but not...