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A key to slower health spending growth worldwide will be unlocking innovation to reduce the labor-intensity of care

Health Affairs, 2013-04, Vol.32 (4), p.653-660 [Peer Reviewed Journal]

Copyright The People to People Health Foundation, Inc., Project HOPE Apr 2013 ;ISSN: 0278-2715 ;EISSN: 1544-5208 ;EISSN: 2694-233X ;DOI: 10.1377/hlthaff.2012.1330 ;PMID: 23569044

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Title:
A key to slower health spending growth worldwide will be unlocking innovation to reduce the labor-intensity of care
Author: Macdonnell, Michael ; Darzi, Ara
Subjects: Activities of daily living ; Aging ; Appropriations and expenditures ; Cancer therapies ; Cooperation ; Cost control ; Cost Control - economics ; Cost Control - methods ; Cost Control - organization & administration ; Costs ; Delivery of Health Care - economics ; Delivery of Health Care - manpower ; Delivery of Health Care - organization & administration ; Economic growth ; Gallbladder ; GDP ; Global Health ; Gross Domestic Product ; Health Care Costs ; Health care expenditures ; Health care policy ; Health Care Reform - economics ; Health Care Reform - methods ; Health Care Reform - organization & administration ; Health Expenditures - statistics & numerical data ; Health Manpower - economics ; Health Manpower - organization & administration ; Health Policy ; Humans ; Innovations ; Inventions - economics ; Labor ; Life expectancy ; Medical service ; Organizational Innovation - economics ; Patients ; Prescription drugs ; Productivity ; Purchasing power ; Reforms ; Self Care - methods ; Surgery ; Technological change ; Technological innovations ; Technology adoption
Is Part Of: Health Affairs, 2013-04, Vol.32 (4), p.653-660
Description: Many factors combine to drive the growth in health spending worldwide, but the introduction of new technologies, drugs, and therapies is probably the most important. However, in contrast to other industries, innovations in health care have not tended to reduce the need for labor. In fact, labor still accounts for the largest proportion of expenditures in many health systems. But labor-saving technologies, workforce innovations, and patient self-care approaches are now emerging and altering health care's labor structure. For example, in Mexico more than one million households pay $5 per month to access a health advice hotline before setting foot in a physician's office. In India assembly line-style eye surgery has dramatically reduced cost without sacrificing quality. Policy makers should focus on such labor-saving innovations; reform reimbursement systems to encourage them; tackle professionals' resistance; and remove regulatory barriers. Bold experiments to redesign health services around patient self-care approaches are also warranted.
Publisher: United States: The People to People Health Foundation, Inc., Project HOPE
Language: English
Identifier: ISSN: 0278-2715
EISSN: 1544-5208
EISSN: 2694-233X
DOI: 10.1377/hlthaff.2012.1330
PMID: 23569044
Source: MEDLINE
ProQuest Central

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A key to slower health spending growth worldwide will be unlocking innovation to reduce the labor-intensity of care

Copyright The People to People Health Foundation, Inc., Project HOPE Apr 2013 ;ISSN: 0278-2715 ;EISSN: 1544-5208 ;EISSN: 2694-233X ;DOI: 10.1377/hlthaff.2012.1330 ;PMID: 23569044

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