Uma verdadeira mudança de paradigma na saúde

A segunda parte do segundo capítulo, "Hassle Map", do livro "Demand" de Adrian Slywotzky deu-me a conhecer a história fabulosa da "CareMore".
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O artigo "The Quiet Health-Care Revolution" replica grande parte do texto do livro.
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Leiam e reflictam na mudança de paradigma...
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Primeiro: os resultados da CareMore.
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"CareMore, through its unique approach to caring for the elderly, is routinely achieving patient outcomes that other providers can only dream about: a hospitalization rate 24 percent below average; hospital stays 38 percent shorter; an amputation rate among diabetics 60 percent lower than average. Perhaps most remarkable of all, these improved outcomes have come without increased total cost. Though they may seem expensive, CareMore’s “upstream” interventions—the wireless scales, the free rides to medical appointments, etc.—save money in the long run by preventing vastly more costly “downstream” outcomes such as hospitalizations and surgeries. As a result, CareMore’s overall member costs are actually 18 percent below the industry average.

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One of CareMore’s critical insights was the application of an old systems-management principle first developed at Bell Labs in the 1930s and refined by the management guru W. Edwards Deming in the 1950s: you can fix a problem at step one for $1, or fix it at step 10 for $30. The American health-care system is repair-centric, not prevention-centric. We wait for train wrecks and then clean up the damage. What would happen if we prevented the train wrecks in the first place? The doctors at CareMore decided to find out. (Moi ici: Ponto de vista muito interessante, sobretudo num mundo cada vez povoado por mais idosos que padecem de doenças crónicas)
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Quando penso na farmácia do futuro, penso em algo parecido com isto... só que isto é muito mais além.