Mongo e a Saúde

Já por várias vezes aqui referi a que é que nos leva a ausência de pensamento estratégico na saúde pública, e privada também, por exemplo aqui, "Monho e a Medicina"

"Os eficientistas e as corporações apreciam o fenómeno da concentração da medicina em mega-instituições... tão ao jeito do século XX"

Por isso, é com um sorriso que encontro este texto tão ao jeito de Mongo e das sociedades que vão prosperar no século XXI:

"The attempts to “fix” the U.S. healthcare system have taken at least one well-worn market-based path: strive for economies of scale. Hospital consolidation is on the rise, a trend that shows no signs of abating as providers try to streamline back-end operations and deploy big data analytics in hopes of improving outcomes and lowering costs. Businesses try this every day.
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However some primary care physicians are looking at the exact opposite approach: de-scaling and taking cost out by radically simplifying their practices as a way to make them clinically, financially, and personally sustainable. (Moi ici: Profissionais liberais, não funcionários, Isto é tão Mongo!!!)
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What makes these practices different?  1) Each is based on relationship quality rather than production volume; as a result, each is smaller than the average U.S. practice; 2) Visits are longer and the doctor may provide a broader range of services with minimal support staff; 3) They have business plans that demonstrate how their model can be financially sustainable; and 4) Each used their variation on the general model to offer greater satisfaction to their patients as well as to their own personal and professional lives."

Interessante este ponto:

"Patient experience is the critical variable for both controlling costs, improving outcomes, and keeping physician caseload manageable." 

Trechos retirados de "Reimagining Primary Care: When Small Is Beautiful"
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BTW, a Educação vai pelo mesmo caminho com a fusão de universidades e a constituição dos agrupamentos escolares.