Essay about Redefining Health Care : Creating Value Based Competition

1421 Words Nov 22nd, 2016 6 Pages
Introduction
In his book, Redefining Health Care: Creating Value-Based Competition on Results Michael Porter outlines some of the fundamental issues in the American health care system that are contributing to rising health care expenses and insufficient care. Overtreatment, undertreatment, and medical errors are major issues that Porter claims are the result of lack of competition, and a healthcare system that is both too broad, and too narrow. These major issues are prominent in the delivery of obstetrics care, especially in the case of those who are of low income and minority populations. The overtreatment of women with normal pregnancies, undertreatment of those with high risk pregnancies, and medical errors are all contributors to higher infant and maternal mortality, lower birth weights among minorities, and ultimately worse health outcomes over the lifecourse. In order to begin to reverse these poor health outcomes, Porter advocates for a system that organizes providers into integrated practice units, and simplified billing over the entire cycle of care. Moreover, Porter emphasizes the need for competition on results, and transparency of those results in order to improve patient value and health outcome.
One area of health care that has received particular scrutiny in recent years is the area of obstetrics care. As of September 2010, the United Nations ranked the United States as 50th in the world for maternal mortality. As if this was not shocking enough, it was…

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