As Health Systems Emerge from Financial Strain, Cost Pressures and Workforce Concerns Remain [0.03%]
医疗卫生系统在财务压力中逐渐复苏，但成本压力和劳动力问题依然存在
Niyum Gandhi,Gregory J Esper
Niyum Gandhi
The financial health of health care organizations has improved somewhat since the Covid-19 health emergency. But NEJM Catalyst Insights Council members say that cost pressures continue to strain profitability, particularly within the U.S.
Home-Based Care Has Arrived [0.03%]
居家护理已来临
Jared Conley
Jared Conley
NEJM Catalyst Insights Council members say home-based care now constitutes a growing aspect of care delivery, with an expanding range of services that patients receive at home. But payer reimbursement needs to catch up with this care model.
AI in Care Delivery: Enormous Potential but Little True Transformation [0.03%]
医疗保健中的人工智能：巨大的潜力但真正转型有限
Sara G Murray
Sara G Murray
NEJM Catalyst Insights Council members are excited about artificial intelligence in health care delivery for a range of tasks, and they say it already aids patients and clinicians. But the greatest impacts lie in the future.
Addressing Patients' Social Determinants of Health Is Important to Health Care Professionals [0.03%]
解决患者的健康社会决定因素对医疗专业人员来说很重要
Caroline Fichtenberg
Caroline Fichtenberg
NEJM Catalyst Insights Council members express strong personal commitment to addressing social determinants of health (SDOH) and also identify many challenges: lack of resources, poor coordination with community partners, and insufficient r...
Charles Pu
Charles Pu
NEJM Catalyst Insights Council members say older patients face two interconnected sets of challenges: at the patient level, declining self-management ability compounded by absence of necessary social support networks; and at the health care...
How to Transform a Health System's Organizational Culture and Hardwire It for the Future [0.03%]
如何变革医疗体系的组织文化并使其适应未来的发展需求
Brian Carlson,Nancy M Lorenzi,Paul Sternberg Jr et al.
Brian Carlson et al.
Organizational culture is a critical driver of workforce and patient experience, yet health care institutions often struggle to sustain their desired culture over time. In 2017, Vanderbilt Health identified inconsistencies in expected workf...
David Mui,Jennifer L A Tran,Sharon Onofre et al.
David Mui et al.
Health systems face a paradoxical translational gap: Despite operational and domain expertise and real-world implementation environments, they continue to face challenges in innovating with emerging technologies to improve care delivery. Th...
Benchmarking with Patient Outcomes - Unmasked Surgeon Comparisons within a Learning Community for Continuous Improvement [0.03%]
基于患者预后的标杆评价——外科医师手术结果的匿名同行比较以促进医联体持续改进医疗服务质量
Gregory Katz,Cécile Rousseau,Béatrice Cochener-Lamard et al.
Gregory Katz et al.
Patient-reported outcome measures (PROMs) are increasingly applied in clinical practice to improve quality of care and patient outcomes. To date, however, little is known about their use for peer comparisons of performance between clinician...
Andrew Parambath,Korlekuor Akiti,Sherman Leung et al.
Andrew Parambath et al.
Recent technological advances are reshaping the health care landscape and fueling innovation within and outside health systems. Physicians bring critical stewardship to this transformation by launching companies, advising start-ups, and sha...
Amanda Woods Herron,Katelyn J Cavanaugh,Courtney L Holladay
Amanda Woods Herron
Effective leadership is increasingly recognized as a critical determinant of organizational performance within health care systems, but funding for such programs is frequently in jeopardy as revenues fail to keep up with other expenses. The...