"Better health for dollar spent", Michael Porter’s celebrated phrase, summarizes, like no other quote, the spirit of the current focus of clinical management. Porter is a professor at the Harvard Business School renowned worldwide for his work on company strategy and competitiveness. This professor shocked the world of health services when in 2006 he published ”Redefining Health Care", a book in which the author put his finger on the pulse of the American health care system, when he said he did not understand the organization in specialties that had little to do with the needs of patients. Neither did he understand how there were no indicators to measure the value that the ”health industry” contributed to the people’s health, nor how the clinical activities are remunerated per volume of work done, regardless of achieved health outcomes.
In an article in JAMA in 2007, Porter said that competitiveness in values is the basis of the economy and that in the health system only the doctors can achieve it, if they set themselves the goal that clinical activities have a final purpose and not a meaning in themselves.
In an article in JAMA in 2007, Porter said that competitiveness in values is the basis of the economy and that in the health system only the doctors can achieve it, if they set themselves the goal that clinical activities have a final purpose and not a meaning in themselves.
