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STRATEGIC FOCUS: Nowadays health care has became very expensive and the common people cannot afford it any longer. Around the world, every health care system is struggling with rising costs and uneven quality despite the hard work of well-intentioned, well-trained clinicians. Health care leaders and policy makers have tried countless incremental fixes—attacking fraud, reducing errors, enforcing practice guidelines, making patients better “consumers”, implementing electronic medical records—but none have had much impact. It’s time for a fundamentally new strategy. At its core is maximizing value for patients: that is, achieving the best outcomes at the lowest cost. We must move away from a supply-driven health care system organized around what physicians do instead towards a patient-centered system organized around what patients need. We must shift the focus from the volume and profitability of services provided—physician visit, hospitalizations, procedures, and tests—to the patient outcomes achieved".

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