Michael E. Porter MD: A Comprehensive Overview of His FACP, FACO, FACOT, CRTC, MAS, NFTC, and RAND Corporation Contributions

Stefano Romanello: Lo sto ancora leggendo ma mi sembra una analisi dettagliata e molto interessante

Italy on Jul 09, 2021

DrMarcelo_oliveira: Boa discussão e um conteúdo bem logico e nividade em nossos tempos.

Brazil on Jan 07, 2020

Amazon Customer: Good reading and learning

India on Aug 23, 2019

JCOP: Se ha convertido en un clásico en la gestión del valor para el ámbito sanitario. Un libro de obligada lectura.

Spain on Aug 10, 2019

Engineer and Anesthesiologist: This book is an excellent opinion piece - defining and clarifying some important ideas which are still as un-tested today as they were when it was written.

The main criticisms of this book are that there are few data to support their concepts. The reason for this is no one has tried anything like the approaches they suggest in either quality improvement or safety (if we accept, for the moment that these are separate areas of activity).

The whole point is that they are suggesting one point, which, I agree, they hammer and re-hammer over and over: health care *must* be devaluated, measured, paid for on the basis of outcome measured over the entire cycle of the patient's disease.

Unfortunately, the best we have so far is to measure mini-outcomes. And when it comes to many kinds of cancer of CAD or stroke, etc., one procedure, one O.R. episode, or even one hospitalization is a TINY portion of the health care that the patient in question will receive.

It is the wrong (narrow) focus in time and other incorrect foci that they discuss.

If their ideas were in place, then someone (maybe they) will write a book evaluating how effective their ideas are....

United States on Sep 04, 2013

Peter Ravn: Porter and Teisberg are very inspiring about the need to change the way we think and provide health care. This doesn't just go for US but as much for Europe. We see country after country not being able to provide neccesary treatment to people and therefore all stakeholders (HCP, payers, patient groups AND pharma) need to work together with a shared ambition of providing real patient value. The pharma companies have the ability to drive this change in an open and transparent way - to the benefits of patients and society - and NOW is the time!

United Kingdom on Jun 11, 2012

Wendell Murray: This book has received probably disproportionate attention due to Prof. Porter's notoriety as a strategic thinking theorist. There are better overall books on healthcare policy available. In particular I recommend the Bodenheimer/Grumbach books, one on healthcare policy and one on primary care, Dr. Arnold Relman's book, A Second Opinion, Strained Mercy, an outstanding and thorough analysis of healthcare economics with particular regard to Canada's healthcare system and Pricing the Priceless a more technically-oriented economic analysis by Prof. Joseph Newhouse, among other books.

I find the analysis of the USA healthcare system by Profs. Porter and Teisberg to generally be excellent, although I find it wanting in regard to their disparagement of a single-payer/single-insurer system and to their description and analysis of healthcare systems outside the USA. From my perspective private health plans play only a net negative role in the system. The authors' analysis of how the health insurance market works is quite good. However their recommendation that a system of private insurers should persist is refuted by their own analysis! A single payer/insurer system will not cure...

United States on Sep 01, 2007

Kip Piper: The world's leading guru of competitive strategy, Michael Porter, Ph.D., has turned his sights on explaining the fundamental cause of high costs, poor quality, consumer dissatisfaction, uneven access, and skyrocketing premiums in American health care.

In Redefining Health Care, Dr. Porter and business innovation specialist Elizabeth Teisberg, Ph.D. provide a thoughtful, groundbreaking framework to use genuine, value-driven competition to drive dramatic increases in quality and cost effectiveness.

Unlike many wonks who foolishly believe that health care is not a market, Drs. Porter and Teisberg see competition "of a sort" at work - namely, zero-sum competition that adds little value, fosters inefficiency and poor quality, and often harms patients. Why? Because the current competitive environment is dysfunctional; serves to "shift costs, accumulate bargaining power, and restrict services;" and is ultimately misplaced - focusing on the business dynamics of providers and health plans, rather than on the diagnosis, treatment, and prevention of illness.

Focusing on how to move American health care to positive-sum competition based on economic and clinical value for...

United States on Oct 29, 2005