Health Affairs

Posting date: January 12, 2005

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Health Affairs, 10.1377/hlthaff.w5.1
Copyright © 2005 by Project HOPE

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Interview: ‘A Deficiency Of Will And Ambition’: A Conversation With Donald Berwick

Robert Galvin ^1*

¹ Bob Galvin is director, Global Health Care, at the General Electric Company in Fairfield, Connecticut.

^*Corresponding author.

Abstract

A leading champion of health care quality sees the slow pace of improvement as evidence of a failure of provider leadership and concludes that external pressure will be necessary to move the system toward meaningful change. Donald Berwick, founder of the Institute for Healthcare Improvement, supports performance incentives for hospitals and health systems. But in this interview with Robert Galvin, director of global health care at General Electric, Berwick expresses skepticism about the value of "pay-for-performance" schemes for individual doctors and nurses and emphatically condemns increased patient cost sharing as an appropriate tool for increasing the efficiency of the health care system.

Key Words: Business Of Health, Consumer Issues, Health Professions Education, Insurance - Business Coalitions, Insurance - Employer-Based System, Quality Of Care, Research And Technology, Health Spending, Politics, Insurance Market

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