美国医疗设计发展趋势.pdf

Questions whose answers will shape the future of healthcare in the United States A. Ray Pentecost III DrPH, FAIA, FACHA, LEED AP Ronald L. Skaggs and Joseph G. Sprague Chair of Health Facilities Design Director, Center for Health Systems Design College of Architecture School of Public Health Texas A M University Center for Health Systems Design Texas A M University The challenge United States healthcare system: • Most expensive per capita in the world BUT • Ranked last by the Commonwealth Fund 2004, 2006, 2007, 2010, 2014 Center for Health Systems Design Texas A M University Q 1 Patient: Help or hindrance in healthcare ref orm ? Center for Health Systems Design Texas A M University Patient Chronic Disease 86% All healthcare spending • 81% Hospital admissions • 76% Physician visits Deaths • 91% Prescriptions CDC Foundation 2015 Center for Health Systems Design Texas A M University Patient Don’t tell me ! 50% Average 70% (!) If change behavior Story Dr. Rick 125,000 Deaths from treatable conditions 23% Nursing home admissions 10% Hospital admissions Martin, F, 2005. Center for Health Systems Design Texas A M University Q 2 Information technologies: Are we f orever behind the curve ? Center for Health Systems Design Texas A M University Inf ormation UNC 1000 patients Watson 300+ Watson identif ied a treatment that a well- meaning, hard-working group of physicians hadn’t f ound – f