美国建筑师协会会士、美国医疗建筑学院主席，美国德克萨斯AM大学健康系统与设计研究中心主任，建筑学院教授A.雷•潘迪考斯特：美国医疗设计发展趋势.pptx

QuestionswhoseanswerswillshapethefutureofhealthcareintheUnitedStates

A.RayPentecostIII

DrPH,FAIA,FACHA,LEEDAP

RonaldL.SkaggsandJosephG.SpragueChairofHealthFacilitiesDesignDirector,CenterforHealthSystemsDesign

CollegeofArchitecture

SchoolofPublicHealth

TexasAMUniversity

CenterforHealthSystemsDesignTexasAMUniversity

Thechallenge

UnitedStateshealthcaresystem:

•Mostexpensivepercapitaintheworld

BUT

•RankedlastbytheCommonwealthFund

2004,2006,2007,2010,2014

●CenterforHealthSystemsDesignTexasAMUniversity

Q1

Patient:

Helporhindranceinhealthcarereform?

CenterforHealthSystemsDesignTexasAMUniversity

ChronicDisease

86%Allhealthcarespending

•81%Hospitaladmissions

•76%Physicianvisits

•91%Prescriptions

CDCFoundation2015

CenterforHealthSystemsDesignTexasAMUniversity

Patient

Deaths

Deathsfromtreatableconditions

Nursinghomeadmissions

Hospitaladmissions

Martin,F,2005.

Don’ttellme!

50%Average70%(!)Ifchangebehavior

StoryDr.Rick

CenterforHealthSystemsDesignTexasAMUniversity

Patient

Q2

Informationtechnologies:

Areweforeverbehindthecurve?

CenterforHealthSystemsDesignTexasAMUniversity

Watsonidentifiedatreatmentthatawell-

meaning,hard-workinggroupofphysicianshadn’t

found–for30%ofthepatients!

NedSharpless,MD,UNCChappelHill

Rose,Charlie.(2016).ReportTitle(Artificialintelligencepositionedbebeagame-changer).CBSInteractive,

60Minutes.NewYork,NY.

CenterforHealthSystemsDesignTexasAMUniversity

UNC1000patients

Watson

Information

By2020:medic