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时间:2019-08-02
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1、TomPeters’Health(care)Excellence!PartILeadersinHealthcare/Dubai/22January2006(LongVersion)Slidesat…tompeters.comPartI:Healthcare“Manifesto”PartII:GettingItDone!Health(care):SevenMainMessages1.Quality(Errorreduction/Evidence-basedMedicine)2.“Healthcare”vs.“Health”(Wellness+Preventi
2、on)3.“ModelsofExcellence”available4.Lifesciences(“Singularity”)5.Dubaiasglobal/unique/“insanelygreat”“CenterofExcellence”6.Avianflu7.AfricaManifesto(s)“Healthcare”vs“Health”TP’sHealing&WellnessManifesto2006(1)Acute-carefacilitiesare“killingfields.”(WEKNOWWHATTODO.)(2)Shiftthe“co
3、mmunity”focus90degrees(not180,butnot25)from“fixit”to“preventit.”(WEKNOWWHATTODO.)(3)Therearethreeprimaryaimsfor“allthis”:Wellness-Healing-Health.(WEKNOWWHATTODO.)(4)I’mmadashellandI’mnotgoingtotakeitanymore.(IKNOWWHATTODO.)Tom’sRant2006Hospital“qualitycontrol,”atleastintheU.S.A.,
4、isabad,badjoke:Dependingonwhosestatsyoubelieve,hospitalskill100,000orsoofusayear—andwoundmanytimesthatnumber.Finally,“they”are“gettingaroundto”dealingwiththeissue.Well,thanks.Andwhatisitwe’vebeenbuyingforourTrillionorsobucksayear?Thefixiseminentlydo-able…whichmakestheconditionevenmore
5、intolerable.(“Disgrace”isfartookindalabelforthe“condition.”Who’stoblame?Justabouteverybody,startingwiththedocswhoconsideroversightfromanyoneotherthanfellowclanmemberstobeunacceptable.)2.The“system”—training,docs,insuranceincentives,“culture,”“patients”themselves—ishopelessly-mindlessl
6、y-insanely(asIseeit)skewedtowardfixingthings(e.g.me)thatarebroken—notpreventingtheprobleminthefirstplaceandprovidingtheMaintenanceToolsnecessaryforahealthylifestyle.Sure,bio-medicinewillsoonallowustounderstandanddealwithindividualgeneticpre-dispositions.(Andhooray!)Buttakeitfromthis63
7、-yearold,decadesofphysicalandpsychologicalself-abusecanliterallybereversedinrelativelyshortorderbyanencompassingapproachtolifethatcanonlybedescribedasa“PassionforWellness(andWell-being).”Patients—likeme—arecatchingoninrecordnumbers;but“thesystem”ishighlyresistant.(Again,thedoctorsarea
8、mongt
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