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  • This year Britain's National Health

  • Service celebrates its 70th birthday.

  • Formed in 1948, it was the first state

  • health service in the world.

  • Today, the modern NHS is almost unrecognizable

  • from the one that was created 70 years ago.

  • It's the world's fifth biggest employer

  • with a budget of 110 billion pounds a year.

  • But it's in urgent need of treatment.

  • Like many healthcare systems, the NHS is faced

  • with a funding shortfall and critical staff shortages

  • meaning its future looks perilous.

  • Lord Ara Darzi is one of the world's top surgeons

  • and a former British Health Minister.

  • He's been on the healthcare frontline for three decades.

  • And he's come up with a plan for reviving the NHS.

  • These are my talking points.

  • The government needs to transform the NHS from

  • a sickness service to a health and wellbeing service.

  • Most of the chronic disease is related to human behavior.

  • The NHS spends almost nine billion pounds

  • a year dealing with diseases related to smoking

  • and the growing obesity epidemic.

  • To cut costs, the government needs to tackle

  • this public health crisis at its root.

  • We do this in three ways.

  • One, regulation, banning smoking was

  • a wonderful example of that.

  • Second, taxation.

  • Introducing sugar tax, or a levy on alcohol.

  • Thirdly, behavioral intervention.

  • How do we help people make the right choices?

  • We need to embrace innovation whether that is digital

  • which has transformed every aspect of our life,

  • we need to do the same in health.

  • The NHS is still running on paper and fax.

  • We need to move from that archaic times

  • into the new times of digital.

  • The NHS is the world's largest purchaser

  • of fax machines and in some hospitals,

  • medical equipment is no longer fit for purpose.

  • A recent report found that machines from the 1980s

  • were still in use in NHS hospitals.

  • We need to decommission the old stuff

  • and save money to pay for the new innovations.

  • Robotics, new drugs, new interventions.

  • We need to look at frugal innovations,

  • technologies that are exceptionally cheap

  • but at the same time delivering as good an outcome

  • from a patient's perspective.

  • In the 21st century, data is the energy

  • or the fuel of transformation.

  • Anything you could measure you can improve

  • and data is one of the ways of doing that.

  • One million people use the NHS every 36 hours.

  • But there's no centralized system where doctors

  • can access their medical data.

  • Most patients seeing me expect me to have

  • all the data from their general practice.

  • We need to drive this integration between

  • primary care, hospital, and back into the community.

  • You can actually predict disease before you see

  • the manifestation of disease by segmenting the population

  • and identifying those at great risk.

  • To do this, the NHS will have to tackle

  • fears over personal data being shared.

  • Sharing data is critical from a patient's perspective.

  • And we need to win the confidence of the public when it

  • comes to the privacy and security aspect of data sharing.

  • The NHS is facing a funding gap.

  • By 2020, it's estimated to be 20 billion pounds short.

  • A lot of people out there think investing in healthcare

  • is in a bottomless pit.

  • I could confidently tell you, not just my work,

  • look at the work of the Lancet Commission,

  • the World Innovation Summit for Healthcare,

  • the best return on investment any country

  • could make is in health.

  • Healthy nation means a productive nation.

  • Healthy nation means economic growth.

  • For every pound you spend in health,

  • you get two pounds back.

  • Quality should be the organizing principle

  • of any health system.

  • It's a wonderful future if we embrace it.

This year Britain's National Health

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公的医療を復活させる方法|エコノミスト (How to revive public healthcare | The Economist)

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    Priscilla に公開 2021 年 01 月 14 日
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