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Are Governance Issues Transforming American Healthcare?. Mark C. Suchman Sociology and Law University of Wisconsin. Plot-lines for the Transformation of Health Care. Humans against Nature The Tragedy of Colossus Medicus Humans against Humans
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Are Governance Issues Transforming American Healthcare? Mark C. Suchman Sociology and Law University of Wisconsin
Plot-lines for the Transformation of Health Care • Humans against Nature • The Tragedy of Colossus Medicus • Humans against Humans • The Rise of Governance: legal doctrines, professional ethics, organizational rules, community norms, etc.
Technological Promise • Clinical IT could remedy… • Geographic inequity • Medical errors • Fragmented case management • Et cetera, et cetera. • E.g.: CPOE could save 3,000 lives and $1 billion annually. • But cornerstone technologies are rarely adopted
Governance Challenges • System Integration • Economics of standardization • System Integrity • Sociology of trust • System Control • Politics of accountability
A Final Word Humans Against Selves/Gods?