Spencer D. Dorn, MD, MPH, MHA, a professor of medicine in the Division of Gastroenterology and Hepatology and vice chair for care innovation in the Department of Medicine, wrote this article in Harvard Business Review.
Summary: The current structure of specialty care in the United States makes it less accessible, increases costs, tarnishes patients鈥� experiences, reduces effectiveness, and strains specialists and staff. The remedy: unbundling and optimizing the various services that specialists provide. There are four ways this could be accomplished.