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Commentary
October 7, 2009

Disruption and Innovation in Health Care

Author Affiliations

Author Affiliation: RAND Corporation, Santa Monica, California; and David Geffen School of Medicine and School of Public Health, University of California, Los Angeles.

JAMA. 2009;302(13):1465-1466. doi:10.1001/jama.2009.1427

Successful health care reform may provide virtually all individuals in the United States an adequate health insurance package. However, the need to increase value for health care dollars will extend far beyond the current policy window. Achieving that goal will require disruptive innovation in the health care system.

Disruption occurs when the expectations of individuals and the services provided are so vastly different that linear change is no longer likely.1 For example, disruption occurred in naval warfare when reliance on battleships was replaced by aircraft carriers,2 and in medicine when anesthesia and vaccines were introduced. Could similar kinds of successful disruption happen in the delivery of health care? There are 8 potential disruptions that could increase the value of health care.

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