The United States is spending more than the other nation in the healthcare sector and gets amongst the worst results in the industrialized nations. According to Dr. Greg Licholai, it is commented that the complex system of healthcare has produced unpredicted incentives that are dependent on the industry for jobs.
The cynical and pithy observations, accredited to the W. Edwards Deming an engineer, is continuously mentioned in the circles of healthcare. “Every system perfectly design to achieve the results it gets”. It is the appropriate summary of the unacceptable output of awkward systems “designed” over time by several complex forces.
In the U.S., people spend more than other countries with substantial poorer results. The spending on healthcare in the U.S. was more than USD 3.6 Tn in the year 2017 and valued for around 18% of GDP. As there is less expectancy of life, higher rates of death from the curable disease, poor access to services and difficulties related to the industrialized countries.
To understand the apparent paradox is to observe the healthcare as a multifaceted adaptive system generating the unanticipated consequences. One impact making it challenging to renovate is that from several years people are relying on for jobs. Actually, healthcare is the fastest and largest growing sector of employment across the globe.
Compound Adaptive Systems
Complexity science is termed as the study of complex systems made from several interacting elements with various agents operating separately affecting continuously. Dr. Susan Abookire, assistant professor and former aviation engineer at Harvard Medical School claimed that “The behavior of the system as a whole cannot be predicted by examining the actions of individual parts”.
Families, rehabilitation units, nursing homes, clinics, and hospitals include the interlocking networks in the healthcare system. The desired effects and unexpected consequences develop when various networks are working together on numerous scales.
Disease management programs, financial incentives, protocols, and regulations envisioning to improve outcomes and cut costs. The complex system of healthcare means that the implementation may result in unpredictable and unintended situations, complex drug reactions, rehospitalizations, and nosocomial infections.
The biggest sector of employment
Moreover, in the U.S, the biggest employment sector is healthcare. As per the U.S. government, the industry is offering the work to around 25 Mn people. It anticipates adding greater than 2.5 Mn jobs in the coming years. This shows that the employment of healthcare is growing faster in other areas, involving the services.
In several cities of the U.S., health systems are having the biggest workforce. For instance, Cleveland Clinic is the top employer in a city with more than 25,000 jobs. Also, in Detroit, the employees of healthcare are making the workforce quarterly, making it the biggest segment. Henry Ford Health System are having the highest growth at around 40%. Further, in Massachusetts, a powerhouse of the job is the biggest employer in-hospital network Partners of Healthcare with around 50,000 workers. Different cities with substantial healthcare employment involve Denver, Baltimore, Philadelphia, and Houston accordingly.