Department of Policy Analysis and Public Management, Research Center on Health and Social Care Management, CERGAS, SDA Bocconi School of Management, Bocconi University, Milan, Italy.
Value Health. 2013 Jan-Feb;16(1 Suppl):S4-6. doi: 10.1016/j.jval.2012.10.009. Epub 2012 Nov 14.
The last decades are being characterized by global trends such as population growth, aging, escalation of non communicable diseases and technological innovation. These unprecedented changes are moving faster than economic growth and threaten universal health coverage. What is at stake nowadays is governments' and healthcare systems' ability to renovate themselves and develop new paradigms aimed at finding innovative solutions to manage the new global forces so to maintain universal access to care in a changing environment. We have to be imaginative because if we keep relying on current paradigms to answer already too far-ahead complex problems, we will fail. And here education has a role to play. Although the recent years have seen a steep increase in the offerings of post-graduate management education programs in health and healthcare, the majority of these programs are still traditionally conceived and designed, aiming to train students to deal with specific, domestic, current problems. With the promise of making students the best specialists on Earth, to get the highest return on his or her investment in education, the performance of these programs is often measured in terms of earnings maximization. Although an indicator of success, this often incentivizes individuals to be context-based, individualistic, short-sighted and self-focused. Education has the greatest potential to foster imagination, to leverage diversity, to exploit team-working and free creative thinking. Education can substantially contribute to anticipate the impact of global forces by but an endeavor is needed to design programs and measures performances differently.
过去几十年的特点是出现了一些全球性趋势,如人口增长、人口老龄化、非传染性疾病的加剧以及技术创新。这些前所未有的变化比经济增长还要快,威胁着全民健康覆盖。如今,各国政府和医疗体系能否进行自我革新,能否制定新的模式,以找到创新的解决方案来应对新的全球力量,从而在不断变化的环境中保持全民获得医疗服务的机会,这是至关重要的。我们必须富有想象力,因为如果我们继续依赖当前的模式来应对已经过于复杂的问题,我们将会失败。在这方面,教育可以发挥作用。虽然近年来,医疗保健领域的研究生管理教育课程的数量急剧增加,但这些课程的设计仍然是传统的,旨在培养学生处理特定的、国内的、当前的问题。这些课程承诺让学生成为地球上最好的专家,让学生在教育投资上获得最高的回报,因此,这些课程的表现通常以收益最大化为衡量标准。虽然收益最大化是成功的一个指标,但这往往会促使个人以环境为基础、以自我为中心、目光短浅和以自我为中心。教育具有最大的潜力来激发想象力、利用多样性、利用团队合作和释放创造性思维。教育可以为预测全球力量的影响做出重大贡献,但是需要努力设计不同的课程和衡量标准。