Hospitals need encouragement to become part of integrated care, report says

BMJ 2013; 346 doi: (Published 16 April 2013) Cite this as: BMJ 2013;346:f2445
  1. Nigel Hawkes
  1. 1London

Healthcare needs to change radically in the next five years, a group of healthcare executives and clinicians brought together by KPMG has agreed. But many in the sector still behaved as though change was the responsibility of others, their own organisations needing only minor nips and tucks, they said.

Calling for “an act of courage and committed leadership,” KPMG’s report of discussions held in Rome in October last year says that it is time for major and transformational reform, not just cosmetic adjustment.

The report,1 whose findings were to be presented this week at the International Forum on Quality and Safety in Healthcare in London by Mark Britnell, chairman of global health at KPMG, identifies converging pressures on healthcare systems throughout the world.

Firstly, there is a shift from volume to value, as ways are sought …

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