Elliott Fisher, MD, from the Dartmouth Institute for Health Policy and Clinical Practice, said solutions that focus on changing individual physician behavior will provide only limited benefit. He said lasting solutions must focus on the role of the underlying local health system as the driver of cost and quality. A better approach, he offered, is to develop “local delivery systems" that are accountable for the overall cost and quality of care.

• Listen to Fisher’s presentation. (Length: 33:13) (This will open your computer's default media player in a new window)
• Download from iTunes
• View Fisher's slides.

Filed under: State of the State of Health Care Conference: 2008