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What U.S. Hospitals Can Still Learn from India’s Private Heart Hospitals

Barak D. Richman, JD, PhD & Kevin A. Schulman, MD, MBA | NEJM Catalyst | May 25, 2017

In 2008, we explored the emergence of private heart hospitals in India whose outcomes rivaled those of top U.S. hospitals (low infection and readmission rates for coronary artery bypass grafting [CABG], angioplasties, and other cutting-edge procedures) at between 1/10 and 1/20 of the cost. We described how Indian hospital leaders exhibited a near-obsessive drive to offer the highest quality services at the lowest possible price. We concluded that even though India is far from a model of social justice in health care, American hospitals could learn a great deal from the organizational focus and structure of their Indian counterparts...

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