The Five Star Doctor
The Five Star Doctor
Defining universal challenges in health reform is itself a challenge, let alone proposing
appropriate response to such challenges. We hope to avoid the risk inherent in such
generalization by focusing on some major changes that would lead to the adequate provision of
health care to all. Although the spectrum of causes of death, disease and disability that hinder an
enjoyable and productive life varies considerably with environment, socioeconomic context and
demography, we will try to identify determinants valid in any health care delivery system.
In much of the world, both health care beneficiaries and those who plan, finance, and
provide health care are increasingly aware of the need to reform health care system but have very
different priorities and expectations. For example, consumers primarily want high-quality health
services in adequate quantity; health professionals want to expand their knowledge base and
exercise independent judgment in providing the best possible care; and health care policy-makers
want care for all citizens that is cost-effective.
For a health care system to make the necessary changes and run efficiently, however, the
main stakeholders must decide to work together and must agree on a set of fundamental values.
Relevance, quality, cost-effectiveness and equity are values implicit in the goal of health for all,
endorsed by all nations and government, which offers such a basis. The stakeholders-policymakers, health system managers, researchers, care providers, educators, and consumers alikemust re-examine their position on the health chessboard and consider readjusting their
expectations to ensure that these values are upheld and peoples health needs are better met. It is
in this context that the future role of the health professionals, and in particular, the medical
doctor, should be thought of.