A practical approach to the healthcare crisis: solutions for Hawai'i and the nation (Part 2 of 2).

Jerris R. Hedges, Daniel A. Handel

Research output: Contribution to journalArticle


We have previously reviewed the challenges facing Hawai'i and the nation in terms of healthcare. Successfully addressing these challenges will require major changes in the delivery of healthcare and societal/legal perspectives. In this issue, we outline the key factors needed collectively and simultaneously to address these challenges. These factors are: (1) a capitated care model focused on health and chronic disease management; (2) universal access to a basic healthcare delivery system, and acceptance of the service limitations associated with such a model of care delivery; (3) a universal electronic shared health information system as a mechanism by which care in such a system can be coordinated; (4) an approach to developing state sanctioned, legal approaches to avoiding or minimizing futile care; (5) enhancement of systems of care (e.g., statewide trauma systems); (6) alignment of practitioner and hospital reimbursement with societal health goals, with legal protections; (7) a system of no-fault patient compensation when injuries occur in the course of medical care; and (8) support of expanded training programs for physicians, nurses and other practitioners.

Original languageEnglish (US)
Pages (from-to)124-127
Number of pages4
JournalHawaii medical journal
Issue number6
StatePublished - Jul 2009


ASJC Scopus subject areas

  • Medicine(all)

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