Medicine will never be an industry, but we must use enterprise know-how to achieve industrial-style productivity. The pandemic crisis has hit an already weakened, decimated and unprepared health system hard. […]
It is well known that crises are an opportunity for change, and the Minister of Health has the mandate to relaunch the health system on new foundations. This colossal program […] continues the same centralized approach that had led it to offer nurses a generous financial bridge, which they did not appreciate because they were not consulted. […]
The Japanese company Toyota, when it established itself in the United States, maintained its management philosophy (The Toyota Way) and beat out the big three automobile manufacturers Ford, Chrysler and GM, whose management is inspired by Taylorism. The managerial concept of this company includes continuous improvement, exchanges in the field, respect for people and teamwork in a climate of mutual trust.
Such an approach could serve as a model for the overhaul of our health system: the steps of what to do, how to do, and do must be integrated into a dynamic and bidirectional continuum of sharing of tasks, responsibilities and accountability.
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