????惠特曼說(shuō)：“我不相信，如果還按老套方法，同時(shí)以更低成本來(lái)建病房能解決再入院和醫(yī)源性感染等問(wèn)題。這就是現(xiàn)在醫(yī)保支付改革（payment reform）要解決的一些大問(wèn)題，因?yàn)榇蠹沂菫榻Y(jié)果買(mǎi)單的。今后，只有病人不再因住院而病倒，不再因住院而病得更重，因?yàn)樗麄兞私庾约旱闹委煟砸坏┏鲈壕筒槐卦偃朐海t(yī)院才能讓病人掏錢(qián)。而這些都是聯(lián)邦政府正在跟蹤考核的績(jī)效指標(biāo)。所以，這不是什么通過(guò)采納新技術(shù)讓電子病歷變得更漂亮這么簡(jiǎn)單。”

????實(shí)際上這是事關(guān)醫(yī)療業(yè)價(jià)值主張的問(wèn)題。“2020病房”所用的技術(shù)和材料并不比現(xiàn)在的一些可替代品便宜多少，但長(zhǎng)期來(lái)看它們會(huì)讓病人得到更好的護(hù)理，還能改善醫(yī)院的經(jīng)營(yíng)狀況。奎克表示，對(duì)多數(shù)醫(yī)院來(lái)說(shuō)，近期要把病房都改造成“2020病房”成本上吃不消。但隨著時(shí)間推移，成本將會(huì)下降，同時(shí)采用這些技術(shù)所獲得的投資回報(bào)將會(huì)更快地獲得體現(xiàn)。

????惠特曼還表示，“2020病房”的理念不是讓各家醫(yī)院在自己院內(nèi)照搬這個(gè)樣板房，而是要啟發(fā)大家在思維模式上有所改變，讓醫(yī)療行業(yè)認(rèn)真考慮設(shè)計(jì)所具有的普遍價(jià)值。這個(gè)樣板房提供了一種實(shí)用模型，它可讓醫(yī)院管理者和建筑師直接借鑒或啟發(fā)思考。但更要緊的是，它提供了一個(gè)清晰的范例，證明即使是在醫(yī)療業(yè)這樣一個(gè)缺乏設(shè)計(jì)感的行業(yè)里，優(yōu)秀的設(shè)計(jì)也是何等意義深遠(yuǎn)。

????惠特曼說(shuō)：“今后醫(yī)院的數(shù)量將減少，所以修建這些醫(yī)院時(shí)我們最好修得好一些。我們必須采用工程技術(shù)含量極高的方式來(lái)建造它們，讓它們成為治療過(guò)程的一部分，而不再僅僅是一個(gè)附屬物。”（財(cái)富中文網(wǎng)）

????譯者：清遠(yuǎn)?

????"I do not believe that building things the same way but at lower cost is going to help with things like readmission, with hospital-acquired infections," Whitman says. "These are some of the big issues we're dealing with payment reform, because you're paying for performance. Hospitals are going to get paid because their patients don't fall, because they don't get sicker while they're there, because they understand their care so when they leave they don't come back -- these are all performance metrics the federal government is tracking. So this is not just about putting in technology so we can have fancier electronic medical records."

????Rather it's about a value proposition for the industry. The kinds of technologies and materials integrated into Patient Room 2020 certainly aren't less expensive than the contemporary alternatives. But long-term they'll improve both patient outcomes and bottom lines. In the near term, converting patient rooms to something like Patient Room 2020 will likely remain somewhat cost-prohibitive for many hospitals, Quirk says, but over time costs will decline and ROI for these technologies will come more quickly.

????And besides, Whitman says, the idea behind Patient Room 2020 isn't for hospitals to graft this model directly onto their hospitals, but to inspire a paradigm shift in the way the health care industry thinks about the role of design in general. The prototype provides a practical model from which administrators and architects can directly borrow or simply draw inspiration. But more than that it provides a clear example of how meaningful good design can be, even in an industry as unsexy as health care.

????"In the future there are going to be fewer hospitals, so when we build those hospitals we better build them right," Whitman says. "We need to build them in a highly engineered, highly technological way so that they are actually part of the care process, not just an appendage."?