Clayton Christensen, Harvard Business Review , “Disruptive Innovation in Health Care”, January 2008
Creative destruction of established authorative national opinion-making instititions is at work. People who thought they ran the country, or at least set its political tone and agendas, suddenly find they are not. The elite are in retreat. Consumers are on the rise. People are turning en masse to products based on disruptive technologies that are cheaper, simpler, smaller, more convenient, and easier to use. When it comes to survival, elite instiutions are discovering that in the end it's money and profits and what people are willing to buy and to read that counts.
Because of failure to adjust to demands of the Internet age, these publications have experienced circulation and revenue declines. They can no longer support their cost structures, and their business deaths have beca\ome inevitable. The main disruptive culprit is the Internet. Traditional publishing empires – whether in newspapers, magazines, or books, - simply can no longer compete on price or convenience or ease of use. There are simply too many alternative sources of information,
At the other end of the care spectrum, it may be shedding relationships with third parties to dramatically lower your cost structure. It’s about picking the future – digital supported, mediated, and delviered care- over the past ; focusing on opportunities offered in the Internet era; choosing new ways of doing things at lesser cost and in more convenient settings; and aiming high for something that makes a difference to payers and patients.