Three cheers for the crumbling silo: The lesson of how a minor procedure can have a major impact

摘要

We have a silo problem. I do not mean silo-filler's disease, which some of you may see clinically but most of us simply see every 10 years around board review time. I mean the tendency-not unique to health care-for us to be hemmed in by die artificial divides we have created. We separate activities by specialty, section, division, department, and the like. We create barriers to care, an us-vs-them mentality, and duplication of services. The silos simply need to come down.