title: The future of obstetrics/gynecology in 2020: a clearer vision. Transformational forces and thriving in the new system.
abstract: Revamping the delivery of women's health care to meet future demands will require a number of changes. In the first 2 articles of this series, we introduced the reasons for change, suggested the use of the 'Triple Aim' concept to (1) improve the health of a population, (2) enhance the patient experience, and (3) control costs as a guide post for changes, and reviewed the transformational forces of payment and care system reform. In the final article, we discuss the valuable use of information technology and disruptive clinical technologies. The new health care system will require a digital transformation so that there can be increased communication, availability of information, and ongoing assessment of clinical care. This will allow for more cost-effective and individualized treatments as data are securely shared between patients and providers. Scientific advances that radically change clinical practice are coming at an accelerated pace as the underlying technologies of genetics, robotics, artificial intelligence, and molecular biology are translated into tools for diagnosis and treatment. Thriving in the new system not only will require time-honored traits such as leadership and compassion but also will require the obstetrician/gynecologist to become comfortable with technology, care redesign, and quality improvement.
authors.affiliation: Memorial Care Health System and the Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of California, Irvine, Fountain Valley, CA.
authors.forename: David C
authors.initials: DC
authors.lastname: Lagrew
authors.affiliation: Department of Obstetrics and Gynecology, University of Alabama, Birmingham, Birmingham, AL.
authors.forename: Todd R
authors.initials: TR
authors.lastname: Jenkins
mesh_terms: D003695:Delivery of Health Care; D005260:Female; D005544:Forecasting; D006176:Gynecology / Q000639:trends*; D006801:Humans; D008490:Medical Informatics; D009774:Obstetrics / Q000639:trends*