麦肯锡-美国卫生系统改善妇女医疗保健的500亿美元机会

for US health systems to Shifting away from a sole focus on women’s reproductive health to a broaderview of the health of women across the care continuum can improve women’s care by Anne Koffel, Jordan VanLare, MD, and Pooja Kumar, MDwith Caroline Morgan Berchuck, MD Women in the United States facesteeper barriers to healthcare than men, causing preventablesuffering and costing billions each year. The health of women—encompassing the entire carecontinuum and extending beyond reproductive and sexual health—represents an approximately$50 billion missed annual opportunity for health systems1nationally. Addressing the gap in The McKinsey Health Institute (MHI) and the World Economic Forum (WEF) have published twoseminal reports on women’s health that reveal stark disparities between men and women. Forexample,women in the United States spend 25 percent more time in poor health than men do.Popular discourse often narrowly defines women’s health as reproductive health, but sexual andreproductive health accounts for less than 5 percent of women’s health burden. The remaining Drawing on this research, this article lays out a win–win scenario for women and health systems byhighlighting key actions that health systems cantake to invest in the health of women. The firstaction involves ensuring women receive evidence-based preventive care, while the second focuseson reducing turnover of women providers andnurses, as retaining women clinicians is economicallyadvantageous and gender-concordant care has thepotential to improve women’s health outcomes3byenhancing care continuity (see sidebar “Research Terminology used in this article This article portrays women’s healthas a marketsegment. The authors acknowledge the importanceof healthcare to the transgender, nonbinary, andgender-fluid communities and that not all people who The authors have often used the terms “sex” and “gender”to reflect inclusive language and recognize the needfor future research into health issues that is inclusiveof the transgender, nonbinary, and gender-fluidcommunities. They also acknowledge the profound Improving women’s preventive care is an up to $38 billion revenueopportunity for health systems Despite seeing clinicians more often than men, women often don’t get the preventive care thatthey need.4By delivering preventive care aligned with clinical guidelines for women, healthsystems nationally could close the gap of roughly 130 million missed screenings across just fivesettings and generate up to $59 billion in new annual revenue (exhibit). Even considering theoperational costs related to administering the additional screenings required to close the gap, the Beyond the missed financial potential, the failure to provide timely preventive care increaseswomen’s disease risk and can lead to costlier, more complex interventions down the line. In fact,women are less likely than men to receive the full course of recommended treatments for Improving women’s preventive health screenings across only fivespecialties represents a $38 billion net opportunity for US health systems. McKinsey & Company Treatment for acute myocardial infarction Beyond prevention,timely treatment remains anissue, with women more often than men not receivingthe full course of recommended treatments forvarious conditions. At a midsize health system,1forexample, only 40 percent of women who had acute of women than men went on to receive percutaneouscoronary intervention and were referred to cardiacrehabilitation afterward. This equates to roughly25,000 missed AMI interventions for women annually, Compared with men, a smaller proportion of women receiveevidence-based treatments for acute myocardial infarction. US patients who receive acute myocardial infarction (AMI) treatments at a midsize health system,¹ % McKinsey & Company Women face multiple barriers to preventive care. A major issue is the lack of consistent primarycare providers (PCPs), which reduces the likelihood of receiving routine screenings andearly interventions.5Cost concerns further discourage preventive visits for women,6and the Health systems and other care providers have the unique ability to address these barriers. Telehealth, which women use more frequently than men, has expanded access to preventive care,allowing clinicians to reach those who might otherwise forego screenings. Technology-enabledscreening tools, such as AI-assisted mammograms, are improving the effectiveness of screenings, Increasing retention among women nurses represents up to $12 billion insavings and can bolster women’s care Women are less satisfied at key points in their healthcare journey compared with men.9A commonreason for their dissatisfaction is a feeling of being dismissed by their doctors. For ob-gyn care,for example, women who felt listened to “all the time” were more likely to have a postpartum medicalvisit and less likely to have postpartum depressive or anxiety symptoms.10Moreover, theinfluence of women’s