Medscape One-On-One系列:Eric Topol訪問矽谷頂級創投Khosla資本創始人Vinod Khosla

螢幕快照 2018-03-27 下午4.21.15

Vinod Khosla是知名企業昇陽電腦的創辦人,目前是頂級矽谷創投創始人Khosla Venture,想更深入了解他,可以看這其在史丹佛商學院的訪問影片。

這部訪談的重點是想要深入理解Khosla在其創投所提出的未來商業白皮書(寫得很棒的白皮書,描繪對於醫療未來的看法)中所描繪的:百分之八十的醫師將在未來被取代。

第一點,當前醫師花太少時間在病人身上,這在未來會有所改變

My view is that doctors should be involved in the most human elements of care. A very large percentage of what doctors do can be done with technology, which would free the doctor to do other things. No doctor spends enough time with the typical patient

第二點,在科技進步的當下,連汽車上面的感測器都比人類現在在醫療場域中被監測的還多太多,這絕對代表很大的改善空間。

One other fundamental thing is that medicine almost always has been based on symptoms. I feel something, I report that, then you doctors go on a detective chase and you mostly come up with the right answers. This pains me. There are, perhaps, a few hundred sensors in the typical car and none in the body. A single ad shown to you on Facebook has way more computing power applied to it than a $10,000 medical decision you have to make. It blows my mind.

第三點,各領域的破壞創新都不是來自於原本領域的佼佼者,醫療領域沒有理由是例外。(可能暗示者改變醫療可能並不是從醫院裡面開始),從第三世界醫療缺乏處或是其他角色。

No large change comes from an organization that is at the center of the system, for two reasons: First, they tend to think linearly; and second, they really don’t have an incentive to cause disruption because “disruption" sounds like a great word but it is painful for some people. If you have been disrupted, it is not fun.

Walmart didn’t change retail; Amazon did and it made it pretty damn uncomfortable for all other retailers. Boeing and Lockheed didn’t change space; SpaceX did. General Motors and Volkswagen didn’t change electric cars or self-driving cars; it was Waymo and Tesla. NBC and CBS didn’t change media; it was Twitter, Facebook, and YouTube. I am hard-pressed to find one large change that came from an institutional source in that area. If you do find one, tell me.

Why should healthcare be different?

第四點,未來的細節是無法預測的,但是方向是可以的

One of the things about large change is that it is very hard to predict. I was directionally right but really embarrassingly wrong on the specifics. I suspect that I will be the same with healthcare.

 

 

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