How much information do I share with patients as a physician?

Medicine is an imperfect science, coupled with the art of human experiences. The experience of the physician and the patient both come into play. But unfortunately, we often ignore how these points of view come together, creating a struggle between the needs of the physician and the patient. As we continuously strive to treat and diagnose those that… Read More »

Dental health is as important as medical health despite divide

In the United States we have traditionally distinguished dental health from medical health. This divide dates back to the creation of two, distinct educational models and tracks. It continues as dental care and medical care are paid under different insurance mechanisms. Dental care seems to be financially treated and viewed as a luxury versus a medical necessity. This… Read More »

Shared decision making increases patient engagement

Moving to value-based models of care will require us to include our patients in decision making in ways we have not done before. Historically healthcare has focused on first doing no harm, which has led us to err on the side of being conservative and has thus led to increased utilization of services. As we move to models… Read More »

Healthcare transparency and engagement is about more than price

As we think about creating value for those we serve, a major component is making sure we view those that consume the goods we produce as partners in the decision making process. Though this might seem obvious, healthcare has historically not taken this approach. Payments have not been made by those consuming the resources, and the resources (healthcare)… Read More »

The concept of human rights can be used to promote a culture of health

Human rights have shaped our history. We have fought over and for them. But what are human rights? The Universal Declaration of Human Rights as set forth by the United Nations in 1948 placed at its core, that “human rights are birth rights – rights that all people have by virtue of being human, and require all humans… Read More »

True value is a shared value

As we continue to move towards a healthcare model that delivers on value, we need to focus on those being served and how we create shared value. If we want to make an impact, we must focus on how we create a culture of health. A recent article by Chandra et al in Health Affairs, Drivers of Health… Read More »

Are doctors professionals?

Current healthcare environment eroding physician professionalism Physician burnout is a problem. The data supports the fact that physicians burn out at a high rate and are becoming less satisfied with their work every day. When medical students go into medicine, they feel they are serving a greater good, and joining a profession that is noble. On the consumer… Read More »

Easy access to disease-specific food is not always the answer

Human behavior can be a major hurdle to eating healthier, even when food is free There is a great deal on information concerning the lack of both understanding and access to food that is specific for certain disease states. We talk about specific diets being beneficial for certain diseases, but we know that access and understanding are deficient… Read More »

Physician practice consolidation creates the need for new distribution models

There have been many changes in recent years that have created uncertainty in the healthcare environment. These have included a shift to pay for value, a greater focus on outcomes, meaningful use, and most recently a complete overhaul of the physician payment model for Medicare beneficiaries. We have seen increased physician employment by health systems and consolidation in… Read More »