It’s time for tech to put the human touch back into healthcare
I’m sick of hearing that “healthcare is broken.” Google broken health care system — you’ll get 97 million results.
Healthcare is not broken. That all-or-nothing characterization doesn’t work when we’re talking about such a complex industry. It overshadows the fact that we are living in a glorious time scientifically and experiencing a veritable renaissance in our understanding of the human body.
We discovered penicillin less than 100 years ago. That is literally a blip in the timescale of humanity. Much of what we consider to be modern medicine was born in the period since, including antibiotics that drove out infection as a top killer and vaccines that eradicated horrendous diseases like polio and smallpox. In the last 100 days alone, we’ve witnessed the first-ever FDA approval of gene therapy for an inherited disease.
These advancements have significantly elongated life expectancy; we live almost 40% longer today than we did 100 years ago. This progress has also paved the way for targeted, personalized medicine that we will all likely benefit from in our lifetimes. So no, healthcare is not broken. It is magnificent and awe-inspiring. Where we’re falling down is how we organize and deliver healthcare. It just isn’t keeping up with the complex care needs that come from people living longer and often with multiple chronic diseases.
As Zeke Emanuel and Ann Lamont recently noted, we’re past relying on policymakers to address the problems with delivering and financing care. Instead, startups are leading healthcare transformation by driving technology and innovation in the delivery system.
While high-tech medicine is speeding along, we’re experiencing an acute shortage of doctors, particularly primary care providers. Those we have are burning out because we make them click boxes all day and close medical records all night and weekend. It’s telling that more than half of physicians report feelings of burnout in survey after survey.
We have devalued the human touch at the center of delivering healthcare and forced people in the trenches of this work into horrendous workflows. So while patients should be able to turn to primary care to help them navigate care, there’s only so much that doctors can do with limited time, information, and enablement.
Technology can have an immensely positive impact in addressing these challenges. Consider, for example, that over 70 percent of people with depression turn to their primary care doctor for answers. The reality is that those providers often don’t identify underlying mental health issues, and even when they do, they don’t have the resources and support to get their patients the care they need.
By designing algorithms to recognize the characteristics of underlying mental health conditions, we can proactively recognize when patients could benefit from specialized care. We can also use sophisticated matching algorithms and modes of modern communication to connect those people to the treatment pathway most likely to work for them, all with the primary care physician at the center of their care.
The potential goes beyond improving mental health. Tech companies can, and should, build products to help those on the front lines: empowering providers with a full picture of patient health, seamlessly connecting primary care to specialist networks, and making efficient collaboration possible.
These are the things we know how to do well in the technology world. Unfortunately, much of the technology in the healthcare system to date was designed to meet the needs of administrators and bureaucrats rather than the end users. I’m confident if we refocus our efforts on the actual providers and teams delivering patient care, technology can be a catalyst in putting the caring back into healthcare.
RN | Clinical Training Consultant | MHFA | CMI |Grief Support Specialist | Translating complex information into meaningful terms based on learner-centered strategies.
7yA smart article. "We have devalued the human touch at the center of delivering healthcare and forced people in the trenches of this work into horrendous workflows" sums it all up! Thank you.
Collaborator, President at M3 Information | Mental Health Analytics, Team Building, Treatment
7yGood goals and a opening for where clinical response and the person/patient preference can provide a complementary opportunity to improve care.. Since patient preference is such a large factor in success using tech to introduce a range of evidence based options would form a recommendation for patient and clinician to review.. Allowing a patient t to choose from this range suggested by tech / machine learning observations would help accelerate engagement and leading to improving outcomes. The intersection of tech and clinical competence to better align patient needs with options present a substantial care opportunity and no doubt advance outcomes.
Global Health Consultant
7yTo address the overworked docs in the system....what mitigate this challenge in primary health care is more Nurse Practitioners who can competently carry out primary health care with an emphasis on prevention working in tandem with physicians. If only physicians would stop viewing this valuable profession as threatening to their own.
Calm pathfinder Leading Mind Health Revolution @ Wellness Orbit Visionary, securing high quality spatial plans @ OÜ Head
7yIn general health care systems work, how well - it depends on the country of your location. The real problem is that reactive approach to our own health dominates and therefore "running out of money" is constant topic on the table. So far the general attitude towards health is: "I have a problem - fix me!" While with the physical injuries we do need emergency medicine and fixing by someone else, the rest of health problems develop usually over longer period of time and are based on our habits and lifestyle choices. As you mentioned mental health - in this area the proactive approach has been missing! Good mental health is the foundation of physical health. However, people often believe visa versa. Statistics show that in average a company already loses 700-1000 € / per employee every year because of stress and mental ill-health (Source: Sainsbury Centre for Mental Health survey about costs of mental health issues in UK). Here is information about an interesting scientific paper published by Routledge about pro-active approach to mental wellness by Dr Helena Lass: https://www.wellnessorbit.com/newsletters/dr-helena-lass-revolutionary-approach-to-mental-wellness/id/21. I agree that technology does enable us a lot of new opportunities. Technology does allow us to provide pro-active approach to mental health! Companies should train their staff proactively on mental wellness, at least until the schools and health care systems totally avoid pro-active approach to mental health! We do offer such e-Trainings on mental wellness based on the approach in that scientific paper.
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7yFrom that perspective, no, it isn't broken. As someone who has worked in the field as well as being a low-income person, I will tell you that there are broken pieces in accessing healthcare. If you have Medicaid or no insurance, some of the services that are offered to those with money or good insurance gets, such as follow up services after surgery or a broken leg. I had a friend who didn't have insurance, broke her leg, and once the bone was considered healed, she got nothing, even though therapy was recommended. She wasn't able to afford the PT, so she didn't go. I have a genetic anomaly that causes me to be overweight. Rather than being able to get an appetite suppressant through my doctor, Medicaid doesn't cover it, and then I'm being asked by my doctor "What is wrong with you?!?" when I end up gaining rather than losing when it's my chromosome issue, not me being lazy.