"Big Picture" Healthcare and Patient Engagement

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If we redirect the energies of the physicians, so again if I could take a primary care physician and say hey you know what, the goal. I'm going to take the pressure off you to see 30 patients in a day or more that some see, what I really want you to do is get to know your patients? You're only instead of being responsible for 2,000 of them you're going to be responsible for 1,000 or 500 of them, but get to know them in North America medical and focus on keeping them healthy.

I think the physician should respond to that a lot. And I think most physicians especially in primary care go into primary care because they like working with people. So, I think we need to move the orientation of the system away from the current disease focus, from the current visit focus, from the current test related revenue focus to big picture care focus and make it financially viable for primary care physicians to do that, and to incentivize both the patient and the physician to do that.

I know that my patients who do the best health wise, actually in life in general, are the ones that are engaged, and who want to know not just what prescription I gave them but all about themselves. They want to see all their lab tests, or they want to talk to me about what effect not getting enough sleep has on them.

And that only happens when they have the time and the space and the permission, which is a big fault of ours in that hurried medical world to ask something, and to say something. We have to figure out a new approach that's going to get people to engage in their own health everyday, and that's the only solution to obesity or lack of exercise, or frankly dealing with a frantic society, time-driven, time-pressured society, is to get people to say, hey I am in charge of these things.

Most of the decisions that people make about their health, most of the important decisions that people make about their health aren't made in the doctors office. So, the Grand Puba's not there giving instructions to the person when they are deciding what to choose for dinner. Part of the secret is engaging people regularly so they do develop these reactions, these reflexes, that are healthy reflexes.