Friday, March 25, 2016

Patient Paternalism

The new paradigm for healthcare is going to solve this problem. Watch this video of the 2015 Keynote at the IHI National Forum"The Moral Era” given by Donald Berwick, MD. (Note item #8, at 39 minutes and 25 seconds.)

Dr. Berwick states (at 40:30):

“…patient centered care, they are encoding a new balance of power. The authentic transfer of control over people’s lives to the people themselves…"

At 41:15 Dr. Berwick cites an example of the new way of thinking in modern healthcare:

“…Southcentral Foundation, you know in Nuka, they don’t say patient, they say customer-owner. Now you may want to think about that for a minute and see how that changes what you think…”

This is placing the power where it belongs in healthcare, with the patient. Now, if the patient demands the physician’s attention, it is up to the healthcare (hospital) system to figure out how to satisfy all the other other demands put on the physician.

Here is another dose of reality; physicians are not going to be the ones that fix the problem. It would take me writing a book to explain why, but let me offer this bit of insight as to why:

“We can't solve problems by using the same kind of thinking we used when we created them.” 
— Albert Einstein

This is how this new paradigm will fix the broken system.

As patients, we are taking back healthcare.

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