Post on 29-Nov-2014
description
The Changing Healthcare Landscape
Kathie RoseResilient Ambassadors of Change
October 14, 2009
Specialist
Hospital/Ward
Primary Care Physician
Emergency Room Urgent Care Centers/Walk-in Clinics
Midwives, Alternative Medicine
Rehab Centers, Nursing Homes, Visiting Nurses
Physician Assistants/Nurse Practitioners
The Changing Healthcare Landscape
Patient volume, access, convenience, cost and patient needs will likely continue to affect task shifting and future healthcare delivery
A very dangerous thing
In the 1960s my mother had:
Six children and a medical encyclopedia
No health insurance
Very little cash on hand
A very promising thing
Today
Millions of people have unprecedented access to medical information
The ability to contribute to collective medical knowledge
Social tools and connections to effect change
www.travelocity.com
www.turbotax.com
www.etrade.com
www.forsalebyowner.com
A propensity for cutting out the middleman
80% of American Internet users have searched for health information
• The Internet as a first opinion
– Patients use “Dr. Google” for a first opinion– WebMD and Mayo Clinic among top 10 medical websites
– Doctors are unknowingly relegated to the second opinion
• The Internet for support and treatment alternatives– Patients like me
• 400K in US with MS– 14K MS patients use PLM
– iStore – • 1544 medical apps (and counting)
– Doctor in a purse or on your belt
• The Internet as a life saver– Savvy users
• Steve Jobs (Apple) liver transplant• ePatient Dave – ACOR.org
Patients are the biggest stakeholder and fear is a great motivator
Concerns/Cautions
• Access to internet– The gap is shrinking
• 74.1% broadband access• Elderly and minorities closing the gap
• Information overload– Credible sources
• Skills needed to assimilate information– Apomediaries (case management for a fee)– Expert patients (motivated to learn and share)
Primary Care Physician
Hospital/Ward
Specialist
Emergency Room
Tertiary Care Center
Physician Assistants/Nurse Practitioners
Urgent Care Centers/Walk-in Clinics
Rehab Centers, Nursing Homes, Visiting Nurses
Midwives, Alternative Medicine
A Future Healthcare Landscape
Patient networks
Web diagnostic tools (expert systems)
Expanded Minute clinics
Home
Primary care physician
Patient networks