The LearnLogic Podcast - With Nick Webb

How We Incentivize Patients and Doctors to Fix Healthcare - FH E10


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Hi, this is Nick Webb and welcome back to the final of my five quick videos on fixing healthcare by reestablishing the amazing relationship between a caregiver, a doctor and a patient. That relationship has to be reestablished before we can fix healthcare. Yes, we have technologies. Yes, we have the economic aspects. Yes, we have all of these other complex variables, but without that essence that that relationship between the doctor and the patient, we're never going to be able to fix healthcare. 

So in this series, I talked about four things that have to happen immediately. Number one, I talked about time, you know, believe it or not, there are there are consultants that are crawling around the country, providing consulting services that we call patient movement analysis. Or patient throughput analysis and optimization. And these are fancy consulting terms, meaning how many patients can we shove on this conveyor belt and get them through your clinic so you can make the most money that's actually happening. So we have to give caregivers time, we have to give them time. patients want to talk to their doctor, they have questions, they have concerns, this is their life. This is their health. And doctors want to know their patients, not as a biological node that they transact by providing prescriptions. They want to know their patients from a perspective of ethnography. How do they live? What is their current mental state? What are the stressors? What's their economic situation? What are some of the things that is impacting this human in their journey here in life that is ultimately resulting in the causality of disease and illness? Because if we don't understand that we can't really have the essence of what we need for prevention. So we need to have time. We need to buy back time for patients and doctors. We have to bring back the time. Nobody talks about this. But you can't have a thoughtful, meaningful relationship. In a minute and a half or two minutes. You're overweight, you're hypertensive. Here's your prescription. Thanks for coming. 10,000 of those are happening right now, across the country as we speak. And it's not the doctors fault. The doctor is disincentivized to spend time with the patient. The doctor is economically disincentivized for prevention. But ironically, many caregivers are incentivized to do surgery on that patient or to do a treatment on that patient. And they're incentivized just to write script just to get them out. Because they have to comply with patient throughput. It's horrible. It's horrible, but it's real. Got to get patients and doctors time again. 

The other thing that we need to do is we need to get far better data. And in order to get better data, we're going to be using continuous patient monitoring. sounds scary. I know most people think it's Orwellian. But the truth of the matter is, it will have an amazing impact keeping people happy and healthy. And well, it really will.

The third thing we have to do is we have to give doctors two types of resources. We have to give them training resources on prevention and wellness, and to really help them understand how to use new tools to focus on wellness and prevention over gratuitous intervention. And then the other thing that we need to do in the area of resources is that we have to train them, we have to train them and we have to give them the tools, training and tools are the two resources that doctors need today. I work at one of the largest medical schools in the country. And I can tell you that, you know, historically we have not done much in the way of teaching nutrition and prevention and wellness. But luckily because of the great work of our medical school, we are actually focusing on all kinds of modalities from integrated health to prevention, wellness, anticipation, predictive analytics, new telemedicine solutions, and the list goes on and on.

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The LearnLogic Podcast - With Nick WebbBy Nick Webb