Are we in the midst of healthcare disruption–or not at all?

[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2013/02/gimlet-eye.jpg” thumb_width=”150″ /]If you believe we are in the midst of a slow, tidal disruption of healthcare and the ascendancy of patient-centered care–to the point of Topolesque patient ownership–then you will be upset to tears by the contrarian assertions of Dan Munro in Forbes. He maintains that disruption isn’t what we think it is, but (and we cut to the chase here) it’s more like ‘process improvement’ and that it has to be driven by ‘K Street’ (translation: the street in Washington DC where Lobbyists Rule). Technology–patches on the flawed system. Doctors–desperately seeking to pay back their educational loans by picking the most lucrative specialties. (If they survive the internship and residency system without killing a patient or themselves; see The Misery of a Doctor’s First Days)

But..there’s more. (more…)

Telehealth in pediatrics: same statement, two opposing views

Telehealth and telemedicine use in pediatrics is relatively limited at present and low profile. That may change with a statement published earlier this month in the journal of the American Academy of Pediatrics (AAP). It has been interpreted in two ways which are polar opposites. The first pictures telehealth and telemedicine as potentially practice-transforming (mHealth Intelligence), improving health outcomes in underserved communities through continuous care, and with high potential to benefit communication between the pediatric care team and patients in disease management. The second criticizes ‘episodic care in isolation’–telemedicine patient-doctor consults that take place with no previous relationship, history or physical exam (mHealth News)--as is the antithesis of the PCMH (patient-centered medical home) the AAP advocates. This Editor’s take: the statement supports both sides with a great deal of cautionary language. Pediatrics (full content).

Is ‘relationship medicine’ enough to kickstart telemedicine?

Investor Todd Hixon (New Atlantic Ventures) opines in Forbes about the ‘new paradigm’ of relationship medicine, with the primary care doctor at its center and responsible for the patient’s long-term health quality. He admits that the concept, in some respects, resembles the 1950s days of the local GP who knew everything about everybody, but where he posits the telemedicine ‘inflection point’ is the ability to create a link between the doctor and patient that is efficient as well as effective via virtual video consults, email, text and phone. He then jumps to the notion (more…)