Rapid and dramatic transition from old models of healthcare delivery to new models of medical delivery means these new models of healthcare will include tele health, remote monitoring, advanced analytics, interoperability, chronic disease management, decreased costs to providers.
As we know the most important part of the medical relationship model is the patient/physician however with massive changes in the new medicine models these relationships will become fragmented.
The trust built between the patient and doctor has been at the heart of medical relationships, however this is changing. Effective and consistent care for the patients needs to be made on sound evidence driven personal patient/physician care.
As changes to incorporate new technologies emerges, the emphasis on a new medicine model will be made by providers who know their patients well adding new technologies at the time points in the spectrum of disease and realities of daily living from home, work, clinic, hospital, with reimbursement supporting efforts.
This shift in patient and physician relationships is being driven increasingly by more fragmented delivery systems heavily adopting shift work models of care, run along efficient lines of business models much like an assembly line. For example providers will show up, work their shift, then go home and come back the next day to repeat.
Over the past 15 to 20 years new healthcare delivery models have slowly been implemented, together with the intentional modifications to doctors’ training, which encourages shift work model over continuity.
Though there are benefits to this move from a provider lifestyle standpoint, the best intentions of providers may not have anticipated the unintended consequences these changes would have downstream with negative effects on patients and quality care, though harder to quantify but no less real.
Research shows that with frequent hands off and/or switching providers in the health care delivery model, results in increased errors, negative outcomes, increased costs and decreased patient and physician satisfaction.
It must be remembered that patient and provider relationships develop over time, via multiple, consistent, personal encounters between the patient, their doctors, and their care team. Without trust being built over time to enhance relationships, it is more likely that patients will not show for visits, take medications which will impede adopting these new models of medicine.
Simply to think that by adding advanced technologies to a highly personalised care system will simply realise goals is flawed, because without the trusted relationships being put in place, this won’t happen.
Recognition of the patient physician relationship needs to be supported as the driving force for changes to new technological health care models. In the new setting of effective technology use this can be achieved by sharing goals for intentional, strategic delivery and personalised healthcare in the new medicine
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