Halee Fischer-Wright
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May 2017
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“The art of medicine is being crowded out by the science of medicine—and its emphasis on evidence-based procedures, well-meaning protocols, and advances in Big-Health-Data-churning information technology. And it’s being squeezed out by the business of medicine—and its focus on time-consuming but questionable quality metrics, endless billing procedures, and an adherence to process that doesn’t necessarily put patients first. Put another way, the science and business of medicine have combined with a superficial focus on things like hospital gowns to essentially act like a Quentin Tarantino character going “medieval” on the art of medicine. But perhaps I understate.”
― Back To Balance: The Art, Science, and Business of Medicine
― Back To Balance: The Art, Science, and Business of Medicine
“As data analytics, superfast computers, digital technology, and other breakthroughs enabled by science play a bigger and bigger role in informing medical decision-making, science has carved out a new and powerful role as the steadfast partner of the business of medicine—which is also enjoying a new day in the sun. It may surprise some people to learn that the business of medicine is not a twenty-first-century invention. Health care has always been a business, as far back as the days when Hippocrates and his peers practiced medicine. Whether it was three goats, a gold coin, or a bank note, some type of payment was typically exchanged for medical services, and institutions of government or learning funded research. However, since the 1970s, business has been the major force directing the practice of medicine. Together, the business and science of medicine are the new kids on the block—the bright, shiny new things. Ideally, as I’ve suggested, the art, science, and business of medicine would work together in a harmonious partnership, each upholding the other and contributing all it has to offer to the whole. And sometimes (as we’ll find in later chapters) this partnership works well. When it does, the results are magnificent for patients and doctors, not to mention for scientists and investors.”
― Back To Balance: The Art, Science, and Business of Medicine
― Back To Balance: The Art, Science, and Business of Medicine
“Here’s the real irony: The human side of medicine—the compassion, communication, and empathy that lie at the heart of the art of medicine—is essential to achieving the outcomes that matter most to the business and science sides of medicine. Within health care, there has been an unyielding assumption embedded in both the protocols of science and the metrics of business: that patients will comply with what their doctors ask them to do. This is why balance matters: Study after study has shown that when the art of medicine disappears, there’s a significant and negative impact on health. When patients don’t feel valued and heard as human beings, their overall sense of well-being and willingness to trust the system will suffer. And then they’re much less likely to follow the steps that can help them manage their diabetes, lose weight, or deal with whatever their specific health challenge may be. If patients don’t feel a connection to their doctors when problems come up, they are less likely to seek help until those problems become much worse and more expensive. In other words, in losing the art of medicine, we’re sabotaging the broader goals we hold for America’s health-care system.”
― Back To Balance: The Art, Science, and Business of Medicine
― Back To Balance: The Art, Science, and Business of Medicine
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