Health care as it stands today needs to be re-imagined. Redefining the Boundaries of Medicine by Paul Cerrato and Dr. John Halamka challenges the profession to renegotiate its priorities and address the fact that it’s become timid and reluctant to explore new care delivery models. The guiding premise of this book is that rethinking and reimagining the way medicine is practiced in the 21st century will improve health outcomes, and that technology is central to this transformation.
Dr. Halamka is the President and Paul Cerrato is the Senior Research Analyst and Communications Specialist for Mayo Clinic Platform, which is harnessing novel technologies to change how care is provided. This cutting-edge work, along with their combined 80 years of experience in healthcare, afford Dr. Halamka and Mr. Cerrato authoritative voices in technology and health care.
This book shows how one-size-fits-all health care is slowly giving way to a more precise, personalized approach that takes into account each person’s unique environmental and genetic risk factors. It discusses the use of several emerging technological tools that give each patient a unique “topographical map” to navigate their journey.
Artificial intelligence in health care must be accurate, equitable and ethical; providers need to embrace a better way to predict diseases, identify effective treatments and rethink much of the conventional wisdom that has been handed down over the decades. Redefining the Boundaries of Medicine provides the guide to doing just that.
This book is a clarion call at the right time. With the recent breakthroughs in AI, especially generative AI, as well as the broad adoption of EHRs and digital data in our US health system, there's an opportunity to transform healthcare delivery for clinicians and patients, but it will require an interdisciplinary and cross-industry approach to do this right.
The authors provide a balance of outlining the history of how we got to where we are while highlighting innovative approaches that will shape where we go next. I appreciated the tempered perspective of acknowledging the harms of the past and risk ahead, while sharing the potential of a high-touch doctor-patient relationship.
While the book touches barriers (policy, reimbursement, infrastructure requirements, misaligned incentives, and systemic bias), the primary message is to show the "art of the possible", with everyone's voice at the table. I found this book interesting and inspiring.
Each chapter is thoughtful, practical and captures the present situations of care delivery and digital transformation well. As a whole it reads a little disjointed, kind of like a collection of “random musings.”
Rare for such a forward thinking book to acknowledge the spiritual, societal, and infrastructural determinants of health. Makes you feel optimistic about the future of healthcare.