At the age of 55 the trim Nebraska native has veered sharply from the practice of medicine to study how to make health care work better as a business.
They convinced the state medical boards of Canada and the U.S. that the doctors who were reported to them for malfeasance were really the victims of bad health care delivery systems, something that contradicted the Harvard Medical Practice Studies.
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This will reduce the practice of defensive medicine and save billions of dollars in wasted health care spending.
She went on to experience universal medicine while working as a navy pediatrician and then felt culture shock when she went into private practice and encountered the complexities of the U.S. health care system: from confronting HMOs and managed care, to dealing with the litigation anxiety that characterizes the life of an American doctor.
Cigna Medical Group, the medical practice unit of Cigna HealthCare of Arizona, with 25 health centers in the Phoenix area, has a Home-Based Care Team that includes nurse practitioners and physician assistants.
And she watched as the method of paying for health care reached its way into the exam room, putting a stranglehold on how doctors practice, and profoundly influencing the doctor-patient relationship.
We get best practice from our health care system 55% of the time.
As more physicians leave active practice, it must be appreciated that a focus on the economics of health care is not the only, and perhaps not even the most important, reason for their disillusionment.
Digital health aspires to elevate human health and the practice of medicine by enabling providers to offer compassionate care with engaged patients, care that is informed by both updated, evidence-driven guidelines and patient data of almost unimaginable richness and depth.
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The migration of physicians into large, regulated entities is essential if the practice of medicine is going to be transformed into the corporatist-government model that is the only way health-care costs can be controlled.
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