Family physician, author, blogger, speaker, physician leader.

Monthly Archive for August 2013

Future of Health Care Crystal Ball Via Rock Health – Inspiring Stories. Much Potential. More Questions.

If you want to see the future of health care, the can’t miss conference of the year is the Health Innovation Summit hosted by Rock Health in San Francisco. As a practicing primary care doctor, I had the opportunity to view health care through the lenses of a technology entrepreneur. I thought the conference was even better than the one I attended last year. Absent was the provocative rhetoric by 2012 keynote speaker Vinod Khosla who noted that “technology will replace 80 percent of doctors”. What continued to remain was the curiosity, confidence, enthusiasm, and optimism that health care and medical care could be even better and the willingness of entrepreneurs to fix a problem and build a business around it. Themes I found particularly interesting included the following: Make health care smarter by creating platforms, whether software or hardware, like wearables, to collect patient data and to analyze data, […] Read More »

Why Health Care Reform Won’t Happen Without Physician Leadership

This past week has been filled with great articles that show the stunning gap between what we know and what we need to do in health care to make it more affordable, accessible, and higher quality. In a recent piece by NPR, research shows that when it comes to treatment of low back pain, doctors are prescribing more powerful pain medications (narcotics) and ordering more imaging tests like MRI and CT scans when there is no evidence these are better than anti-inflammatories, time, and rest. Reasons for gap? Solutions to make the care provided for low back pain more evidence and scientifically based, we first needed guidelines. In the past, we didn’t have guidelines. Now we have had guidelines for quite sometime. However, we also know it takes 17 years for an idea to spread to be commonly practiced and become the norm. So to help make change happen more […] Read More »