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What's
wrong with healthcare today?
Much of the national healthcare debate focuses on macro
issues such as
tax policy, "administrative
simplification" and electronic medical records.
But we think the
problem is much simpler:
The
process of healthcare is broken at the patient level.
For patients, seeking and
receiving healthcare ranges from confusing, to
frustrating...to infuriating. For instance:
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50% of patients leaving a physician appointment are confused about what they've been told, and what they are supposed to do.1
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Patients
have an average of 23 seconds to talk before their
doctor cuts them off.2
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Only 17% of
Americans know what a primary care physician is.
-
About 40% of
patients attempt to self-navigate the system, and more
than 60% of these wind up at the wrong specialist,
resulting in unnecessary cost and delayed diagnosis and
treatment.3
Quantum Health
was founded by professionals with expertise in consumer
behavior, who conducted more than 3,000 interviews with
recent users of healthcare. We identified specific
gaps in the process − where patients get "lost in the
system," seek or receive duplicate procedures, and spend
unnecessary days in the hospital. Our conclusion:
18-20% of
healthcare events never needed to occur,
and can be avoided through better coordination
of the process of healthcare
Physicians are
not the problem. They often provide superior medical
diagnosis and direction. But as many physicians have
told us, they have an average of 7-10 minutes to spend with
each patient, and don't have the resources or expertise to
guide the patient between office visits or other provider
touchpoints.
Physicians are
routinely shocked when we show them what their patients
really did − or didn't do − after leaving their office
or receiving their medical direction in the hospital.
And frankly,
it's usually not the patient's fault, either. They're
doing the best they can to follow complex instructions given
by multiple providers whose diagnostics, lab results,
diagnoses and directions are not inter-connected.
The problem is
lack of coordination in a complex system.
By understanding
the sources of this patient confusion and mis-direction, we
have developed "coordinated healthcare programs" that
are focused on coordinating information and activities
between patients, families, physicians, and their office
staffs. Patients receive better guidance and
information, and health plans using this approach have seen
significant savings by reducing unnecessary duplication and
delays.
- Roter, D.L., J.A. Hall. "Studies of doctor-patient interaction." Annual Review of Public Health 1989; 10:163-80.
- Marvel, M.K., R.M. Epstein, K. Flowers, H.B. Beckman. "Soliciting the patient's agenda: have we improved?" JAMA 1999; 281:283-287.
- Quantum Health proprietary research
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