Arlene Bierman is the Director of Center for Evidence and Practice Improvement (CEPI) at the United States Agency for Healthcare Research and Quality (AHRQ)
Rick Glazier is a Family Physician and Senior Scientist and Program Lead of Primary Care and Population Health at the Institute for Clinical Evaluative Sciences (ICES) in Toronto, Canada
Primary care is foundational to optimizing individual and population health. Health systems based upon primary care provide better access to care while improving health equity and outcomes and reducing costs. Effective models of primary care can greatly enhance the value of increasingly constrained health care spending. Despite large investments on primary care transformation in the US and Canada, primary care has yet to achieve its full promise in either country. Sharing successes and failures from attempts at innovation on both sides of the border can help each country accelerate improvement.
Despite very different health systems, primary care practices in both countries encounter remarkably similar challenges in delivering care. At the point of care, patients’ needs are similar and their experiences too often suboptimal. ...continue reading →
Yehuda Berg, an American author and spiritual leader, was probably talking about individual level transformation when he said “We need to realize that our path to transformation is through our mistakes. We're meant to make mistakes, recognize them, and move on to become unlimited.” But the statement has a lot of validity even applied to system level transformation.
Canada and the United States share the dubious honor of ranking near the top of OECD nations for total healthcare costs and near the bottom for health outcomes, whether measured in terms of individual health or health system performance. But it is through the recognition of these mistakes that both countries have embarked on a path toward transformation.
While differences between the two systems of health care delivery are frequently emphasized, we actually face some common challenges to primary care transformation ...continue reading →
Humans are mammals. Yup. Sometimes we need to be reminded of the obvious in order to give our head a shake. Dr. Barbara Natterson-Horowitz, a cardiologist with the UCLA Medical Centre and “zoobiquitous physician”, did some reminding in her TEDMED presentation.
Of course there are obvious differences between humans and other species, but overall we have a lot of similar or identical organs, diseases, afflictions and behaviours. So why do veterinarians and physicians keep working in parallel? With her "zoobiquity" Natterson-Horowitz is trying to change that.
Physicians and vets, she says, are caring for the same disorders. There’s congestive heart failure, cancer, ALS, anxiety, eating disorders, self-injury, post-partum depression, stroke, and the list goes on. Many procedures are also the same ...continue reading →