Common sense isn't common, my friend. While I applaud the notion of a common sense moment, healthcare is not likely to embrace it, either from a regulatory or business standpoint. Here's why (IMHO): Firstly, healthcare is a complex system that involves a wide range of stakeholders with differing interests - from patients and physicians to hospitals, insurance companies, pharmaceutical firms, and regulators. Each has their own perspective on what constitutes 'common sense,' making it difficult to reach a consensus. This is not likely to change.
Secondly, the healthcare sector is heavily regulated, and for good reason. This regulation is intended to ensure patient safety and quality of care. However, it can also limit flexibility and innovation, making it challenging to implement changes that might seem like common sense. I know; I've done the legwork.
Thirdly, love it or hate it, healthcare is a business. As such, decisions are often driven by financial considerations rather than what might be considered common sense from a patient's or physician's perspective. For instance, it may make financial sense for a hospital to invest in expensive new technology even if a simpler, cheaper solution could achieve similar results.
Here's the thing: there's the issue of evidence-based medicine. Healthcare decisions should be based on scientific evidence, not just what seems like common sense. This is because what might seem intuitively correct can sometimes lead to worse outcomes for patients. For instance, it might seem like common sense to prescribe antibiotics for a persistent cough, but research has shown that this can often do more harm than good.
In conclusion, while the idea of a 'common sense moment' in healthcare is appealing, the realities of the sector make it unlikely. Instead, we need to focus on promoting evidence-based decision-making, improving communication among stakeholders, and finding ways to align the financial incentives in healthcare with the goal of improving patient outcomes."
You are right our healthcare is super complex. It does not have to be and sadly in many ways much of the complexity is by design by those that hold the power. Like the Prior Auth- topic we will be discussing. When I mentioned "Common Sense" I was referencing constrains and total cost of 4.2 T on our end using "patients" and just too much and does not make sense. The only way I can see better or common sense is with a solid Value Based care design - where providers and patients are aligned with results in addition to evolving consumer, integral medicine (whole care that is big on behavior (sleep, diet, and exercise). I appreciate your thoughts and wisdom and tons of knowledge @shereese, most importantly your friendship.
Common sense isn't common, my friend. While I applaud the notion of a common sense moment, healthcare is not likely to embrace it, either from a regulatory or business standpoint. Here's why (IMHO): Firstly, healthcare is a complex system that involves a wide range of stakeholders with differing interests - from patients and physicians to hospitals, insurance companies, pharmaceutical firms, and regulators. Each has their own perspective on what constitutes 'common sense,' making it difficult to reach a consensus. This is not likely to change.
Secondly, the healthcare sector is heavily regulated, and for good reason. This regulation is intended to ensure patient safety and quality of care. However, it can also limit flexibility and innovation, making it challenging to implement changes that might seem like common sense. I know; I've done the legwork.
Thirdly, love it or hate it, healthcare is a business. As such, decisions are often driven by financial considerations rather than what might be considered common sense from a patient's or physician's perspective. For instance, it may make financial sense for a hospital to invest in expensive new technology even if a simpler, cheaper solution could achieve similar results.
Here's the thing: there's the issue of evidence-based medicine. Healthcare decisions should be based on scientific evidence, not just what seems like common sense. This is because what might seem intuitively correct can sometimes lead to worse outcomes for patients. For instance, it might seem like common sense to prescribe antibiotics for a persistent cough, but research has shown that this can often do more harm than good.
In conclusion, while the idea of a 'common sense moment' in healthcare is appealing, the realities of the sector make it unlikely. Instead, we need to focus on promoting evidence-based decision-making, improving communication among stakeholders, and finding ways to align the financial incentives in healthcare with the goal of improving patient outcomes."
Sources:
- [Does Healthcare Need a "Common Sense" Moment?](https://www.linkedin.com/pulse/does-healthcare-need-common-sense-moment-michael-mann-mha-px86e?trk=article-ssr-frontend-pulse_more-articles_related-content-card)
- [Evidence-based common sense?](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2278294/)
- [When Common Sense Isn't Necessarily Common Practice](https://www.linkedin.com/pulse/when-common-sense-isnt-necessarily-practice-amy-smalarz)
- [Why US health care costs defy common sense (opinion)](https://www.cnn.com/2017/06/26/opinions/us-health-care-prices-rosenthal-opinion/index.html)
You are right our healthcare is super complex. It does not have to be and sadly in many ways much of the complexity is by design by those that hold the power. Like the Prior Auth- topic we will be discussing. When I mentioned "Common Sense" I was referencing constrains and total cost of 4.2 T on our end using "patients" and just too much and does not make sense. The only way I can see better or common sense is with a solid Value Based care design - where providers and patients are aligned with results in addition to evolving consumer, integral medicine (whole care that is big on behavior (sleep, diet, and exercise). I appreciate your thoughts and wisdom and tons of knowledge @shereese, most importantly your friendship.