Healthcare despera more entrepreneurs
The development of new drug therapies have enabled physicians to substantially extend life, and sometimes even offer cures to those with previously terminal diagnoses. So surely everything is ticking along nicely in the land of healthcare innovation?
A
Yes, we’ve been good at the treatment side of things; maybe in some instances too good, because the amount we now spend as a nation on delivering comprehensive healthcare to our population has almost reached 9% of gross domestic product (a four-fold increase in total spend over the last 20 years). Like many other western economies with stagnant growth prospects for the foreseeable future, the inexorable rise in healthcare delivery costs are starting to become too large a financial burden to bear.
Although we have spent a lot of time, energy and money creating better treatments we have singularly failed to look at the person at the centre of the process; the patient. The medical profession has blithely continued with their perceived remit of treating disease and largely ignored the root causes of people becoming unwell in the first place. We know that by far the biggest determinant of health status in developed nations is lifestyle, yet the majority of public health initiatives addressing these issues have been largely ineffectual and we need to ask ourselves why this is.
Undoubtedly the comparative lack of funding for public health over the years explains some of this phenomenon, but there appears to be more to the problem than just a lack of spending. Speaking as a physician I can tell you that the majority of doctors do not know how to go about helping their patients make lifestyle modifications for the benefit of their health. It’s not something that is covered during medical training and many of my colleagues in the profession are quite open about their lack of confidence in orchestrating behavioural
22 entrepreneurcountry
t first glance the title of this piece may sound counter-intuitive to some readers.
After all,
there have been phenomenal advances seen in healthcare over the last two decades. Advances in diagnostic processes and treatments have given us state of the art scanners and robotic surgery.
interventions, preferring instead to focus upon the m pathology that such behaviours invariably result in. the medical profession has been extremely protective patient relationship and reluctant to let anyone else g any substantive way. The result is an epidemic of lif health issues the magnitude of which threatens the su our current healthcare system.
All is not doom and gloom though. With many nations lo at how they deliver healthcare resources there is realisation that the traditional, transactional model has to change. Healthcare reform in both the UK and more on outcomes and population level cost contai than episodes of care, and with this I believe comes for entrepreneurs.
With doctors increasingly being required to engage th initiatives that have the potential to impact downstre utilisation the “lock out” from the doctor-patient relatio have seen to date is likely to change. And this is where e need to play; how can we help the traditional deliv better communicate and engage with their patients? make it easier for them to address lifestyle related hea ultimately how can we use new approaches to bring behaviour change in the population?
These are not easy questions to answer; if they we the health service would have worked out some solu Undoubtedly we will still be confronted along the way arrogance of the healthcare profession’s belief that th the solutions, but let’s give it a go and dare to think dif an interaction that has remained largely untouched fo years.
By Dr Peter Mills
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