"From Sick Care to Health Care — Reengineering Prevention into the U.S" from leading journal NEJM... Key arguments for making a change: -70% of U.S. deaths and 75% percent of all heath care expenditures are linked to the expression of just three preventable diseases: cardiovascular disease, cancer and diabetes -Notwithstanding, the U.S. currently allocates the largest percentage of GDP toward health care of any developed country in the world -The current medical system is still enthralled with an acute care model while the nation is ridden with chronic disease -Prevention of these chronic diseases is out-of-step with the widely implemented acute care model -The prevalence of chronic disease (non-communicable disease) has is now exceeding infectious/acute disease, even in non-industrilized nations Proposed plan of action, steps required: -Medical schools should emphasize “homeostasis and health”, not just disease pathology - 3rd party payers need to reimburse for health ”maintenance and prevention” - Government and payers must appropriately reward “non nonpatentable therapies” and support prevention research - Primary care physicians will need to be looked at anew, more valued for their service as “health coaches” -Primary care physicians must be compensated in accordance with their central importance, establishing parity
Posted on: Thu, 26 Sep 2013 16:59:54 +0000
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