Health Care Homes – A Patient’s Role in Continuity of Care

To achieve change, however, we need to see changes in behaviour from patients, not just health providers.  No amount of technology can ever replace the deep value of a long-term healthcare relationship between patient and doctor…   In recent weeks I’ve written a lot about the urgent need to drive deep change into health systems across […]

Why Telehealth Won’t Make Healthcare Sustainable

Telehealth (i.e. video conferencing) does nothing to change the fundamentally flawed current architecture of healthcare.  In fact, it serves to reinforce the view that healthcare is about face-to-face appointments, albeit via video conferencing.  Telehealth does nothing to improve sustainability by allowing patients to interact with health information, but merely digitises an existing construct.   Underlying […]

FHIR and the Real Challenge of Health Data Interoperability

… I think the hype risks misunderstanding the problem that we’re solving here.  Ultimately we’re not just sharing healthcare information between computers, but between people.  We must be able to share data between people and organisations, and be confident that we know what others meant when they captured or authored that data.   I spent the […]

Digital Health = Globalised Healthcare

Why does my GP or specialist need to be in the same country as me, the patient?  If I’m already paying out-of-pocket to see a GP (which some of us are) or a specialist (which most of us are), and I can undertake that appointment online, why wouldn’t I go with a service that has high […]

Our Journey: How Digital Health Communities Got Us Through Tough Times

So I want to take you back to 2007, and tell you about the epic journey that my wife and I had through the health system… Now the stereotype of pregnancy is that it is a wonderful, happy time, and of healthy, glowing expectant mothers.  Well, not so much. When my wife was pregnant with our […]

Patient as Aggregator: The Logical Conclusion of Patient Owned Health Data?

The recent announcement that HealthKit in iOS 10 will support the storing and viewing of CCD / CDA documents has got me thinking.  Are Personal Health Records on a path to possible disruption of health system operated Electronic Health Records? More specifically, if we believe the growing rhetoric of the health system that “patients own […]

The Healthcare Reformation

What sits behind the rise of Digital Health is not ultimately about technology.  It goes far deeper.  Fundamentally, we’re seeing a significant cultural shift in healthcare, driven by patients and carers.  Through the internet, mobile devices and Digital Health Communities we’re seeing the democratisation of medical knowledge. Knowledge that was previously only available to and […]

Lighting an Escape Fire

I’ve read a lot of papers about healthcare, but none as good as Escape Fire.  To put it simply, this paper (which is a transcript of a talk given by former US Surgeon General, Don Berwick) fundamentally changed the way that I view healthcare. If you read one thing this week, read this…