![]() ![]() ![]() Unfortunately, I often see patients’ frustrations with the health care system itself directed toward doctors. Physicians, of course, focus on helping patients. It is a pleasure to have him join me, to bring his work before the #hcldr community for discussion:Į-Patients Deserve E-Doctors: Addressing the Needs of Both to Make Healthcare Better for Everyone – (Excerpt)Įveryone deserves a chance to be healthy. He wrote the following enlightening piece addressing the topic of care of the both the patient and physician, specifically addressing a hierarchy of needs for each. To this end I asked Dr Matthew Katz, radiation oncologist at Lowell General Hospital, active healthcare social media physician and #HCLDR community member/ supporter, to join us this week. It is my hope that through this discussion and this wonderful community’s insights that we might get closer to understanding the essential nature of mutual empathy and caring. It is inconceivable to me that any nation’s healthcare system would not adopt a quadruple aim approach to improve healthcare. Loss of empathy, burnout, alienation, addiction and drug abuse, depression and physician /provider suicide are all part of the sadness that happens when the needs of the provider are not given attention. All too often, people in the caregiving professions find it challenging to balance the needs of others and self-need. Without the oxygen of self-care (and the encouragement, support to do so), humans suffocate. Our healthy feelings of wholeness, centeredness and self–esteem are intimately tied to our ability to act in an appropriately caring, and empathic manner. Every parent and friend knows that without being empowered, feeling respected or validated in their own lives, they cannot help their child, their friend, or their loved one with their struggles. In my opinion, this makes the utmost sense. Layering more bureaucracy on top of an already-overburdened clinical team ignores that the underlying processes are frequently under-performing and that a bad professional experience negatively impacts patient outcomes. The “forgotten aim” is a better experience for the health professional. Winning healthcare delivery organizations recognize that the Quadruple Aim will deliver sustainable success. By joy, we refer to the feeling of success and fulfillment that results from meaningful work.Īnd from #95Theses by Leonard Kish and Dave Chase : By meaning, we refer to the sense of importance of daily work. This is not synonymous with happiness, (but) rather that all members of the workforce have a sense of accomplishment and meaning in their contributions. The core of workforce engagement is the experience of joy and meaning in the work of healthcare. The reasoning behind this suggestion is as follows (from a BMJ editorial): Numerous publications suggest that the list be expanded to a ‘Quadruple Aim’ to include: Improving the Care of and Experience of The Provider (ie MDs/other HCPs). Reducing the per capita cost of health care.Improving the health of populations, and.Improving the patient experience of care (including quality and satisfaction).IHI asserts that new designs must be developed to simultaneously pursue three dimensions which we call the ‘Triple Aim’: The classic ‘ triple aim’ for healthcare is a framework developed by the Institute for Healthcare Improvement (IHI) that describes an approach to optimizing health system performance. ![]() Blog post by Bernadette Keefe MD and Matthew Katz MD ![]()
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