Published on March 6, 2014
CHANGES AFOOT: A NEW MODEL OF INTERACTION BETWEEN DOCTORS AND ENGAGED PATIENTS H. Jack West, MD Swedish Cancer Institute Seattle, WA Global Resource for Advancing Cancer Education (GRACE) www.cancerGRACE.org
The Unidirectional Model Requires: •a finite amount of medical information •only the physician having access to it
NOBODY Can Keep Up with the Torrent of New Medical Information • Rate of new content more than doubling in last 20 yrs • More & more journals, especially in oncology (>180) (courtesy of Jason Priem/blog) No wonder it feels overwhelming
Before and After Molecular Oncology Before After Large populations Small Populations Marginal effects Major benefits Trials in hundreds of sites Trials in very few sites Generally rely on oncologists to enroll May well fall to patients and caregivers to seek out
25% 2000 81% 2011
Physicians may be concerned about losing control over the discussion
Physicians remain the most trusted source of information about medical issues From Fox, Peer to Peer Healthcare, Pew Internet and American Life Project, 2011
www.CancerGRACE.org a 501(c)3 nonprofit
Patients are HIGHLY MOTIVATED to help themselves www.CancerGRACE.org a 501(c)3 nonprofit
Adapting to a new model: Disruption comes with opportunities • Relationships between patients and physicians are changing • Bidirectional • Physicians no longer expected to know everything out there to know • Patients/caregivers will increasingly turn to social networks and searchable online content www.CancerGRACE.org • Physicians will have a critical role, even if it a 501(c)3 nonprofit changes fundamentally in coming years
Calcification Inhibitors in CKD and Dialysis Patients
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... make a change in their doctor or other health care providers. ... There are two aspects to changing doctors: ... Some doctors do not take new patients.
A better understanding of the changing relationship between health ... patients eventually need constant care ... global aging, the incidence of cancer ...
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