The essential guide by one of America's leading doctors to how digital The Patient Will See You Now and millions of other books are available for instant .. to the patients, Topol clearly acknowledges the difference in information and. The Patient Will See You Now: The Future of Medicine is in Your Hands and the large medical societies, especially the American Medical Association. Dr. Topol criticizes the historical “Age of Paternalism” which dominated the practice of. 'The Patient Will See You Now: The Future of Medicine is in Your for medical appointments (and the long waits in doctors' waiting rooms).
J Clin Sleep Med. Published online Jun ParishMD James M. Parish Find articles by James M. Parish Eric Topol, editor.
The Future of Medicine is in Your Hands. The power in the average smart-phone is immense, and Dr. Eric Topol has given us a technologically filled vision of the future of medicine where the consumer armed with a smartphone and a variety of biosensors takes control of their own healthcare and shifts the power away from the doctor, the government, and the large medical societies, especially the American Medical Association.
The major theme of this book is the dynamic impact that new health related technology will have on the practice of medicine in the near and long term. An intriguing and well-written book full of predictions about new technology and the future of health-care delivery, the most remarkable thing about the book is the immense number of very specific examples, supplemented by an encyclopedic number of references supporting each claim and prediction.
Based on the amount of specific information in this book about new healthcare related technologies, all physicians, medical students, and healthcare administrators would find this book interesting and thought provoking.
He compares the introduction of the smartphone as a technology as disruptive as the invention of the Gutenberg printing press was in Throughout the book, he seems to assume that medical innovation is a straight-line prospect from collecting patient data, to mining that data, to creating algorithms that will allow patients to diagnose and treat themselves. It's that third step that is so contentious, I think, and which he oversimplifies. There are now many different governing bodies that generate evidence-based recommendations some of them come from governmental bodies such as the US Preventive Services Task Force, while others come from professional societies.
8 Takeaways from Topol's 'The Patient Will See You Now' | Health Standards
Topol doesn't give any insight into how he thinks these intra-professional struggles will play out in selecting the algorithm that will be built into these smart health care data systems.
There is a possibility that he thinks it will all arise from the data itself, and will be filtered and refined from N of 1 studies via Bayesian analysis, without any need for interpretation or contextualization by physicians. I think it's more probable that smart health systems will at least in the near term continue to incorporate clinical decision support tools based on expert panel recommendations Second, the book is just thoroughly and curiously doctor-centric.
He only rarely mentions other healthcare professionals there's a brief discussion about how nurse practitioners and physician assistants could fill some of the demand for primary carebut he largely ignores other types of providers, and the many types of emotional support they provide to patients.
The Patient Will See You Now: The Future of Medicine is in Your Hands
Medical education is near-turmoil. Medical education and knowledge will also be democratized and upended. There are few digital health courses or care delivery courses in medical schools in the United States.Doctor, Your Patient Will See You Now Gaining the Upper Hand in Your Medical Care
Patients may ultimately be better at understanding risks than many physicians. In a world where, as Topol notes, nearly everyone with elevated cholesterol gets Lipitor, and mammograms find x more false positives than tumors, we may need a reboot of our understanding of costs and risks. The ones bearing the risks and the costs may want to have a larger voice. For the patients, doing less may be a much lower risk option, and with more data and more democratization, we may get a better handle on those risks.
There are risks, of course. Just as we have networks like Google and Facebook that are virtual monopoly on our online selves, we face the same risks in our health future where identity and computing power could be controlled by a small few. All the right notes, but… Overall, Topol hits on all the right notes.
First, more on how user-experience-driven technology design not just the design of facilities will play a role in providing solutions people can actually use to their greatest benefit.
The Patient Will See You Now: The Future of Medicine is in Your Hands by Eric Topol
Care coordinators, social networks, nurses? For others, due to price and geography, these new tools may be the only options. Second, How policy might accelerate some of these changes? Topol touches on how existing players can adapt in the last chapter, but not much on how we can help deliver this better world. Still, security and privacy which Topol discusses, but there are no easy solutions here may be roadblocks.
Also, there are many perverse incentives and difficult design challenges along the way that will keep us from getting to high-quality tech-enabled care at a reasonable price.