The pandemic has helped people get involved in their health – Boston, Massachusetts
AA month ago, one of our patients, a male in his forties, went straight to the clinic for the first time in over 12 months. For the past few years, he has suffered from empty hypertension and always seemed to be teetering on the verge of a stroke. But this time his blood pressure was perfect.
the difference? During the pandemic, I couldn’t take care of it at the clinic, so I bought a sphygmomanometer and used it frequently. With almost daily feedback, he realized how important it was to take his meds on time and that certain foods affected his blood pressure. He also didn’t want to go to the hospital if he suffered from a sudden health problem, so he was more motivated to make changes and realized he didn’t have enough doctors to catch him. Covid or take care of it. There was a risk in doing so.
As physicians who believe that people are ultimately responsible for their health and need a larger institution to lead their care, we have long lacked progress, established paternity, and I have learned the helplessness that permeates the health care system for years. The pandemic has overthrown him.
For the first time, you can get a glimpse of a new type of patient. He is a patient who can turn the healthcare system upside down and lead to improved care over the next decades. It can mean:
A better relationship between daily activities and health
Almost half of the deaths Each year, it results from personal behaviors such as smoking, malnutrition, lack of exercise and alcohol abuse. Little was known about the treatment or prevention of Covid-19 at the start of the pandemic.
If people wanted to avoid getting infected with the virus, they had to trust themselves and their habits. Many have become more cautious about their protection, such as washing their hands, distancing themselves socially, and staying away from others during illness. We have long known that washing hands and wearing masks limit the spread of airborne infections such as: the flu. However, it wasn’t until this crisis that many people actually changed their behavior to do so. It is no coincidence that the influenza infection was ended the year the world adopted the masks. One hundredth reduction in the number of cases. Imagine what other diseases you can prevent if we all make more informed and careful choices in our daily lives, such as lung cancer, cirrhosis, and type 2 diabetes.
Better navigation in the health system
Over the past year, almost all of us have struggled to find a Covid-19 test or vaccine for ourselves or our loved ones. At the start of the pandemic, Americans were forced to open our health care system, the black box. People searched for test sites, made reservations, and checked into virtual waiting rooms.
At the same time, health has become a community initiative. People were facing each other for help understanding the medical system. The group chat exploded when the availability of the test site was opened. People have found a creative way to make dates without a presentation. Others played more formal roles, such as contact tracers and volunteers at vaccination sites. Indeed, people have started to take greater responsibility for the health of their communities.
Much progress is still needed to better understand health care in the United States. Not everyone has been able to acquire these important skills due to lack of connectivity or digital literacy. That left a lot of tests and vaccines. But as we have seen in our own patients, a newly discovered motivation and motivation for learning.
Better understand medicine
Overnight, the new virus made headlines. A lot of people read about Covid-19 every day and heard about it in the news, and it has quickly become the center of our lives. What was the last case number? What are the final signs and symptoms to watch out for? Are new treatments and vaccines in development?
For the first time, basic biostatistical terms such as specificity, sensitivity, and pretest probabilities have been incorporated into normal conversation. Concerns about false positives or false negatives have led the world to realize that not all medical tests are perfect.
As vaccine testing and development begins, people are learning about the FDA’s drug and device approval process, clinical trials, and the limitations of their research. Digestion of medication has become a normal part of preparing for our patients’ appointments. It’s a skill that goes far beyond a pandemic to helping patients. For example, the analytical lens can be applied to other medical topics such as the limitations and role of mammograms in breast cancer screening, the importance of vaccines and primary prevention.
More ownership of health
For healthcare providers and their patients, organizing medical information is essential for effective care.
During the pandemic, there were few virtual and face-to-face bookings, and resources were diverted to hospitals and emergencies. For many, it has become difficult to see their regular providers, and if they do manage to get in, they need to make sure it is a full visit. does not have. Before the visit I had to prepare a list of questions or place an order and do a lab test.
People have also increased personal care. Many of our patients have purchased medical devices such as sphygmomanometers and pulse oximeters and have subscribed to remote meditation and monitoring apps on their smartphones.Download health app during pandemic 25% increase. adequate access to medical expertise – this is a welcome change.
Voice of Change Advocate
The pandemic has exacerbated the serious and long-standing failure of the US healthcare system. For years, American care has been inaccessible, unfair, and failed in the primary care and mental health of many. Covid-19 first revealed these issues to many Americans.
Many feared to find out that black, Latin American and Native American communities were two to three times more likely to die from Covid-19 than white American women, but during pregnancy in these communities. And so are infant deaths. Years other than pandemics.. There have also been poorer outcomes for individuals and the elderly living in poverty and rural areas.
Medical care in the United States will not improve unless people ask for it, as it does during a pandemic. When Headline reported People who were billed over $ 1,000 in a single Covid-19 test asked for a refund. When the vaccine did not reach the elderly at home, people insisted that healthcare workers come to their homes to deliver the vaccine. More recently, people have pressured the Biden administration to choose to save lives in India over patent protection. As physicians, we hope that patients and people across the country continue to demand more from policymakers, health systems and providers, and that these inequalities are addressed at the national level. ..
AThe five changes above are moves in the right direction, but do not mean that the system has been transformed. Not everyone was equally involved or activated during the pandemic. Many of those unaffected by these changes come from vulnerable communities where current systems frequently fail to function. People who live in poverty and face systematic and personal racism without an internet connection or digital literacy. For many of these people, the failure of the health care system has exacerbated their health problems, which is not good. The future of care Must It is comprehensive and clearly designed to empower people without constraints.
The pandemic has given us a glimpse of a more enthusiastic and rejuvenated patient. If our country is serious about building a future of patient-centered medicine for all, it is our duty to make the most of this moment.
Shantanu Nundy is attending physician, chief medical officer of Accolade and author of “Care After Covid: The Pandemic Revealed is Broken in Healthcare and How to Reinvent It” (McGraw-Hill Education, May 2021). Felicia sue UCLA Internal Medicine resident and author of the upcoming dissertation on her journey as a new doctor with the wave of Covid-19 and as a daughter with a life-changing cancer diagnosis.
The pandemic helped involve people in their health Source link The pandemic helped involve people in their health