The question regarding AI and all other advances across all micromanagements, digitalizations, and regulations - is whether the inside out perspective is considered. Did the designers or promoters or pundits or experts consider what this would do to practice enivironments and the delivery team members (Miller, Crabtree, others in Annals FM). Advances are negated where most Americans are most behind have only half enough of each of primary care and mental health and women's health and basic surgical workforce where deficits of public health and social supports also exist. How can primary care do more when it is already stressed to the max covering all of these areas? How do you integrate or coordinate with insufficiency across workforce, team members, and supports? How can you maximize interactions when the designs fall to provide the one on one team members to interact and the most experienced delivery team members in optimal continuity with the same patients, same team members, same practice, and same community? This should be the top number one priority that fails to be considered. You cannot cost cut and add more to do with less - and advance. Obsessive measurement disorder must be reigned in to advance. Daily there are many fine works that outline many good ideas. But these illustrate the top down view from above and far outside of the basic day to day practice environments that have been shaped toxic for 40 years. The inside out perspective is required to be able to maximize the 1 on 1 care and caring of delivery team members - the heart of health care delivery Practices serving most Americans most behind need more team members and better team members who gain in experience and continuity. This is prevented by the financial design and made worse by more to do and by lack of local workforce, supports, and leadership. Patients deserve to have delivery team members that have years of experience with the same patients and same delivery team members in the same specialty, practice, and community. Without changing the environment and financial design, micromanagements involving digitalization hurt more and help less. Progress is most required in the financial design and easily a doubling of primary care spending where most Americans have half enough primary care workforce - must be the top priority. The 100% association most required is that any financial or practice design change, must demonstrably finance more and better. #primarycare #valuebased
The rapid acceleration of Artificial Intelligence will transform #PrimaryCare and allow more time for building relationships. Our partner Elation Health is transforming high-value primary care by using advancements in AI to increase efficacy and ease the burden on PCPs. https://lnkd.in/ewSNsQuq
