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Michael considered fate at 14:36   |   Permalink   |   Post a Comment
What's wrong with US Healthcare? Well, many things, of course.. but here is an interesting take on things:
[The Mayo boys, in 1907] joined by a friend, they set up a waiting room, hired a receptionist to greet patients and phone prescriptions to the pharmacy, and streamlined health care so that a nurse would take temperatures and blood pressures, give injections, and do other basic tasks, freeing the doctor to see many more patients.

By far the biggest innovation was the medical record. Before then, doctors had a personal relationship with patients that resembled that between clergy and their parishioners. They might jot a few notes in a journal or on index cards, but it was a private as a diary. The Mayo brothers developed a patient chart in which they all wrote notes. They shared with other doctors, as needed. It was a revolutionary way to do medicine-and led, eventually to the renowned institution still known as the Mayo Clinic.

A hundred years later, the American medical clinic is... pretty much the same. The typical clinic of today still uses paper charts, telephone contacts with the pharmacy, and a receptionist presiding over a room of coughing and sniffling patients, bored out of their minds and flipping through old magazines.

Let's put this into perspective. Three years before the Mayo boys started the clinic, another couple of brothers fired up the first functional airplane. In a century, aviation went from a flimsy open-cockpit airplane to the Boeing 787 Dreamliner. Aviation and medicine have a lot in common. Both services involve highly trained professionals and support staff, they can be dangerous if not done properly, and they are services that we pretty much take for granted as part of modern life.
The article goes on to compare the "human factor steps" - a "step" can be an interaction with a person, changing location, or filling out a form - of international flight versus a doctors visit: 9, and 31 respectively. Ugh.

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