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Beth Comstock

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Treating The Patient-Doctor Disconnect

Posted: 02/16/10 08:57 AM ET

In the past year, the health care debate has been all about treating illness and how to pay for it. Missing from the conversation is a simply powerful idea: living healthy everyday.

Certainly there's room in the conversation to explore how we can make living healthy as routine as commuting to work or changing our socks. Why isn't this approach to health part of the treatment plan?

To find out, we decided to take the temperature of what people think and do about their health. As part of GE's healthymagination program, we partnered with Cleveland Clinic and Ochsner Health Systems to ask more than 2,000 Americans about their healthy living attitudes, behaviors and barriers, and their relationships with their doctors. We also asked more than 1,200 experts who know Americans' health best--doctors and other healthcare professionals--to weigh in.

We were surprised to find that Americans are engaged in some pretty magical thinking about their health.

First, the patient-doctor relationship needs work. Physicians not only help cure our illnesses -- they also help prevent them. But they can't do the latter if people don't seek their help, and in the right way.

In our study, 70 percent of respondents said they have taken actions to avoid going to the doctor, including walking around in pain or asking friends for medical advice. And when Americans do go for a checkup, 77 percent of health care professionals say at least one-fourth of their patients omit facts or downright lie to them about their personal health.

Second, we found that Americans just aren't walking the talk about their everyday health.

Promisingly, 71 percent of respondents said they have a plan for living healthy, and nine of 10 said eating healthy and exercising are part of their healthy living plan. And one-third gave themselves an "A" grade on specific daily health activities, like exercise, eating healthy, and managing stress. So far so good.

But here's the catch: more than 90 percent of doctors gave Americans a grade of "C" or lower on these same activities across the board. Further, less than half of Americans know their current cholesterol levels, only one-third know their daily caloric intake, and just 29 percent know their blood sugar level. More know how many vacation days they have left (47 percent) than they do the number of calories they ate yesterday (43 percent).

It's encouraging that so many Americans seem to get how important healthy living is. But the gap between what patients believe and do, and what doctors know to be true, shows that confusion reigns. Clearly, there's an unanswered need, and a big opportunity, to begin using imagination, communication, and technology to help people make the shift from "fix-it" to prevention.

So how do we start?

At GE, we decided we could take some small first steps to help people get more from their doctor visits. We developed an easy-to-use online check-up with WebMD, called The Better Health Conversation, which walks users through questions to ask their doctor about what ails them, and points to information they should have before they get to the doctor's office.

The idea is to learn how to consider your health more carefully before you arrive at an appointment--and to shoot for a more collaborative, more honest relationship with your doctor.

Technology has greatly advanced the treatment of illness. Now let's put it to work for prevention with simpler, smaller, more cost-effective innovations like portable medical devices, home health monitoring, and health IT that lets doctors share patient information with each other. These are the kinds of user-friendly solutions we're working on at GE to improve the quality of health care, making it less costly and available to more people.

It's time to begin seeing our health not as an overwhelming hurdle, but as a series of daily achievable steps. It's time to put resources behind practical approaches and tools that people will actually use. Together, we can make better health contagious.

Beth Comstock is Senior Vice President, Chief Marketing Officer at GE.

 

Follow Beth Comstock on Twitter: www.twitter.com/bethcomstock

In the past year, the health care debate has been all about treating illness and how to pay for it. Missing from the conversation is a simply powerful idea: living healthy everyday. Certainly there...
In the past year, the health care debate has been all about treating illness and how to pay for it. Missing from the conversation is a simply powerful idea: living healthy everyday. Certainly there...
 
 
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HUFFPOST SUPER USER
T4
Entreprenuer and financial consultant
09:55 PM on 02/18/2010
Beth starts from a mistaken premise- thedoctor patient relationship. In today'smedical services biz model the dos, hosp and drug cosare in a symbiotic relationship.. thepatient is not part ofthe model// the doctor is front line salesperson and the drug distributor. and the insurance company pays the bill for whatever is covered, needed or not and your rates go up. You as the customer have an extremely limited role except as a faciltator to get to the insuance company.
06:34 PM on 02/18/2010
Health care is broken for a lot of different reason, many of which have been commented on already. You all seem angry with doctors but as a nurse who has seen the changes in medicine over the last 35 years they don't deserve your anger. They work harder and worked harder to get where they are then any of you will ever admit to nor would any of you do it. Make lots of money, maybe, have a life, not really. Many of you mentioned alternative care, and I can hear it now, yes, but how much does it cost. One of the biggest problems no one addressed was complaisance, if you do see a doc and pay no attention to what they tell you, who is at fault ? I see homeopathic clients and believe me, I face the problem of complaisance there as well. I also face the problem of cheap and easy care, why should l charge only a small fee, when it takes me hours to select the correct remedy. You do pay for knowledge and experience and if you don;t want to that is your choice.
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HUFFPOST SUPER USER
RMankovitz
Researcher, inventor, entrepreneur, author
02:07 PM on 02/18/2010
I took the GE-WebMD Better Health Conversation described in this article. In my opinion, it left out critically important information to share with your doctor, and instead concentrated on the meaningless drivel that is so prevalent in the medical industry.

An example of a glaring omission - you should inform your doctor of your living and working environment. We now know that a great deal of illness results from a toxic environment. Large corporations have poisoned the air, water, and ground throughout the country.

For example, assuming your doctor is environmental-medicine literate, he/she would be interested to know if you live or work near toxic waste sites (GE), such as the Hudson and Housatonic rivers in NY. Or are you near any chemical plants that produce toxins such as PCBs (GE).

For more information on this issue, Google: general electric toxic waste .

Roy Mankovitz, Director
http://www.MontecitoWellness.com
HUFFPOST SUPER USER
amhcw
08:46 AM on 02/18/2010
I think a major problem with the education of a physician is that the major portion teaching them about patient treatment is done in a hospital. O.K., that will give the physician lots of experience with diagnosis and emergency treatment but their education should be polished off with an internship in a physician's regular office as they watch a master (for of course it needs to be a teacher who has him/herself mastered patient relations). However, this internship of "watching to learn" must be done behind a one way glass because having two doctors in a room really screws up the patient's ability to relate (if, indeed, we are more worried about caring for the patient more than for the physician's pocket book.)

A patient is always measuring how a doctor will "take" what she/he says/does and deciding if what she says/does will fuss the doctor in a way that will affect how that physician treats her/him. We will shut up if we decide the "truth" will harm the resultant treatment.

I'm a senior female. I note that when I visit any of my doctors with my husband in the room, I get more serious attention--except for the one female physician I have found, my favorite physician, who always treats me with respect and always explains so that I can understand how to treat myself when I am at home.
02:47 AM on 02/18/2010
Doctors for the most part need to clear their heads of the silly dreams of fabulous wealth and delusions of grandeur, then they might be able to practice medicine. They think that it doesn't affect their job to hold such great disdain for so many and couldn't be more wrong. People just aren't the mindless idiots that so many in medicine take them to be.
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03:28 PM on 02/18/2010
Hear hear, we also need to expect to be treated as masters of our own health and the subtle machinations of our body. If physicians aren't going to be educated and aware of the body as a whole dynamic system with subtle symptoms that need to be paid attention to then they have to expect that patients will be inundating their offices with printouts from the web describing their symptoms. I am extremely concerned about these claims that many drs are overtreating with too many tests etc.I went to 5 drs before my symptoms were acknowledged & taken seriously I was brushed off rptdly as being paranoid etc, and my thyroid was above the range was requiring Rx. And everybody is different, to throw the same drugs at all people, masks the symptoms and does not find the root issue for each person. The med system now overlooks so many subtle factors/symptoms, its not just about teaching these drs new information it also is teaching drs the patience to get to the bottom of the issues by taking more than 10 minutes in a room to know you. At this point I refuse to see any in-network doctor anymore, I pay for time, and I expect attention to detail and now I get it. If a dr is beholden to seeing a certain # of people each day because of ins co, they are not there to help your health, they are there to make money.
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HUFFPOST SUPER USER
Think4myself
11:12 AM on 02/17/2010
I would take a guess that if you polled all patients, 90% would give their doctors a C or less. Most times I leave a doctor feeling like it was a waste of time and money.

Then if you polled all Americans, not just those that can afford health insurance, then the grade would go to an INCOMPLETE.
08:13 AM on 02/17/2010
zoemonster: "There's no incentive under our current (lack of a) healthcare system to keep people healthy. Health care actually isn't provided by doctors; it's provided by corporations, and the primary objective of corporations is to make a profit. Healthy people reduce profits, and that's bad for our economy!"

So what exactly is preventing the average American from staying healthy? Do corporations (insurance, hospitals, doctors) over-feed us; make us smoke and prevent us from exercising? Or do corporations stop us from taking our medications (when we are sick); or prevent us caring of our sick parents and other first degree relatives, specially in their dying days?

We are all complaining about a rotten healthcare system that we made for ourselves. It is time we end the "want our cake and eat it too" philosophy.
HUFFPOST SUPER USER
Trublulu
11:36 PM on 02/16/2010
Oh, I love the concept of the Doctor/Patient relationship. Remember that is what Republicans said would be missing with the public option. In reality, you are lucky if you see your primary care doctor for 15 minutes. If there is any problem you will be sent a specialist and will have to wait about 6 weeks before seeing the specialist. The specialist will order tests. Sometimes you have to wait a week to do the test. The test results are sent to the primary care doctor. He/she says the tests look good so it must be something else, so you get sent to another specialist and all the steps are repeated.
I am not on an HMO, have good insurance and good doctors, but the system is flawed. Also, doctors don't stay in the same practice forever. I have had female doctors that left the practice when they decided to spend more time with children, male doctors that go to another practice because it is more lucrative. The medical profession is just another big business.
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03:34 PM on 02/18/2010
With Cancer treatment being a Cash Cow...One day big pharma will be patenting the cancer genes they find and will charge you for stealing the rights to "their disease" and using it without their permission. And at the same time he who cureth maketh ill, they have to have the cures to cancer by now but why should they stop making chemo they make too much money off of cancer drugs.
11:22 PM on 02/16/2010
Recently a subsidiary of Pfizer plead guilty and agreed to pay a $2.3 billion dollar fine to the government, the fine involves allegations that Pfizer paid doctors kickbacks to prescribe the following drugs: Aricpet, Celebrex, Lipitor, Norvasc, Relpax, Viagra, Zithromax, Zoloft and Zyrtec. The government's allegations descrighes how Pfizer created new uses for it[s drugs and then egnaged in all kiinds of devious schemes to illegally promote these new uses to physicians. In other words they paid physicians to prescribe drugs. And you wonder why people distrust their Doctor?

This fine is chump change to Pfizer.

Sadly this is just the tip of the iceberg, Medicine no longer is about health,it's about making money, supressing cures to protect revenues streams, and denying health freedom, and profiting on keeping American's sick.

Mabye this is why the FDA recently threatened Dr. Andrew Weil.
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03:37 PM on 02/18/2010
of course it is, and John McCain right now is trying to take away your right to supplements claiming they are dangerous...yeah dangerous to big pharma and the FDA to lose money.
11:22 PM on 02/16/2010
As someone who pays for his own health insurance, I can tell you that a doctor is not my ally. Anything he or she finds out goes right into my insurance records. High blood sugar reading? Expect your rates to go up. Bad cholesterol level? Good luck at renewal time. Our current health insurance system transforms honest doctors into snitches.

Of course, you can prevent data from going into your permanent insurance record by paying for appointments yourself, what the industry calls a "self-pay." Good luck with that. Last time I paid for a 20-minute health care consultation, it cost me $500.

A doctor my healthcare partner? What planet are you living on.
10:30 PM on 02/16/2010
Personally, I prefer to eat very healthy food, organic when possible, get plenty of sunshine and vitamin D, enough sleep, good exercise and meditation or yoga. If I have a health concern, I visit a naturopathic doctor, after phoning my health consultant.

Then see an alternative chiropractor, for gentle non-pressure adjustments; have a massage or energy healing treatment or acupuncture, take herbs or supplements, have herbal tea, see a homeopathic doctor, etc. UNLESS it is an emergency situation.

When we eat processed chemicals (food), take vaccines that give us more chemicals and disease, get little sun, sit in front of our televisions, and computers, why expect an MD to get us well? Most MD's train in surgery and pharmaceuticals. ... not nutrition, or alternative gentle means to stay healthy.

These exist in abundance with skilled and qualified practitioners across our country.
At the Institute of Medicine's Summit on Integrative Medicine and Health Care there was overwhelming support for the inclusion of integrative medicine into the mainstream, which means paid for by insurance.

The following week, when health care summits began, there was no mention of this. As long as we rely on the existing system for health care, we will never save money, and only the insurance companies and pharmaceutical stockholders will get rich. There are alternatives and we can all live long and healthy lives if we make the right choices.

Make your choice and make it well... this is your body and your health and your life!
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11:14 PM on 02/16/2010
Good points.
Of course there is no mention of nutrition and alt. therapies. Big Pharma likes the idea of keeping us sick and since those at the health "summit" are in the pockets of Big Pharma, it's will not be suprising
if this issue goes by the wayside.

One thing worth mentioning-- this type of alternative care is rarley affordable for most people--esp. the chronically ill.
These practitioners need who specialize in alternative care need to keep that in mind if they really care about treating
patients and finding out the underlying cause of their illness.
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03:39 PM on 02/18/2010
Big Pharma/fda and John MCCain are right now tryign to ban access to supplements. They want total control over our bodies by taking away our ability to control our bodies.
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maribelles
Gopala Gopala Devakinandana Gopala
09:02 PM on 02/16/2010
Medical Schmedical. It's time people recognized that there has been a massive move AWAY from
the "parent /child" paradigm of the doctor/patient relationship and towards the healthier modes of health care that alternative health care has offered for over 3 decades now. It's time we stop this fiction that doctors have much to do with "health" and a lot to do with keeping disease right where it is- in society.
It's time to put energy into improving rather than poisoning our food sources, which are at the root of disease , obesity and mental illness. it's time to admit that many many people see massage therapists, yoga teachers, herbalists, naturopaths, and nutrition counselors rather than "wait" to "get sick" so their
"insurance" will pay .
08:07 PM on 02/16/2010
juliabliss: "Where do you get that statistic of 75% of all women? Especially since we are now encouraged to only do so every OTHER year. And then there the other 50% of the population, men, who do not have this imperative to see a doctor."

With due respect this a common reasoning. Everybody has "an imperative to see a doctor." Irrespective of insurance, likely the cost of a doctor's visits comes out of a deductible. How much would that be? Cost of going to a ballgame? The cost factor is an excuse. Insurance plans where mammograms are covered do not have a higher screening rate than if mammogram is not covered.

The "imperative of a man to see his doctor" is also known as - wife, mother, sister, girlfriend. Even in adult life, women are more tuned into healthcare than men; and the women should exercise their prerogative.:=)) It is better to be a pain in the neck, than crying at the funeral.
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HUFFPOST BLOGGER
Esmeralda Williamson-Noble
Activist, Writer
07:14 PM on 02/16/2010
I LOVE my doctor, I really do, I'd take him home of I could, so sweet and cuddly he is.
I go to him when I can't help myself, when things like depression get to more than I can manage by myself, and that is only when really bad things happens. Otherwise... and please don't start shouting at me now, Yoga and meditation keep me healthy, they enable me to access my own power and I just don't get sick. It's true.
06:40 PM on 02/16/2010
First step to solve the doctor-patient disconnect, neither party should even remotely think they "own each other". If patients don't like their doctor, please get another. You will not hurt the doctor's feelings.

If the patient decides to stay with a doctor, then start liking him/her, treat them with respect and follow their recommendations. If the patient thinks they know more than their doctor or still worse, bust their chops for fun, (or becasue we are Americans), find another target.

Besides being trained professionals, a doctor and their staff are the patients' friends, not their entertainers or their baby-sitters - for that we all have family.