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AI: Patients Included

“Clinical transformation with AI is easier without patients.” When Dr. Grace Cordovano heard this statement on a panel of physicians convening to share perspectives on the future of AI in health care held in early March 2024, the board-certified patient advocate felt, in her words, “insulted on behalf of the patient communities I know that are working tirelessly to advance AI that works for them.” “The healthcare ecosystem and policy landscape must formally recognize patients as end-users and co-creators of AI,” Cordovano wrote to me in an e-mail exchange. “Patients, their care partners, caregivers, and advocates are already utilizing AI

 

A Health Consumer Bill of Rights: Assuring Affordability, Access, Autonomy, and Equity

Let’s put “health” back into the U.S. health care system. That’s the mantra coming out of this week’s annual Capitol Conference convened by the National Association of Benefits and Insurance Professionals (NABIP). (FYI you might know of NABIP by its former acronym, NAHU, the National Association of Health Underwriters).         NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting. While the digital health stakeholder community is convening this week at VIVE in Los Angeles to share innovations in health tech, NABIP

 

As Food-As-Medicine Gains Momentum, Watch for Dietitians and Pharmacists to Sit at The FaM Table – And A Lesson from George Washington Carver

The food industry, both retail food chains and food suppliers, has found health and nutrition are having a positive impact on their businesses both for margins and for missions, we learn in the latest annual survey on Food Industry Contributions to Health & Well-being, 2024, from FMI. Most retail food channels operate pharmacies, three in five operate clinics in stores, and 2 in 5 of the clinics are health system-owned and operated.             FMI, the Food Industry Association, conducted this industry poll in October 2023 among food retail and supplier members, totaling 36 organizations representing over

 

Ethics for AI in Health – A View From The World Health Organization

For health care, AI can benefit diagnosis and clinical care, address paperwork and bureaucratic duplication and waste, accelerate scientific research, and personalize health care direct-to-patients and -caregivers. On the downside, risks of AI in health care can involve incomplete or false diagnoses, inaccuracies and errors in cleaning up paperwork, exacerbate differential access to scientific knowledge, and exacerbate health disparities, explained in the World Health Organization’s (WHO) report, Ethics and governance of artificial intelligence for health.             WHO has released guidance on the use of large multi-modal models (LMMs) in health care which detail 40+ recommendations for

 

Thinking About Dr. Martin Luther King and Health Equity in 2024

Today as we appreciate the legacy of Martin Luther King, Jr., I post a photo of him in my hometown of Detroit in 1963, giving a preliminary version of the “I Have a Dream” speech he would deliver two months later in Washington, DC.               Wisdom from the speech: “But now more than ever before, America is forced to grapple with this problem, for the shape of the world today does not afford us the luxury of an anemic democracy. The price that this nation must pay for the continued oppression and exploitation of the

 

An Extraordinary Life and Voice: A Call-to-Action from Casey Quinlan, featured in the Journal of Participatory Medicine

It is about time that a healthcare journal features examples of patient-leaders who have pioneered activism, innovation, and The first exemplar in this vein is Casey Quinlan, whom we lost all-too-soon earlier this year on 24th August. A team of her appreciative colleagues and friends wrote up the first in a new series called “Extraordinary Lives” published in the Journal of Participatory Medicine (JPM) titled “An Extraordinary Voice Expressed Through Humor: A Tribute to Casey Quinlan.” I played a minor role in getting this essay to the finish line, and am grateful to have had the opportunity to do so

 

A Digital Health Checkup for the US – #1 in AI, Meh in Interoperability – An OECD Update

While health care has been slower than other industries to leverage digital transformation, COVID-19 accelerated change — revealing some key barriers blocking the potential for more fulsome transformation, the OECD explains in its latest version of Health At A Glance for 2023 with a detailed chapter on “digital health at a glance.”                   The OECD report assesses digital health maturity across 22 countries: in addition to the U.S., the report provides details digital health traits in (alphabetically) Australia, Austria, Belgium, Canada, Czech Republic, Denmark, Estonia, Finland, France, Germany, Ireland, Israel, Japan, Korea,

 

Everybody is Stressed in America, and It’s Not Good for Our Health: the 2023 Update from the American Psychological Association

The U.S. is “a nation recovering from collective trauma,” the according to the latest survey on Stress in America 2023 from the American Psychological Association (APA).             The APA has been quantifying Stress in America since 2007; for context, at the end of that year The Great Recession kicked in, and in response President Obama’s team put together assistance to bolster the national economy, jobs, and health technology (codified in the American Recovery and Reinvestment Act). American health citizens are experiencing a deja vu in 2023 akin to their financial stress experienced in the APA 2008 Stress

 

Large Employers Expect More Employees Will Experience Prolonged Health Impacts Due to COVID-19. and a Note About Telehealth Engagement

Due to their delayed return to medical services and diagnostic testing in the COVID-19 pandemic era, U.S. employees are expected to sustain serious health impacts that will drive employers’ health care costs, envisioned in the 2024 Large Employer Health Care Strategy Survey from the Business Group on Health (BGH).               Dealing with mental health issues is the top health and well-being impact workers in large companies are addressing in 2023. Looking forward, large employers foresee their workers will be seeking care for chronic conditions and later-stage cancers that are diagnosed due to delayed screenings.

 

Consumers Expect Every Company to Play a Meaningful Role in “My Health” – New Insights from the 2023 Edelman Trust Barometer

People have expanded their definitions of health in 2023, with mental health supplanting physical health for the top-ranked factor in feeling healthy. Welcome to the Edelman Trust Barometer Special Report: Trust and Health, released this week, with striking findings about how the economic, post-pandemic life, pollution and climate change all feed mis-trust among citizens living in 13 countries — and their eroding trust for health care systems.         While these factors vary by country in terms of relative contribution to citizen trust, note that in the U.S., social polarization plays an outsized role in factors that “make us

 

What Are Patients Looking for in a Doctor? It Depends on Who You Ask…and Their Race

While the same proportion of Black and White patients say they are looking for a doctor with empathy and compassion, there are relatively large differences between patients based on their race, found in the Everyday Health-Castle Connolly Physician-Consumer study.             The survey was conducted in December 2022 among a group of 1,001 U.S. consumers and 277 Castle Connolly health care professionals. As the first bar chart illustrates “where patients differ, “Black people were nearly twice as likely as white people (41 percent versus 22 percent) to completely agree that they would be more comfortable and

 

Your Grocery Store as Health/Care Destination: Welcome Kroger to the Clinical Trials Community

Our grocery stores were essential touchpoints for us during the COVID-19 lockdown era and thereafter, addressing our basic needs for food and medicines and even social health from early 2020 and since.             Grocery stores have been morphing into health/care destinations for the past decade, in the best cases bolstering nutrition, supporting medication adherence and patient outcomes, and helping us curate healthy grocery carts with nutritionists as part of the store pharmacy team. Now Kroger continues to expand its health/care footprint and capabilities, becoming a clinical trials channel as announced in its January 24th press

 

Of All Forms of Inequality, Injustice in Health Care is the Most Shocking and Inhumane: Listening to Martin Luther King, Jr.

Today as we appreciate the legacy of Martin Luther King, Jr., I post a photo of him in my hometown of Detroit in 1963, giving a preliminary version of the “I Have a Dream” speech he would deliver two months later in Washington, DC.               Wisdom from the speech: “But now more than ever before, America is forced to grapple with this problem, for the shape of the world today does not afford us the luxury of an anemic democracy. The price that this nation must pay for the continued oppression and exploitation of the