From Physician to Patient to Reinventing Medicine

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From Physician to Patient to Reinventing Medicine
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.HeartBobH interviews JagSinghMD about the COVID journey that led to his book, 'Future Care: Sensors, Artificial Intelligence, and the Reinvention of Medicine.' FutureCare MedTwitter

, atrial fibrillation, or heart failure. Having self-management strategies and clinicians empowering the patients to look after themselves and seek care if there is an issue is probably the way medicine is going to evolve.

It saves them many concerns of traveling and waiting in the waiting rooms, getting cross-infected, and all the other things that are associated with it. I think the issue is regulatory. That's why we're having this conversation. I'm hoping that some of these conversations will institute change outside-in if they can't be inside-out.

That's something that the pandemic heightened awareness of — the fact that we need to be paying attention to the risk for digital inequity because that in itself can lead to health inequity. There are many things we yet need to write on that front.People talk about tech equity and trying to make sure that we're able to reach all members of society. I think that's critically important.

It's going to be iterative. It's not something that is going to sweep in and change everything. I think folks are going to have to get used to it, get adjusted to the fact, and understand that these need to be interpreted and used in the clinical context with all the available knowledge that we already have, and not just go directly to AI as the solution.

I think there is a transition toward value-based care. The transition, however, has been fairly slow. At the same time, there are shared savings strategies that are being implemented, where you have a capitated amount, and if you can provide some degree of continuous surveillance for a patient with self-management strategies rolled in, you could potentially change the outcome of those patients. The shared monies from that could be equally distributed in the parties affiliated with that care.

I'm hoping we can evolve to that stage, and I think this is where large academic centers that have their own health plans really can make a change by experimenting, and with experimental models, actually show savings and then institute changes in care, which benefit themselves by their health plans but also then become a template for the rest of the country. I think some of that work is already happening.I love the way you said"experimentation.

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