Health Care Management Papers

Document Type

Journal Article

Date of this Version

7-5-2012

Publication Source

The New England Journal of Medicine

Volume

367

Issue

1

Start Page

1

Last Page

3

DOI

10.1056/NEJMp1203869

Abstract

The dominant form of health care financing in the United States supports a reactive, visit-based model in which patients are seen when they become ill, typically during hospitalizations and at outpatient visits. That care model falls short not just because it is expensive and often fails to proactively improve health, but also because so much of health is explained by individual behaviors,1 most of which occur outside health care encounters. Indeed, even patients with chronic illness might spend only a few hours a year with a doctor or nurse, but they spend 5000 waking hours each year engaged in everything else — including deciding whether to take prescribed medications or follow other medical advice, deciding what to eat and drink and whether to smoke, and making other choices about activities that can profoundly affect their health.

Copyright/Permission Statement

From The New England Journal of Medicine, Asch, D.A., Muller, R.W., & Volpp, K.G. Automated Hovering in Health Care — Watching Over the 5000 Hours, Vol. 367, 1-3. Copyright © 2012 Massachusetts Medical Society. Reprinted with permission.

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Date Posted: 27 November 2017

This document has been peer reviewed.