Date of this Version
The New England Journal of Medicine
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.
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.
Asch, D. A., Muller, R. W., & Volpp, K. G. (2012). Automated Hovering in Health Care — Watching Over the 5000 Hours. The New England Journal of Medicine, 367 (1), 1-3. http://dx.doi.org/10.1056/NEJMp1203869
Date Posted: 27 November 2017
This document has been peer reviewed.