Like you, I’m wondering what Congress will do now with health reform. After months of debate and negotiation culminating in yesterday’s Presidential Health Summit, it is still unclear whether we will be stuck with a broken health care system or if aspects of the current bills will ultimately be implemented.
Even as health reform stalls, science marches on and is telling us how to turn our sick-care system into a system that proactively preserves health and turns a one-size-fits-all model to a more personalized approach. The science behind medicine has already shown us it is possible to diagnose disabling health issues early, identify the best treatment for specific groups of patients and even reverse the progress of disease. We can now see the light at the end of the tunnel: health professionals will no longer need to practice medicine by trial and error.
To fully capitalize on the emerging research however, our health delivery system must adapt. We have a disjointed system that does not allow us to track disease effectively, identify which treatments work best for which patients or deploy the most up-to-date scientific knowledge in a coordinated way. We can transform our health care system and give patients access to the latest breakthroughs that are right for them. But only if an infrastructure that can support personalized care is put into place. What will it take?
At the core are incentives which must be adjusted to align with the concept of delivering the right care for the right person at the right time. And that will not be enough without an integrated, electronic information network that can support a “learning” health care system – where patient outcomes are effectively utilized to accelerate research and generate better treatment decisions. Joining the best science with an efficient and knowledge-based delivery system is the only way to achieve the healthier outcomes we deserve.