MD Preventive and Primary Medicine
Interview with primary and preventive care physician.
How does your research relate to the Challenge?
What does a primary care physician focused on prevention and community have to say about the healthcare system and patient (family and individual) behavior. Where do people and the system have a problem in this area and what analogs/anitlogs can inform a better solution.
Tell us about your research:
The process for the interview was invite the primary care physician into an open-ended conversation about their world when it comes to geriatric care and osteoporosis diagnosis, prevention and care management. Through the open-ended storytelling about the world as seen by a community physician collect narratives, examples, etc. and look for themes or patterns. Then summarize these patterns into short statements that inform the problem, solution or where to collect more information.
What is an insight, question, or provocation that might inspire others during this challenge?
1. Behavior change or Action could be the biggest way to move the needle.
2. Medicine to treat osteoporosis and prevention of first fall (or osteoporosis) in general may not be the best path after a "first fall" event. Dexa scan/meds show some evidence after fall.
3. Behavior change will likely (insight from MD but needs validation) come from the patient with supportive structures; social first and device/systems second. For example, increasing ADLs and IADLs, safe preventive environment and isolation/loneliness/disengagement.
4. Negative compounding effect (cycle/loop) after first fall needs to be interrupted furthering the focus on post-first fall as a critical time.
Tell us about yourself
Entrepreneur in healthcare IT, consumer goods
Innovator/entrepreneur/inventor specializing in lean startup, human centered design and discovery
Diverse background in economics, social sciences, geography, technology, finance.
Passionate about improving outcomes, lives and relationships particularly in education and healthcare.
(Optional) What might you need to understand to be successful in the Ideas Phase ahead?
Access to experts and practitioners in the field of care management, in-home medicare annual wellness assessments and behavioral sociology, psychology and economics specifically applied to the elderly and those with chronic debilitating illnesses. Additional social/psychological gaming/gamification expertise. I have a few of these folks queued up in my community, but will need more.