Social Determinants of Health

Western countries are extremely lucky to benefit from both wealth and longevity. This is something that hasn’t happened in previous generations. It is widely believed that healthcare, including public health, has contributed immensely to this… Read more

Health’s financial paradox

How do we convince health administrators of the benefit of interventions when the savings aren’t ‘seen’ in decreased expenditure, but are spent on alternative/ extra services that otherwise couldn’t occur? The author here suggests on… Read more

Letting Patients Read the Doctor’s Notes

Summary: In a one-year trial, patients who were allowed to read all the notes their doctors wrote about them in their medical charts were enthusiastic. Surprisingly, so were most of their doctors. Comment: Consistent… Read more

The Big Idea: How to Solve the Cost Crisis in Health Care

Please email me if you would like a copy of this article, or view it at The authors present a new model for costing healthcare, that better apportions costs to activites. This allows understanding… Read more

The Collapse of Complex Systems

How do we apply this thinking to healthcare delivery, which has become increasingly complex and expensive? From: “… when the ecosystem stops rewarding complexity, it is the people who figure out how to work… Read more

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