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Paul HB's avatar

An excellent article. I took my elderly, and not very mobile , mother to Kings College Cambridge recently. I was in check list mode- see Kings ( tick); see Trinity (tick); etc. But my mother suggested we just sit down and look at the Kings College court. And observe. And I got a lot more out of the experience.

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Suzanne Swanson's avatar

Great piece! We have experienced this firsthand in medicine….my oncologist husband and I (ob-gyn) as well as children in healthcare live this daily…there is a point of diminishing return in terms of quality of care and ability to be resilient for cases that don’t fit the algorithm. The health system we were part of LIVED this to the extent that an entire hospital was built on their model of efficiency…now dismantled. They had an entire department devoted to their Improvment systems….We wasted weeks in meetings, events, post it notes on the wall with the group think. One delivery model was instituted over 3 years..the staff-physicians, nurses, everyone told them it was a bad idea…but we forged on, now dismantled as well. There was no open door policy to discuss with leadership…they had paid high price consultants to tell them what to do….and so it was….a sad day for the providers and patients. How can you fight this? My husband’s group was independent but sadly market forces and the hospitals desire to capitalize on the chemotherapy profits put them squarely out of business. The “you play in my sandbox or go home” is also part of this. I am certain other industries have experienced this but it is acutely an issue in medicine.

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