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Health Care/Policy Perspective

This article discusses the need for a paradigm shift in health care, emphasizing that increased medical treatment alone does not lead to better health outcomes. It highlights the social and environmental determinants of health and the importance of understanding patient backgrounds. Dr. Jeffrey Brenner argues for incorporating social metrics, such as ACE scores, as vital signs in patient assessments. By examining high utilizers' experiences, the piece underscores the necessity of fostering positive relationships with health care providers to improve patient care and enhance overall health management.

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Health Care/Policy Perspective

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  1. Health Care/Policy Perspective Kathleen T Grimm, MD MHSc July 16, 2014

  2. Objectives A Big Reason for Paradigm Shift The Largesse of the Challenge The Momentum

  3. U.S. Health CostsRising More Steeply, 1970-2008

  4. Determinants of Health and Their Contribution to Premature Death Adapted from: McGinnis JM, Williams‐Russo P, Knickman JR. “ The case for more active policy attention to health promotion” Health Affairs (Millwood) 2002;21(2):78‐93.

  5. The Buffalo Community

  6. Objectives A Big Reason for Paradigm Shift The Largesse of the Challenge The Momentum

  7. We have learned that more and more health care does not explicitly improve health • Health can’t be defined in one dimension alone- it is in the context of a person’s life

  8. Objectives A Big Reason for Paradigm Shift The Largesse of the Challenge The Momentum

  9. Dr. Jeffrey Brenner: “I believe ACE scores should become a vital sign, as important as height, weight, and blood pressure “For nearly 15 years we’ve had the secret to delivering better care at lower cost in America. The information has sat, hidden away in the medical literature, and barely mentioned among physicians. It’s a remarkable story of bias. The neglect of this information by the medical community tells you a lot about our failings as a profession and the poor training we receive. It’s also a powerful commentary on the values of our society and the biases built into our society’s view of health and healthcare”. Philly.com’s The Field Clinic blog.

  10. Generating Hypotheses About Care Needs of High Utilizers: Lessons from Patient Interviews Theme 1: Childhood instability Theme 2: Difficult relationships and encounters with health care providers during adulthood Theme 3: Importance of positive relationships with health care providers POPULATION HEALTH MANAGEMENT Volume 16, Supplement 1, 2013

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