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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

My take, and extrapolation, is that there are three reasons why healthcare has failed to evolve in usefulness of both our product (the care we deliver) and our technology (our EMRs), our customer centeredness and the value/cost relationship of the services we provide. 1) Healthcare is not at all customer centered.

Patients 130
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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

Corita 09:39 Yeah, so we used the electronic health record, I think, in support. And so we did a similar intervention but using electronic means. So if you look at anything pre 2009, seven or nine in emergency medicine, anything that was published as an intervention was essentially a primary palliative care intervention.