I went on my morning walk committed to losing the weight I gained over the summer

After turning on my GPS app to monitor my walking time, pace, distance, and calories burned, I started thinking about how technology can change physician/ patient communication for the better, if used thoughtfully. For example, an article discussing the stethoscope as a historical artifact, raises the question are our physicians’ early or deferred adopters of

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“Insanity: doing the same thing over and over again and expecting different results.” (attributed to Einstein). Perhaps increasing access to primary care needs a new approach – rewarding evidenced based care, rather than outpatient visits.

Some highly acclaimed initiatives to improve access to quality primary health care and reduce cost have proved challenging. Over the past several weeks we have seen several glaring examples –  hospitals leaving ACOs, no change in ED use, the uphill strategy to train more primary care physicians, and “whatever happened” to medical homes.  Dartmouth was

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“Most people check restaurant ratings or read consumer reviews before they make a choice. Shouldn’t you also check the quality of the hospitals you rely on when you need medical care?

In an emergency, your life may depend on getting to the nearest hospital. When you can, plan ahead, you and your doctor should discuss which hospital will best meet your health care needs.” (A) “Identifying a better hospital on your own may be conceptually simple, but in practice it’s not so easy. (Obviously, this is

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