Dr. Bryan Becker, associate vice president for hospital operations at University of Illinois Hospital & Health Sciences System (UIHHSS), explains that starting around the late 1970s, we saw a "divergence between the cost of healthcare and the CPI (consumer price index).
Diabetes care is a good example of where primary care doctors are "really doing the frontline treatment for a chronic illness," says Becker
"What hasn't happened is the redistribution of reward-compensation for that extra degree of management that primary care physicians have undertaken," he
Primary care doctors are learning "how best to work with advanced nurse practitioners (NP) in a way that magnifies their effect on their patient population," Becker
says, "using the strength and leverage of that workforce to deliver the best physician oversight of a broader group of patients."
"We may be the only industry that hasn't changed its delivery model in 75 years," says Becker
"There's a need to drive interdisciplinary education in the formative stages," he
"Medical students, nursing students and pharmacy students interact together as they focus on cases or case scenarios."
they're developing programs to help bring these students together; to start them off thinking in interdisciplinary terms.
But this is a relatively new approach.
Most of the industry leaders "weren't reared in an interdisciplinary world," says Becker
"I'm 50, and it certainly wasn't part of my education. [Older doctors] may not really ever have encountered it if [they] didn't reach to understand it on [their] own," he