class: center, middle, inverse, title-slide # BSOC/STS 2051 Discussion Section ## Week 5, Disc 4 ### Xuewen Yan ### 2021-09-24 --- # Housekeeping Check in now: [Attendance sheet](https://forms.gle/W19oD3jpmMbwLPeH7) Section slides: [https://rpubs.com/xwueyan](https://rpubs.com/xwueyan) Office hour time: Tuesday 4:15 - 6:15 pm over Zoom or Olin Library Cafe. Book at [https://xuewenyan.youcanbook.me](https://xuewenyan.youcanbook.me) --- # Last Thursday's lecture: Changing health care relationships “What is unique about the medical encounter is the interaction between someone who is ill on the one hand and someone who professes to heal on the other. What we think about that relationship in large measure determines what we regard as the obligations that patients and healthcare professionals owe each other. In short medical ethics is based on our philosophy of the healing relationship.” Edmund Pellegrino, AJOB 2006 --- # Last Thursday's lecture: Changing health care relationships “What is unique about the medical encounter is the interaction between someone who is ill on the one hand and someone who professes to heal on the other. What we think about that relationship in large measure determines what we regard as the obligations that patients and healthcare professionals owe each other. In short medical ethics is based on our philosophy of the healing relationship.” Edmund Pellegrino, AJOB 2006 “The physician-patient encounter is healthcare’s choke point. So long as we continue to think of health care as a service that happens when patients connect with doctors, we shackle ourselves to a system in which increased patient needs must be met with more doctors. … Facilitated self-service means consumers can handle most of their needs without help, but some needs require a higher level of service. …Clinical pathways for common medical conditions aim to make care algorithmic – so it isn’t science fiction to suggest that hypertension could be managed using a bot, with a nurse available for second-line support and a primary care physician serving as the third line.” David Asch, NEJM, 2019 --- # Discussion questions [Google doc worksheet](https://docs.google.com/document/d/1bP6fE9lz_zpc89tzvpvUoQPMXCoH8uCb/edit?usp=sharing&ouid=102562739737802185178&rtpof=true&sd=true) Work in Groups.