Another big idea that raised its head at DotMed is disruption. Where is it going to come from in healthcare?
The examples outside of healthcare are many: Kodak filing for bankruptcy, video stores closing down… Connectivity and the internet have disrupted so many business paradigms, why should medicine be immune?
Think of the music business. The internet has changed it utterly since the turn of the millenium. Record shops gone, sales volume down, content delivery changed, social listening…
The internet was not music’s biggest disruption. The invention of recorded sound was what changed music forever, from a passive experience that could only be enjoyed live (e.g. in a concert hall), to a user-controlled, time-shiftable, medium where that end user decided how to interact with it (e.g. listening to a stream of any song, anywhere).
Consumer technology is now at a point where for patients, interacting with a medical professional does not have to be a real-time interaction where the hospitals are concert halls and the doctors are the musicians. If the healthcare user has access to healthcare anywhere, how do the clinicians practice their skills, deliver their content?
Technology has always been present in healthcare, but on the side of the clinicians (just look at radiology). Patients are about to bring their technology to the table. The change in healthcare will be more akin to the music business changes in the first half of the 20th century, when the end users got to have some control of it for the first time. What has happened to the music business in the 21st century has just been a revision of decades of content delivery to end users. In healthcare we’re at the point where gramaphone records are about to take over from pianos and sheet music.
Changes in healthcare and disruption are topics I’ll come back to a lot in this blog. Where is it coming from? How will it work? What will it look like? What are the good ideas? And if a disruption in practice produces an improved way of delivering care, is it really a disruption?