Blog | Monday, June 12, 2017

That awesome health care leader (who has never seen a patient before)

The world of health care continues to change at breathtaking pace. For reasons too long to go into during a short article, there's been a huge shift of power away from individual doctors and patients, and toward administrators and big corporations. Health care in its most raw primary form used to be about Dr. Johnson's small office around the corner, which would serve you and your whole family well. These days, it's more about mergers, mega-specialty groups, and big corporations.

In my opinion, and from talking to thousands of patients and families over the years, this may have been beneficial to some people, but has questionable benefits to those who matter the most, our patients, who crave personal relationships and human connection at a local level.

And along with this sea change, we've also witnessed the rise of a new breed of “health care leader.” You see, there was a time, not so long ago, when only a doctor (or nurse, or any other frontline professional) could possibly have been thought of in these terms. But now, the new health care leader looks more like this: a well-suited man, often well under 50 years of age, and looking rather slick. They will be introduced at events and conferences as “great and visionary health care leaders”. Only problem is this: most of them have never seen, interacted with, or treated a real patient before. Most of them have little perspective of the frontline. Most of them have no clinical training whatsoever (only a business degree, that helps them manage the bottom line). Yet that's enough to potentially have hundreds or thousands of highly qualified doctors under their command.

I must say I chuckle a bit to myself whenever I hear anybody non-clinical being described as a health care leader. However nice or well-intentioned they may be (and I know many of them personally, and think lots of them are perfectly decent people), with lofty ambitions, but there's just something not quite right about this. Business or corporate leader perhaps, but not a health care leader.

Likewise, I meet so many medical students nowadays as well, who are anxious to get into well-paying corporate health care jobs, but want to do this from as far away as possible from the frontlines. Again, not right, and an ominous sign of where things may be heading.

Because if health care is to truly improve, thrive, and be well placed for the next several decades, only clinicians should be the real health care leaders.

Suneel Dhand, MD, ACP Member, is a practicing physician in Massachusetts. He has published numerous articles in clinical medicine, covering a wide range of specialty areas including; pulmonology, cardiology, endocrinology, hematology, and infectious disease. He has also authored chapters in the prestigious "5-Minute Clinical Consult" medical textbook. His other clinical interests include quality improvement, hospital safety, hospital utilization, and the use of technology in health care. This post originally appeared at his blog.