Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Article Comments (1)

Getting Doctors And Patients On The Same Team: A Basketball Metaphor For Health Care

It is tough playing man-to-man when coaches on the sideline keep insisting your team plays zone.

Such is it with health care.

For doctors, the man-to-man defense never ends. Stay with them. Glue to them. Move with them. Run with them. Defend against the bounce pass, or the dribble to avoid the admission. Hands up! Watch their waist, ignore the head fake. You shift your coverage to accommodate their needs. One on one, mana-a-mano.

But for the business of medicine, it’s all about the zone. Defend the admission basket against as many people as possible with the least number of defenders. Stay in your position. Work it 2-1-2, 2-3, or if you’re really adventurous: 1-2-2. Stick to our limited number of defenses using small variations with the same number of people. Keep your hands up so you look bigger than you are! Don’t let them near the hospitalization goal! We’ve seen all their plays and watched all their moves with our electronic record, so let’s win this game! If the patients move left, you move left. If the patient moves right, you move right. Anticipate! How hard can it be?

When you only look from the sidelines, everything seems obvious.

But what happens when the patients change tactics? What if the patient’s psyche or medical issues don’t follow the typical playbook? Will our zone defense apply enough pressure on patients to affect change? Or will it apply too much pressure upon them, causing them to drop out of the game? Who wins then? When the bench is left too limited and the game extends too long, will the exhausted physician defenders be able to convince the coaches that there’s a better way to play defense against these admissions?

Every frontline health care professional knows that the health care game is played one patient at a time and on one court at a time. And yet, we see more courts being built and technologic advances being funded as spectators are sold on the illusion that doctors can suddenly play multiple games on multiple courts with multiple patients with an infinite game clock while never dropping the ball. Even now, the storyline remains: we cannot afford to play health care one-on-one.

So the players become confused. They wonder (more than ever) who they’re really playing for. The players wonder why they continue to see more money than God spent on the courts, the lights and the corporate skyboxes instead of the critical players themselves. Will our health care game be won by building more courts or by actually playing the game? How many administrative coaches do we need?

Most of all, since it has now come down to money versus care, how will we ever put doctors, hospitals and patients on the same team?

*This blog post was originally published at Dr. Wes*

You may also like these posts

    None Found

Read comments »

One Response to “Getting Doctors And Patients On The Same Team: A Basketball Metaphor For Health Care”

  1. Janet says:

    As someone who is not into sports, I have no idea what this post even means.

Return to article »

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

Read more »

How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

Read more »

The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

Read more »

Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

Read more »

See all book reviews »