Train travel allows for contemplative thinking and lots of reading! I bring a healthy stack of reading in the form of books and articles (usually the print copies) when I am commuting to a meeting or news briefing. I am not an avid user of e-book formats or online reading. Amtrak applauds this and resists adding wi-fi to all of the DC and NYC bound trains--I am sure of it.
This morning I opened up the books and notes from my recent trip and realized that relevant insights or lingering questions are often sketched into the margins. The easy work is reading through the content but the relevant work consists of contextualizing the research findings or the position pieces. All content clearly is not created equal and opinions run strong on health policy issues, EHR integration, and especially the cost of drugs in US markets. I look to the notes in the margins to connect the dots back to industry insights.
The quieter message reveals biases that often influence headlines or distract from true reform. Physicians know this and are also seeking out hidden benefits in their notes by participation in a new program for sharing notes with patients.
Thoughtful discussions about content development and outcomes analytics that apply the principles and frameworks of health policy and economics to persistent and perplexing health and health care problems
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In a world of "evidence-based" medicine I am a bigger fan of practice-based evidence.
Remember the quote by Upton Sinclair...
“It is difficult to get a man to understand something, when his salary depends upon his not understanding it!”