The Quantified Doctor: Implementing Self-Tracking in Medical Care
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The document discusses implementing self-tracking and quantified self techniques in medical care. It describes how the author has worked in various medical fields over the years and become interested in helping patients track their own health metrics. A "Quant Coach" role is proposed, as someone who helps patients implement self-tracking tools and reflect on the data, with the goal of empowering patients and improving outcomes. The author notes some current pilot programs using this approach and believes the bottom-up model of engaged self-tracking patients, rather than top-down healthcare system changes, may be most effective for fixing healthcare. Contact information is provided for learning more.
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The Quantified Doctor: Implementing Self-Tracking in Medical Care
- 1. THE QUANTIFIED DOCTOR implementing self-tracking in medical care Paul Abramson MD My Doctor Medical Group UCSF Clinical Faculty @paulabramsonMD
- 2. THE 1980s
- 3. The 1990s BS, MS Electrical Engineering MD
- 4. The 2000s Family Medicine - Emergency Medicine - Hospital Medicine - Integrative Medicine - Addiction Medicine Rural - Urban - International Small practice - Big practice - District hospital - Rural clinic - Inpatient - Outpatient
- 5. WHAT’S WRONG WITH HEALTH CARE? (partial list) • Conflicts of interest* • Poor customer service • Ineffective for many things • Lack of interactivity and empowerment
- 6. WHAT’S WRONG WITH MY OWN HEALTH?
- 7. WHAT’S WRONG WITH MY PATIENTS’ HEALTH • Irritable Bowel Syndrome • Psoriasis • Chronic Fatigue • Addiction • Allergies • Diabetes Mellitus • Overweight • Anxiety • Depression • Headaches
- 8. 2007-present Founded My Doctor Medical Group in San Francisco
- 10. quantified-mind.com photos mymee.com ACTIVE TRACKING mindfulness required
- 11. OTHER CONTEXTUAL DATA SOURCES calendar - e-mail - GPS data - government agencies - diagnostic labs
- 12. BRING DATA TOGETHER BODYTRACK.ORG - FLUXTREAM.COM
- 15. BUT MOST PEOPLE CAN’T PULL IT OFF BY THEMSELVES (AND/OR HAVE A COMPLICATED MEDICAL ISSUE)
- 16. SO ADD A QUANT COACH Quant Coach Doctor Other Team Members Self-Tracker
- 17. THE QUANT COACH •A distinct member of the health care team • Different skill set from a doctor • Not burdened by the doctor-patient power differential
- 18. A CULTURE OF SELF-TRACKING • Personal narrative • Iterative process • Specific problems and terminology • Implementing appropriate tools • Reflect on data and specific incidents •( Reflect - adjust - track ) insights and progress
- 19. WHERE ARE WE NOW: BETA TESTING • Quant coaching in New York City - nonmedical • Quant coaching in Pittsburgh, PA - nonmedical • Quant coaching in San Francisco - medically supervised
- 20. HOW TO FIX HEALTH CARE? • Top down -- Electronic health exchange, “big data” analytics, performance measures, Accountable Care Organizations, Patient Centered Medical Homes, apps for providers and systems. Meh. • Bottom up -- Self tracking, own your own data, quant coaching, personal experiments, doctor as collaborator and consultant. Artful and appropriate use of technology.
- 21. CONTACT Paul Abramson MD My Doctor Medical Group San Francisco Tel 415-963-4431 TW @paulabramsonmd ADN @paulabramsonmd mydoctorsf.com quantdoctor.com
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