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A reflection back on the #NHS review (topol.hee.nhs.uk) and some differences between #US and #UK #healthcare:
1. The #1 source of jobs in both countries is from healthcare, which continues to rise with a steep slope (mostly non-physicians)
1. The #1 source of jobs in both countries is from healthcare, which continues to rise with a steep slope (mostly non-physicians)
The #US now spends more than $11,000 per person for healthcare, while the #UK ~$4,000. Yet life expectancy has declined in the #US for each of the past 3 years, while it continues to increase in the #UK (graph adopted from @OurWorldInData)
3. The @commonwealthfnd ranks the #UK first and the #US last of 11 countries overall, with differences in 5 sub-categories charted here
commonwealthfund.org/press-release/…
commonwealthfund.org/press-release/…
4. The #NHS is perceived by UK citizens as the #1 most revered institution in the country, above the @BBC and the Royal Family economist.com/britain/2018/0…
(I'll leave it to you as to the general view of healthcare in the US)
(I'll leave it to you as to the general view of healthcare in the US)
5. Major investments by the #UK in #genomics ~15 years ago led to the @uk_biobank and @GenomicsEngland -> the UK's current status as the global leader in this field.
6. Unlike the US, #NHS has a major division for education and training of its workforce—@NHS_HealthEdEng—which took on #genomics, and is now starting to implement the digital and #AI recommendations from our review.
From the Intro to my recent #AI @NatureMedicine review, applies to both countries:
Medicine is at the crossroad of two major trends. The first is a failed business model, with increasing expenditures and jobs ... but with deteriorating key outcomes.....
nature.com/articles/s4159…
Medicine is at the crossroad of two major trends. The first is a failed business model, with increasing expenditures and jobs ... but with deteriorating key outcomes.....
nature.com/articles/s4159…
Unlike the #UK, which is deliberately planning their #healthcare strategy for the next 20 years and investing heavily in #AI and digital tools, the #US has no national planning or dedicated resources whitehouse.gov/presidential-a…
In both countries, there is an exceptionally high rate of burnout among doctors, estimated to be ~50%, and across all clinicians. Peak depression, too. massmed.org/News-and-Publi…
#DeepMedicine (out 12 March) maps out a path for #AI to give clinicians the "gift of time," improve the patient-doctor relationship, restore the care in #healthcare. Using the future to bring back the past. It won't be easy & requires planning & activism drerictopol.com
Out today @Bllomberg 2019 ranking of 169 countries for health index
bloomberg.com/news/articles/… by Lee Miller and Wei Lu. US is #35 (and slipping)
bloomberg.com/news/articles/… by Lee Miller and Wei Lu. US is #35 (and slipping)
