title: Six health care trends that will reshape the patient-provider dynamic.
abstract: Six trends - movement towards value-based payment, rapid adoption of digital health technology, care delivery in non-traditional settings, development of individualized clinical guidelines, increased transparency, and growing cultural awareness about the harms of medical overuse - are driving the US health care system towards a future defined by quality- and patient-centric care. Health care organizations are responding to these changes by implementing provider and workforce changes, pursuing stronger payer-provider integration, and accelerating the use of digital technology and data. While these efforts can also improve the clinical relationship and create positive system redesign among health care organizations, they require alignment between organizational and physician incentives that can inadvertently harm the dynamic between patients and providers. Organizations can utilize several strategies to preserve the patient-physician relationship and advance the positive benefits of new organizational strategies while guarding against unintended consequences.
authors.affiliation: Division of General Internal Medicine, The University of Pennsylvania School of Medicine, United States.
authors.forename: Joshua M
authors.initials: JM
authors.lastname: Liao
authors.affiliation: Division of General Internal Medicine, The University of Pennsylvania School of Medicine, United States; Department of Medical Ethics & Health Policy, The University of Pennsylvania, United States.
authors.forename: Ezekiel J
authors.initials: EJ
authors.lastname: Emanuel
authors.affiliation: Division of General Internal Medicine, The University of Pennsylvania School of Medicine, United States; Department of Medical Ethics & Health Policy, The University of Pennsylvania, United States; Philadelphia VA Medical Center, United States.
authors.forename: Amol S
authors.initials: AS
authors.lastname: Navathe
mesh_terms: D020811:Biomedical Technology; D003695:Delivery of Health Care / Q000458:organization & administration / Q000639:trends*; D018166:Health Care Reform / Q000639:trends*; D006801:Humans; D018802:Patient-Centered Care / Q000639:trends*; D010817:Physician-Patient Relations; D058996:Quality Improvement; D014481:United States