Flipped healthcare for better or worse

Health Informatics J. 2019 Sep;25(3):587-597. doi: 10.1177/1460458219833099. Epub 2019 Mar 19.

Abstract

The medical profession is highly specialized, demanding continuous learning, while also undergoing rapid development in the rise of data-driven healthcare. Based on clinical scenarios, this study explores how resident physicians view their roles and practices in relation to informed patients and patient-centric digital technologies. The paper illustrates how the new role of patients alters physicians' work and use of data to learn and update their professional practice. It suggests new possibilities for developing collegial competence and using patient experiences more systematically. Drawing on the notion of flipped healthcare, we argue that there is a need for new professional competencies in everyday data work, along with a change in attitudes, newly defined roles, and better ways to identify and develop reliable online sources. Finally, the role of patients, not only as consumers but also producers of healthcare, is a rather formidable and complex cultural change to be addressed.

Keywords: competence; data work; patient-centric technologies; physician–patient relationship; workplace learning.

MeSH terms

  • Attitude to Health*
  • Clinical Competence*
  • Delivery of Health Care / trends*
  • Focus Groups
  • Humans
  • Internship and Residency
  • Learning
  • Patient Participation*
  • Physician-Patient Relations*
  • Qualitative Research
  • Telemedicine