A blog covering the health/care ecosystem and people.

A new report from the OECD asks the question, “How’s Life?” with the tagline letting us know the plotline focuses on “well-being and resilience in times of crisis.”       The Organization of Economic Cooperation and Development (OECD) has tracked the well-being of member nations for the past six years, taking a broad view on the definition of holistic health — including physical, mental, financial, and social aspects of people living in OECD countries. The first “How’s Life?” report was published at the height of the global financial crisis; the authors of this report introduce it saying that, “the

Two in three people in the U.S. are dealing with Presidential Election Stress — a significant contributor to Americans’ overall stress we learn from the American Psychological Association’s study into Stress in America 2024.                I’ve covered the APA’s Stress in America studies for many years, appreciating the role that anxiety and stress play in peoples’ overall health status and well-being. In 2024, “stress” is a mainstream factor in daily life whether you identify with Main Street or Wall Street. Here was my most recent post on the APA study here in Health Populi,

Beyond women’s health and abortion politics, most Americans are looking for more health care baked into the 2024 Elections, based on a new poll from Gallup in collaboration with West Health.           Two in three U.S. adults thought health care was not receiving enough attention during the 2024 Presidential campaign as of September 2024. This is a majority shared opinion for voters across the three party IDs in the U.S., shown in the first bar graph. The research polled 3,660 U.S. adults in September, about two-thirds before the presidential debate held September 10, and about one-third

“Voter registration in hospitals is the new frontier in health care.” That’s the headline in a WBUR story last week detailing the efforts of health care professionals in “amplifying” their patients’ voices inside and outside of the hospital walls by advocating for their health citizenship — through voter registration and public health policy advocacy.                  I’m a long-time evangelist for health citizenship and the role that a person’s engagement in the civic commons plays in one’s own health, the health of their communities and of the nation as a whole. I’m not alone

People have been undergoing their own human kind of digital transformations, turbocharged during the pandemic for many who never used Zoom or Amazon Prime or Uber. That consumer-borne digital transformation has shaped people as health consumers, many having used telehealth and appointment-scheduling online. And peoples’ relationships with pharmacies are also changing, with more health consumers finding greater satisfaction with their mail order pharmacy experiences than with moat retail brick and mortar chain drug stores, the latest J.D. Power 2024 U.S. Pharmacy Study found.                       It’s clear that mail order is

Two-thirds of Americans have a lot of confidence in small business in the U.S. In second place, 61% of people in the U.S. have confidence in the military, followed by 51% with the police. The Gallup Poll on Americans’ confidence in 17 U.S. institutions is out today, reflecting a snapshot of U.S. adults’ views on the organizations that touch their daily lives. And health care doesn’t fare too well in this latest read.                 Only 36% of Americans have confidence in the U.S. medical system, tied with peoples’ feelings of lack of confidence

“’A reform,’ wrote a 19th-century British parliamentarian, ‘is a correction of abuses. A revolution is a transfer of power. As we celebrate the American Revolution, catalyzed by men who broke ranks with their peers to overthrow a power structure that seemed immutable, let’s also celebrate those physicians who broke with their peers and declared independence for American patients.”                  So begins an informative, timely essay on participatory medicine and patient engagement researched and beautifully written by Michael Millenson, whom I am blessed to call both dear friend and professional colleague. Michael’s essay on the

Patients’ experience with health care in the U.S. dropped to its lowest point over the past year, explained in the 15th release of The Beryl Institute – Ipsos PX Pulse survey.         The study into U.S. adult consumers’ perspectives defined “patient experience” (PX) as, “The sum of all interactions, shaped by an organization’s culture, that influence patient perceptions across the continuum of care.” The survey was fielded by Ipsos among 1,018 U.S. adults in March 2024.         Health care providers (and other industry stakeholders that go B2B or B2B2C (or P) are all thinking

Most Americans follow some kind of eating regime, seeking energy, more protein, and healthy aging, according to the annual 2024 Food & Health Survey published this week by the International Food Information Council (IFIC). But a person’s household finances play a direct role in their ability to balance healthful food purchases and healthy eating, IFIC learned.              In this 19th annual fielding of this research, IFIC explored 3,000 U.S. consumers’ perspectives on diet and nutrition, trusted sources for food information, and new insights into peoples’ views on the GLP-1 weight-loss drugs and the growing sense

You would assume that most people over 50 would be worried about the financial future of Medicare to cover health care as those middle-aged Americans age. But a surprising two-thirds of young Americans between 18 and 29, and 7 in 10 between 30 and 39 years of age, are concerned that Medicare’s solvency will worsen leading to their not being able to receive Medicare when eligible to receive it, discovered in the 2024 Healthcare in America Report from West Health and Gallup. This year’s research focused on aging in America, exploring areas of U.S. health care system successes as well

If people’s feelings about AI were a Wall Street market, we’d find both bulls and bears, simultaneously, viewing AI’s role in health care. We can see this from many consumer surveys published in the past year about the growing role and adoption of AI in health care, and some wariness found in a new study from Deloitte on Building and maintaining health care consumers’ trust in generative AI.                 Here’s the top-line from the Deloitte team, with particular growth in the question of trusting the information forming the AI for health or wellness related

Welcome to post #2 of 3, publishing the results of three dialogue sessions between Richard Kaufmann, CISO of Amedisys, and me. The timing of our conversations, tracking both Richard’s and the company’s evolving approach to cybersecurity in health care, has coincided with the Change Healthcare breach and ransom that emerged in February 2024. This second blog of the three is being edited just days after Andrew Witty’s testimony to the U.S. Senate Finance Committee which convened a hearing on May 1st themed, “Hacking America’s Health Care: Assessing the Change Healthcare Cyber Attack and What’s Next.” UnitedHealth Group acquired Change Healthcare

Three trends underpin health consumers’ evolving demands for service: spending more but getting less satisfaction and innovation; trusting health care with data but underwhelmed by the use of that personal information; and, growing “shopping” behavior seeking quality, availability, proximity, cost, and options across channels for health care. That’s the current read from McKinsey & Company’s team noting that Consumers rule: Driving healthcare growth with a consumer-led strategy.                 In this health consumer update, McKinsey spoke with three consumer marketing experts from other industries to learn best practices on how best to “be there”

In the past few years, what event or innovation has had the metaphorical impact of hitting you upside the head and disrupted your best-laid plans in health care? A few such forces for me have been the COVID-19 pandemic, the emergence of Chat-GPT, and Russia’s invasion of Ukraine. That’s just three, and to be sure, there are several others that have compelled me to shift my mind-set about what I thought I knew-I-knew for my work with organizations spanning the health care ecosystem. I’m a long-time practitioner of scenario planning, thanks to the early education at the side of Ian

“First, do no harm” is a key M.O. in health care. The phrase “patient safety” summons up a list of common sources such as medication errors, surgical errors, health care-associated infections, diagnostic errors, among other adverse events and harms people experience in the course of receiving health care. While safety outcomes and health care organizations’ “safety cultures” are improving, there is evidence in the U.S. that people — both patients and the health care workforce — feel less safe, discussed in Safety in Healthcare 2024 from Press Ganey. “Safety is the foundation of healthcare. It anchors all experiences — for patients

Three major milestones marked March 2024 which compel us to note the growing role of patients-as-consumers — especially for self-prescribing medicines and medical devices. This wave of self-prescribed healthcare is characterized by three innovations: the Opill, GLP-1 receptor agonists, and Dexcom’s Continuous Glucose Monitoring (CGM) system that’s now available without a prescription. Together, these products reflect a shift in health care empowerment toward patients as consumers with greater autonomy over their health care when the products and services are accessible, affordable, and designed with the end-user central to the value proposition and care flows. Let’s take a look at each

“Clinical transformation with AI is easier without patients.” When Dr. Grace Cordovano heard this statement on a panel of physicians convening to share perspectives on the future of AI in health care held in early March 2024, the board-certified patient advocate felt, in her words, “insulted on behalf of the patient communities I know that are working tirelessly to advance AI that works for them.” “The healthcare ecosystem and policy landscape must formally recognize patients as end-users and co-creators of AI,” Cordovano wrote to me in an e-mail exchange. “Patients, their care partners, caregivers, and advocates are already utilizing AI

There’s a gender-health gap that hits women particularly hard when she is of working age — negatively impacting her own physical and financial health, along with that of the community and nation in which she lives.               March being Women’s History Month, we’ve got a treasure-trove of reports to review — including several focusing on health. I’ll dive into two for this post, to focus in on the women’s health gap that’s especially wide during her working years. The reports cover research from the McKinsey Health Institute collaborating with the World Economic Forum on

Let’s put “health” back into the U.S. health care system. That’s the mantra coming out of this week’s annual Capitol Conference convened by the National Association of Benefits and Insurance Professionals (NABIP). (FYI you might know of NABIP by its former acronym, NAHU, the National Association of Health Underwriters).         NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting. While the digital health stakeholder community is convening this week at VIVE in Los Angeles to share innovations in health tech, NABIP

For health care, AI can benefit diagnosis and clinical care, address paperwork and bureaucratic duplication and waste, accelerate scientific research, and personalize health care direct-to-patients and -caregivers. On the downside, risks of AI in health care can involve incomplete or false diagnoses, inaccuracies and errors in cleaning up paperwork, exacerbate differential access to scientific knowledge, and exacerbate health disparities, explained in the World Health Organization’s (WHO) report, Ethics and governance of artificial intelligence for health.             WHO has released guidance on the use of large multi-modal models (LMMs) in health care which detail 40+ recommendations for

If it’s January, it’s Davos-time — that is the annual meeting of the World Economic Forum convening global experts and passionistas focused on big ideas and challenges facing us mere humans living on Planet Earth. Parallel with the WEF is the annual publication of the 2024 Edelman Trust Barometer, now in its 24th year, focusing on global citizens’ concerns that unite people around the world. For the 2024 study, Edelman’s team fielded the survey in November 2023, collecting input from over 32,000 people living in 28 countries. About 1,150 interviews (plus or minus) were done in each nation which included

At the end of each year since I launched the Health Populi blog, I have put my best forecasting hat on to focus on the next year in health and health care. For this round, I’m firmly focused on the key noun in health care, which is the patient – as consumer, as Chief Health Officer of the family, as caregiver, as health citizen. As my brain does when mashing up dozens of data points for a “trendcast” such as this, I’ll start with big picture/macro on the economy to the microeconomics of health care in the family and household,

“Businesses which have witnessed a rise in brand value…have all transcended their established category norms and play a more significant and meaningful role in society and consumers’ lives,” we learn in the Interbrand Best Global Brands 2023 report, subtitled, “How Iconic Brands Lead Across Arenas. Most brands stagnated or lost ground in terms of brand value in 2023, with average growth rate of 5.7% compared to 16% in 2022. But those who rose fast bucked the stagnation trend, and included the fastest risers Airbnb (growing brand value by 21,8%) and Microsoft (increasing in brand value by 14%, the highest growth rate

While there are barriers preventing health systems and care providers from adopting consumer-focused measures for patient experience, those who have deployed these metrics can provide solid role models for advancing consumer-centered care.             Welcome to Kaufman Hall’s eighth  annual study culminating in the 2023 State of the Healthcare Consumer Report. This year, the report’s subtitle “Measuring What Matters” speaks to the importance of achieving an ROI on consumer-facing investments while facing real, pragmatic headwinds such as cost and margin management and staffing pressures, among other forces that can stifle investments in new-new things.    

In the company’s 17th annual look into consumers’ “life trends,” Accenture finds that, top-line, “The harmony between people, tech and business is showing tensions, and society is in flux.” And these consumer-facing trends will also shape peoples’ attitudes about their health care, how they access and pay for it, and what kinds of services and support health consumers will expect in this era of “deconstruction.”           Taken together, the trends noted in Accenture’s 2024 report on Life Trends finds that one-half of consumers, globally, are changing their life goals, making their jobs and retirement stability more important than

“Do personal health trackers belong in the doctor’s office?” Software Advice wondered. “Yes,” the company’s latest consumer survey found, details of which are discussed in a report published on their website. Unique to this study is the patient sample polled: Software Advice surveyed 876 patients in September 2023 to gauge their perspectives on wearable tech and health. Note that the patient sample was limited to consumers who had seen a health care provider in the past two years and who also owned and used a personal wearable health device such as an Apple Watch or Fitbit. Thus, the responses shared

“We definitely do see a slight change compared to the total population, we do see a slight pullback in overall basket,” the CEO of Walmart US is quoted in Bloomberg. “Just less units, slightly less calories.”                   With patients’ use  GLP-1 drugs such as Ozempic, Wegovy, and Mounjaro fast-rising in the pharmacy market, so are the concerns of companies that stock the-middle-of-the-grocery-store aisles for processed foods like sweet and salty snacks. As the prospects for the drug companies who manufacture prescription drugs made for patients managing diabetes and obesity are on the

Three in four nurses working in hospitals care about the success of their institution — “they show up and gown up…yet only 57% feel a sense of ownership in their hospitals, leaving leaders to expect 100% quality to be delivered by about half of the nursing workforce.” This is the key finding in a study from PRC on the implications of nurses’ dis-engagement from their work. That context puts this year’s NurseHack4Health event all the more essential and impactful.             This year’s virtual hackathon was sponsored by Johnson & Johnson, SONSIEL, Microsoft, and the ALL

Most U.S. consumers will continue to spend their disposable incomes on connected consumer devices, but will be looking for more balance in their digital lives according to Deloitte’s fourth annual 2023 Connected Consumer Survey.                 In this year’s update, the Deloitte Center for Technology, Media & Telecommunications found that most households use five key digital devices daily: above all, smartphones, followed by laptop and desktop computers, tablets, and computer monitors. Most consumers who own smartwatches and health and fitness trackers also use those devices every day, as shown in the household penetration/usage chart

“I’m in Berlin, and we don’t like walls,” Bart De Witte responded in a concluding Q&A session yesterday at the 2nd Symposium on the Future of Health Systems, convened by the World Health Organization (WHO) in Porto on 5th September.               Over two days, this meeting convened stakeholders focused on WHO’s European Region to support the Organization’s digital health action plan for 2023-2030 – which fosters cross-nation health planning covering the EU space. AI’s promise in health care to automate and streamline administration, and augment diagnosis and treatment, comes with accompanying risks that can

Due to their delayed return to medical services and diagnostic testing in the COVID-19 pandemic era, U.S. employees are expected to sustain serious health impacts that will drive employers’ health care costs, envisioned in the 2024 Large Employer Health Care Strategy Survey from the Business Group on Health (BGH).               Dealing with mental health issues is the top health and well-being impact workers in large companies are addressing in 2023. Looking forward, large employers foresee their workers will be seeking care for chronic conditions and later-stage cancers that are diagnosed due to delayed screenings.

“Generative AI already has the power to alleviate some of providers’ biggest woes, which include rising costs and high inflation, clinician shortages, and physician burnout,” Bain & Company observe in Beyond Hype: Getting the Most Out of Generative AI in Healthcare Today. By the end of this paper, the Bain team expects that those health care leaders who are investing in generative AI today (to start small, to win big in the report’s words) will learn key lessons that will put them “on a path to eventually revolutionize their businesses.” Bain & Company surveyed U.S. health system leaders to gauge their

Nearly all patients are concerned about their medical records getting leaked or breached, which is The State of Patient Privacy, the title of a consumer study from Health Gorilla with a headline finding that “Patients don’t trust Big Tech with their health data.”             With trust the “backbone” of health information exchange, Health Gorilla calls out, we have to face a big challenge here as health care enters its own sort of industrial revolution embedded AI and data analytics across the health/care ecosystem. How to re-build trust with the very technology that can help health care,

“Digital technologies offer tremendous potential for shifting from traditional medical routines to remote medicine,” with the role of wearables playing a growing role in the new home care for healthy aging. But what are the challenges of deploying this promising tech with older people keen to be independent at home? We learn a lot about prospects and challenges in Digital health for aging populations, a Perspective report in Nature Medicine‘s July 2023 issue.                   An experienced team affiliated with the University of California San Diego shares their insights in this essay, which

We often talk about “the last mile” as the difficulty in getting broadband to cover folks in rural areas or bringing a product to fruition for delivery in a market.               Uber Health is trying to solve another riff on the “last mile” challenge, which is expanding delivery of groceries and over-the-counter medicines to people who may be cut-off from transportation options, compelled to stay home due to physical limitations, or otherwise simply demanding the convenience of home delivery for basic daily needs related to their health. The service will be enabled through Uber

It’s time for the annual ASCO conference, currently convening the American Society for Clinical Oncology in Chicago. Starting 2nd June, there have been dozens of positive announcements updating research and therapies bringing hope to the 2 million new patients who will be diagnosed with cancer in the U.S. in 2023, and millions of more people worldwide. Just in time for #ASCO2023, the IQVIA Institute published their annual report on Global Oncology Trends 2023 – Outlook to 2027, an update featuring pipelines, therapy approvals, research updates, costs of oncology products, and patients.                  

The ten most trusted brands in the U.S. have to do with health, well-being, and hygiene in everyday life — from convenient package delivery to financial health, mindful self-care, and taking care of our kids’ boo-boos. Welcome to this year’s portfolio of the Most Trusted Brands 2023, a special report from Morning Consult that, annually, paints a picture of what everyday life for everyday people is about.         For the second year in a row, Band-Aid® brand bandages ranked top of all brands assessed among U.S. consumers from data gathered in March-April 2023. Net trust in this study

Not all “retail health” sites are created equal, U.S. consumers seem to be saying in a new study from Wolters Kluwer Health, the company’s second Pharmacy Next: Consumer Care and Cost Trends survey. Specifically, consumers have begun to differentiate between health care delivered at a retail pharmacy versus care offered at a retail store — such as Target or Walmart (both named as sites that offer “health clinics in department stores” in the study press release). While 58% of Americans were likely to visit a local pharmacy as a “first step” when faced with a non-emergency medical situation and 79%

With May being Mental Health Awareness Month, there’s no shortage of press releases promoting a wide range of services and programs emerging from both the public and private sectors. In the wake of the COVID-19 public health crisis, the exposed epidemic-beyond-the-pandemic of mental health has inspired many collaborations between public, private commercial and not-for-profit organizations. These have begun to embed mental health into the larger retail health ecosystem. I’ll point to several examples as signposts for this phenomenon.           Walgreens and Mental Health America – This collaboration expands Walgreens’ work with Mental Health America focusing in

The COVID-19 pandemic re-shaped European Union leaders to reimagine healthcare, public health, and health citizenship in the EU. Welcome to #HealthUnion, the hashtag that the European Commission has adopted with the vision of assuring access to medicines for all people living in the 27-nation EU area — regardless of socioeconomic status.             On 26th April 2023, the EC unveiled the most significant reforms for the region’s pharmaceutical industry in twenty years. It’s really a package or “toolkit” in the words of EC Health and Food Safety Commissioner Stella Kyriakides for addressing several strategic health pillars

People have expanded their definitions of health in 2023, with mental health supplanting physical health for the top-ranked factor in feeling healthy. Welcome to the Edelman Trust Barometer Special Report: Trust and Health, released this week, with striking findings about how the economic, post-pandemic life, pollution and climate change all feed mis-trust among citizens living in 13 countries — and their eroding trust for health care systems.         While these factors vary by country in terms of relative contribution to citizen trust, note that in the U.S., social polarization plays an outsized role in factors that “make us

If your organization serves health consumers, patients, and caregivers, and you’re asking them to spend money on your services or products, then you’ll do well to be clear on your values and sense of purpose. In the latest Ipsos look into the future of “Purpose,” we find that consumers look most to health and pharmacy companies for shared values, compared with other industries people patronize such as food and grocery, technology and banks.                   To understand where Ipsos is coming from on this aspect of ESG, we’ll start with their territory map

As our homes and health care services continue to converge, we can see signposts of direct-to-consumer strategies from the pillbox (where DTC is a mature thing) to clinical care in peoples’ hands (and on their preferred technology platforms). Some examples this week make this point, which taken together demonstrate the portfolio of ways more people – as health consumers and caregivers – can engage in their health, well-being, and clinical care.             Start with Best Buy’s announcement that they will collaborate with the health system Atrium Health to bolster hospital-to-home effectiveness and activation between hospitals

Joke if you must about Big Game cuisine being typically packed with calories and fat and carbs….and as such, not-so-great for health. For me, the ads are the attraction during The Big Game (along with the Philadelphia Eagles). In this year’s ad line-up, health will be featured in high-priced spots as it has for the past few years. Last year, I was intrigued by a female-focused 30-second spot from Hologic, educating viewers on cervical cancer, discussed here in Health Populi.         This year, my eyes are on Bayer Aspirin’s campaign “encouraging sports fans to keep their heart

While the same proportion of Black and White patients say they are looking for a doctor with empathy and compassion, there are relatively large differences between patients based on their race, found in the Everyday Health-Castle Connolly Physician-Consumer study.             The survey was conducted in December 2022 among a group of 1,001 U.S. consumers and 277 Castle Connolly health care professionals. As the first bar chart illustrates “where patients differ, “Black people were nearly twice as likely as white people (41 percent versus 22 percent) to completely agree that they would be more comfortable and

In the annual 2023 Gallup poll on honesty and ethics in professions in the U.S., the good news for the human capital of health care is that nurses, physicians and pharmacists continue to lead Americans’ ratings across professions in first, second, and third place respectively. The bummer is that that trust equity has eroded in the past year — especially among health citizens who identify as Republican voters.                   Start with the upside, which is the perennial Gallup finding that health care’s front-line workers are the most-trusted professions in the U.S. And

Doctors in the U.S. believe that the medical mis-information problem is worsening, learned in survey research from Merck Manuals. Doctors and patients, both, have roles to play in addressing medical misinformation online.                   Less than half of consumers, 44%, said that that there is more medical mis-information online than previously. That’s less than half of the percentage of doctors saying so — 98%, virtually all U.S. physicians, citing the problem. There were several disconnects noted in the Merck Manuals study showing starkly different perceptions of health information online between doctors and patients:

“The security of online data is the top consideration for consumers across many forms of online activities including email, search, social media, banking, shopping and dating”….and using health apps. A new poll from Morning Consult, explained on their website, explains that For Consumers, Data Privacy Has a Fluid Definition.               Those privacy nuances and concerns vary by activity, shown in the first chart here from the study. For online banking, the most important consideration among most consumers (55%) is the privacy and security of their online data. Privacy and security of personal data was

Americans’ trust in technology as “plummeted” in the past decade, according to the 2022 Edelman Trust Barometer’s focused look on trust and technology. How might this play into U.S. health citizens’ trust in digital health technology?             To answer that, let’s start with the macro-view on trust in tech. Richard Edelman convened a virtual meeting launch for the Trust Barometer’s tech perspectives yesterday, looking broadly at the global study findings. For these trust-tech insights, Edelman surveyed 15,000 citizens between August 31 and September 12, 2022, residing in 12 countries: Australia, Brazil, Canada, China, France, Germany,