"Smart medicine is not smart healthcare technology" — Adam Tabriz, MD
Fluidity and Shear Resistance in Healthcare
The Metaphoric vindication of Trends Transforming the Modern Healthcare Logistics
Fluidity is the physically unstable, hence deforming state of a substance under applied shear stress or an external force. In the Runny state, a matter may represent a liquid, gas, or plasma, each accounting for the forms with varying degrees of resistance to any cutoff force being applied.
Today similarly to the healthcare environment and the Physicians, the scope of practice is becoming a fluid phenomenon. In a technical sense, the medical practice framework is merely losing its shear resistance to the dynamic evolution of its elements, which independently contribute to the system's integrity. Healthcare has lost its ability to sustain an everlasting contortion by resisting changes at a given rate in a squandering or frictional manner; hence it must take on the shape of the community-associated. It is meant to serve. Physiognomies described are typically the role of fluidity and inability to support stress in static equilibrium, which metaphorically can be applied to the present-day healthcare crisis. In contrast, rigid objects respond to shear with a vital spring-like force, meaning that deformations are reversible or need particular stress before they deform. Artifacts typically respond with restoring forces to shear stresses and to normal — compressible and tensile, but atypical fluids respond with restoring forces to everyday stresses, called pressure.
Solid vs. fluid state and how it applies to medical practice
Over the past century, the healthcare system has been solidified through an architectural framework built on top of the socioeconomic foundation, called today "the social determinants of health and wellness." The constituents of the latter serve as the economic and social circumstances that influence an individual or group variances in health standing within an outsized community. Some examples of social determining factors can be described as the accessibility of resources to meet essential needs, access to educational, economic, and job opportunities, access to health care services, quality of education and job training, availability of community-based resources in support of municipal living and opportunities for recreational and leisure-time activities, transportation options and public safety.
Traditionally, population health has been an effective medical service delivery strategy by preserving all the basic rudiments of a healthcare rations static by holding every patient to the same standard. However, today, it has changed by the benefit of societal disharmony caused by shifting public perception, strengthening the individual citizen's position via improving education, ease of information access, and communication. The outcome transformed the healthcare environment into a melting pot for evolving personalized healthcare.
Position of the medical practice in the history of healthcare
By tradition, from the time of Hippocrates to the era of modern healthcare, medicine has been the subject of many tribulations architected by the hands of the social, economic, and political landscapes. Medicine was solidified while surviving the great depression as the cookie-cutter system to combat some of humankind's most lethal and debilitating infectious diseases, such as plague, polio, and syphilis. Far along, the 3rd party payers of medical services have emerged under the flagship of economic solutions and affordable healthcare for one and all. Even if under the statutes of public education and desperation, the after-mentioned solutions may have been the perfect choice for the era they preordained to serve. Since then, such drift has given way to a more personal dynamic predicament. Historically, Medical practices have struggled to maintain a central role in healthcare. Now physicians are facing another impending rectification.
Traditional medicine is a solid-state
The central administrative standards were established to keep costs low and preserve efficiency through public health policies under the population health protocols. They retained the target population at a bigger scale with standards subject to the most outstanding shear resistance for the prime role. Since the essential or shear elements of the system, i.e., the patients are becoming polarized by attaining a kinetic perspective. To the equal gage, healthcare is trailing its outline to volatility, thus relying on its discrete players for efficiency, economy, and quality.
Contemporary medicine is fluid.
Empowering every single player of a community, motivating all patients through education, engagement, technology, and supporting physicians and healthcare stakeholders through strategy and technologies will increase the volatility of such commune, which will formulate a flexible healthcare delivery method to sustain.
The dynamics of the fluidity of a given system is a derivative of the prospective invested in its elements. Such rule precludes the preservation of traditionally rigid population ideals without the risk of shear stress, at the extreme, a broken system.
The historical zero inherent resistance stereotype of traditional healthcare influencers representing the passive contribution from citizens within the public had made the concept of the population derive public health practicality.
Evolving pressures of the healthcare market
The elaborate "tacky" medical delivery prospect is facing the cutoff pressures of the prevailing marketplace. Technologies, strategies, and knowledge build coercive power over physicians' practices. That, more than ever, requires healthcare professionals to keep their capacity and flexibility while being able to mold and stream in conformity to the socioeconomic Influencers of their immediate surroundings and the community. That ensures that persistence to support the solid state of operations exposes our healthcare to wear, tear, and, ultimately, a broken system.
The dynamics of healthcare delivery
The system's fluidity varies from community to state, state to state, by shifting trends in technology, legislation, education, and public demands. Every society is the collective depiction of its constituents. By the same virtue Education, Use of Technology, expectations in tandem diverge parallel to the size of a given state. Therefore, it is valid to say:
“Physicians, roles, and scope of practice is becoming a fluid state dependent on local needs, changing technologies and legislative initiatives that vary from state to state, while solutions often offered inadequate” Adam Tabriz, MD
The significant setbacks around healthcare flux are limited aptitude to uphold its shape and integrity at a national and state level. The scope and size of the healthcare system, patient expectations, population footage, legislative mandates, technology, and science have advanced during the last century. With today's socioeconomic dynamics and mindset, making citizens accept a one-size-fits-all medical overhaul is unsustainable and against the liberty of individual choice, commitment, and sovereignty.
The broader the scope of the target population, the more challenging it is to perpetuate the quality assurance, causing intensifying legislative actions and mandates.
Both the traditional (Solid) medicine as well as contemporary (Fluid) healthcare delivery models, encompass a certain degree of exposure (free surface), which requires some level of unrestricted dynamism (fiscal need) to form. In traditional logic, the sum of the free drive to maintain a given part of deliverance exposure is the "apparent administrative drive" of the administrative actions. In contrast to the fluid state of modern medical applications, the same exposure quantity is the "publicity tautness."
The flexible healthcare system must retain its integrity by harnessing its external confrère to reduce its populace into as small of the community as necessary to protect capacity and scope while maintaining public expectations, technology changes, and legislative mandates.
Healthcare is in a melting physical state, as the traditional solutions will be ineffective given the now evolving versatility of the medical culture. The scope of the outmoded population health scheme is enormous to maintain its integrity for a sustainable period.
The fundamental solution requires breaking up the health care into smaller dews of societies where all the stressors are focused around individual medical practices. That is where one can apply tailored strategies, technologies, policies, and hands-on solutions toward eliminating the political and socioeconomic barrier to quality healthcare for all without jeopardizing personal freedom.
