Innovation Digest – September 2020 Vol. 3

Trust has been on my mind a lot, lately. Patients trust the training and decision making of their clinicians. They also trust their employer, insurer or the government to support their access to necessary care – in sickness and in health. Clinicians trust the scientific enterprise to generate evidence that guides (with their training and experience) their treatment decisions with real patients. Employers trust that the brokers and insurers advising them on benefits and tools to balance cost and access are using the best data. One of the trends that the pandemic has highlighted is the breakdown of those trust relationships. This predated the emergence of COVID, but the unprecedented strain on our systems has exacerbated fractures about science, about incentives, and about the veracity of decisions and their long-term impact on people.  I’ve emphasized before my belief that transparency and collaboration is a minimum standard for finding the path forward. Science must be open and shared to promote rapid learning and to remove any stain of unethical or misleading incentive. At the same time, practical data from treating actual patients and from their lived experience must be equally shared and applied to the most important decision problems, including for which groups an intervention is most optimal.  And those in power — whether government leaders or market leaders — need to act according to the same principles, so that the least among us can feel safe and assured that we will get the right care, and the best care, when we need it.

In this issue:

  • Jennifer Bright: “Collaboration has to happen”
  • The key to efficient vaccine distribution: start preparing early
  • Reassuring the Public and Clinical Community About the Scientific Review and Approval of a COVID-19 Vaccine
  • Massive genetic study shows coronavirus mutating and potentially evolving amid rapid U.S. spread
  • City Officials Must Act Now To Prevent A Devastating Mental Health Crisis
  • A New “PPE” For A Thriving Community: Public Health, Primary Care, Health Equity
  • To Design Equitable Value-Based Payment Systems, We Must Adjust For Social Risk
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