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In a patient centered system what do you see as the role of 1:1 patient advocates in supporting better–safer outcomes and reducing health care costs?

What kinds of complementary and holistic care options will become reimbursed under the proposed changes in Oregon coverage?

posted 2 years, 2 months ago
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Let's support the people of Japan in their recovery. Tips for smart giving after disasters as a generic no cost PDF download "Checklist for Effective Disaster Response"

http://bit.ly/aN4BG2

posted 2 years, 2 months ago
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Why do we as humans and systems change?

Until we explore answers to that question, massive programs, expenditures and policy on health care are premature.

I believe that what we're talking about at a core level is two kinds of change:

- Individual change in health promotion behaviors

- System change in accountability, reimbursement, incentives, disincentives, political decision making, equity etc

Research in weight loss and smoking cessation indicates an underwhelming success rate.

- Research in system wide change suggests it is daunting at best.

What's needed, from my perspective, is a disciplined, well funded, ethical inquiry and documentation of which change models work.

 "What works over time?" and How do we define 'works'?

One predominant change theory is that "Until the cost/pain of not changing is perceived as greater than the perceived cost/pain of changing.  . . we are unlikely to change."  That model is interesting but inadequate.

Three of the most thoughtful, well considered and respected thought-action leaders on change are:

- Alfie Kohn, Punished by Rewards - The Trouble with Gold Stars, Incentive Plans, A's, Praised, and other Bribes"

- Robert Cialdini, "Influence the New Psychology of Modern Persuasion"

- Buy-Ology by Martin Lindstrom 

Why not convene an "Oregon Why Change Thought Action Team" to noodle on these questions and create humane, practical and doable models for "sticky change".

Charles Maclean

posted 3 years, 10 months ago
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Given limited research funding, innovations from abroad, US constraints on research and the urgent need for your work, are you considering forging stem cell research partnerships with quality ethical clinical labs in countries like India, Germany and elsewhere?

posted 5 years, 1 month ago
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When you ask people if they value art you get an answer, often yes. If you want to know what they really value, look in their electronic and paper calendars; their check book and credit card statements. How I allocate my time and dollars is often a more accurate mirror of my values in action than what I say on a survey or when asked. When I ask kids at age 5 if they are artists, most say yes and proudly show me their art work. Ask again at age 16 and most say no. When and how did we extinguish the natural artist in each of us . . . and what might that change in belief in self-as-artist have to do with support for the arts as an adult?

posted 5 years, 3 months ago
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