Flipped healthcare for better or worse

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.

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“…9 This shift in healthcare delivery is also consistent with recent moves towards self-management and patient activation within healthcare, whereby accountability for care has changed. [10][11][12] Patients are becoming more involved in self-management, for example, learning how to detect and manage their symptoms, and treatments, and escalation of care associated with their condition, 7,[13][14][15][16][17] and healthcare tasks (e.g., managing medication, organizing care appointments, taking measurements). 18 While some patients may welcome this, 19 there have been concerns that self-management places a burden on patients and families, rather than facilitating shared care.…”