"What is needed is a completely new paradigm of health, one that places a much stronger emphasis on prevention and wellness over intervention. We can refer to this new paradigm as "home-centered health care"—built on a system in which health management begins at home, connects to physicians and care teams, and circles back to home.
The good news is that many of the pieces we need to accomplish the social transformation to this new paradigm—from intervention to prevention and wellness—are already in place. A number of megatrends are developing to help the paradigm along, including health consumer empowerment, physician movement toward partnership and team approaches that include clinical care and educational support, expansion of the Internet and technology to the people and their caregivers, expanded understanding of the causes and treatments for the major chronic diseases, and a very public debate about the benefits and risks of the health choices we make."
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