Keeping the disempowered-unempowered
Houston we have a problem
I think that I am about to ruffle a few feathers! What if it is not in the financial interests of our businesses or the healthcare industry to empower our patients? Is this at the very core of why things are so slow to change? Is this why there is so much rhetoric around and very little action? Is this why allied health that postulates empowering patients does not always or even often practice what it preaches? Is it because we are part of a broader culture where this is also not supported, and it is difficult for us? Complex?!
Let’s unpack the financial disincentives. Firstly let me state that I understand the pressures in running a small allied health business (and never have known it more so than in Covid-times). I have two leases, upwards of 8 staff and all of the associated responsibilities and costs associated with being compliant with practice. To cover these costs, we need patients. I get it!
It is much easier if they are repeat patients. It reduces the requirement in an increasingly competitive and cluttered marketplace to find new ones. Why would you not foster dependence as a “fixer” to keep patients? Many well-known business models in health perpetuate myths to keep patients coming back. The shining example is that weekly or monthly “adjustment” to ensure that your spine is in “alignment”. Yep, still happens- no evidence, just poor unsuspecting patients with their hip pockets being taken for a ride.
Due to our business models, our professions either consciously or subconsciously continue to perpetuate dependency-it makes sense! Our egos are stroked, getting in the way of ethical care. We let go of knowledge slowly, holding it tight and dripping it through one dollar at a time.
How can we do more than just pay lip service to the empowerment revolution if we continue to be part of the problem?
I contend to be leaders and build respect in our areas of practice, we need not just talk the talk but walk the walk. We need to come together, be strong and hold each other accountable. Our practices will flourish with patients seeking our knowledge, support and care. Our profession, patients and the wider community will be better for it. For those of you who are already really onboard (and there are many)-thank you!
Is there a risk of not being part of the change? I really think so!
Let’s create a vision for what that looks like!
Great post Dianna! I wholeheartedly agree. Our job is to keep people out of health care but the business models work to keep people in it.
I remember as a new grad massage therapist, people would ask me when they should come back which I never knew how to answer because recovery time isn't something I learnt. I found myself modelling off the person I subcontracted to. Fast foward 15 years in the industry, I operate on a.. it's your money and your time, you come back when you want to/ feel you need to. My books aren't any less busy as a result and I sleep soundly knowing that I am empowering my patients in their healthcare journey rather than having them form a dependence on me.
Terrific honesty Dianna, but a lot of people aren't committed to fixing themselves and will always pay someone else to do it for them.