Author Archives: Stephen Bolles

Identity, Authority, Scope, & Role: What Do Consumers Want?

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Health Care Consumers & “Patient Engagement 2.0”

‘Patient engagement’ has been used as a general term to describe what patients do for their own health. What’s required for engagement? Motivation, either imposed on us (precipitating events like heart attacks can get people’s attention and motivate them to refine lifestyle habits–but … Continue reading

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Requiem for an Integrative Dream

The idea of ‘integrative health care’ has captivated people for several decades, and many examples have come and gone. Some medical delivery systems have incorporated some providers into care delivery; most have not. Some business models have survived; many have … Continue reading

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Professional Culture: Value or Not?

As anyone who has spent time looking at different types of providers and integrating them into a common system knows, each health care profession has its own culture. The word “culture” stems from the Latin culturare, ‘to tend, cultivate.’ It is … Continue reading

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“No man is an island…”

In 1624, the poet John Donne wrote the following meditation: No man is an island, Entire of itself, Every man is a piece of the continent, A part of the main. If a clod be washed away by the sea, … Continue reading

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Evolving Professions, Expanding Scope, Ongoing Battles

There isn’t a health care profession that has been exempt from fighting political Western medicine. The unchallenged cultural authority established by allopathic medicine and its professional social ‘norms’ has permitted medical schools to demand compliance from students and practitioners.  Rites of passage for … Continue reading

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The Uncertain Future of Provider Education

One of the more significant problems for doctors of chiropractic coming into the health care marketplace is that it’s increasingly clear our education isn’t just too expensive, but it’s not effectively matched to what we need to be successful.  It’s not … Continue reading

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Vectors of Change

Northwestern Health Sciences University held an interesting presentation and discussion on May 12, 2015 titled ‘A Different Path: Career Options and Your Northwestern Degree.’ Various speakers gave short presentations about how they are working with other providers, data, and various industry … Continue reading

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Health Care Data Gets Around

Compared to medical record theft, the theft of chiropractic patient records isn’t much of a problem…yet. But because most chiropractic patients are also medical services patients, doctors of chiropractic may have an ethical responsibility to help their own patient/clients understand … Continue reading

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Where Will You Fit In?

Speaking to a group of chiropractors and support staff recently about the chaotic world of health care reform, I was left wondering how to answer a basic question: where will they fit in? This isn’t an off-hand question, and it’s not about … Continue reading

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