Who Are the Real Healthcare Leaders?

— Suneel Dhand, MD, calls on clinicians to take control of healthcare

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The world of healthcare continues to change at a breathtaking pace. For reasons too long to go into during a short article, there's been a huge shift of power away from individual doctors and patients, and towards administrators and big corporations. Healthcare in its most raw primary form used to be about Dr. Johnson's small office around the corner, which would serve you and your whole family well. These days, it's more about mergers, mega-specialty groups, and big corporations.

In my opinion, and from talking to thousands of patients and families over the years, this may have been beneficial to some people, but has questionable benefits to those who matter the most: our patients -- who crave personal relationships and human connection at a local level.

And along with this sea change, we've also witnessed the rise of a new breed of healthcare leader. You see, there was a time, not so long ago, when only a doctor (or nurse, or any other frontline professional) could possibly have been thought of in these terms. But now, the new healthcare leader looks more like this: a well-suited man, often well under 50 years of age, and looking rather slick. They will be introduced at events and conferences as "great and visionary healthcare leaders."

The only problem is this: Most of them have never seen, interacted with, or treated a real patient before. Most of them have little perspective of the frontline. Most of them have no clinical training whatsoever (only a business degree, that helps them manage the bottom line). Yet, that's enough to potentially have hundreds or thousands of highly qualified doctors under their command.

I must say I chuckle a bit to myself whenever I hear anybody non-clinical described as a healthcare leader. However nice or well-intentioned they may be (and I know many of them personally, and think lots of them are perfectly decent people), there's just something not quite right about this. Business or corporate leader perhaps, but not a healthcare leader.

Likewise, I meet so many medical students nowadays who are anxious to get into well-paying corporate healthcare jobs but want to do this as far away as possible from the frontlines. Again, not right, and an ominous sign of where things may be heading.

Because if healthcare is to truly improve, thrive, and be well-placed for the next several decades, only clinicians should be the real healthcare leaders.

Suneel Dhand is an internal medicine physician and author of three books, including Thomas Jefferson: Lessons from a Secret Buddha. He is the founder and director, HealthITImprove, and blogs at his self-titled site, Suneel Dhand. This post appeared on KevinMD.com.