{"id":110,"date":"2015-09-12T08:57:30","date_gmt":"2015-09-12T08:57:30","guid":{"rendered":"http:\/\/idealhealthcare.net\/?p=110"},"modified":"2015-11-28T21:18:33","modified_gmt":"2015-11-28T21:18:33","slug":"principles-of-the-6p-system-in-healthcare","status":"publish","type":"post","link":"http:\/\/idealhealthcare.net\/index.php\/2015\/09\/12\/principles-of-the-6p-system-in-healthcare\/","title":{"rendered":"Principles of the 6P System in Healthcare"},"content":{"rendered":"<div class=\"otw-sc-box border-top-bottom otw-brown-border bordered otw-pattern-4\"><div><br \/>\n<p style=\"text-align: center;\">Abstract<\/p><br \/>\n<p style=\"text-align: justify;\">This post summarizes the six principles of healthcare derived from observations of the animal kingdom. These principles appear to be relevant and, more importantly, touted as important by healthcare systems all over the world and advocated by the World Health Organization as important components of a healthcare system.<\/p><br \/>\n<p style=\"text-align: justify;\">Next, this post uses the six principles to suggest a scoring system that can be used to: (1) measure a given country\u2019s healthcare system\u2019s divergence from achieving an ideal healthcare system, (2) rank countries by how close they are to an ideal healthcare system and (3) guide allocation of healthcare budgets to resources that will help most in achieving an ideal healthcare system.<\/p><br \/>\n<p style=\"text-align: justify;\">The <a href=\"http:\/\/idealhealthcare.net\/?p=633\" target=\"_blank\">next post<\/a> will develop the mathematics for the scoring system.<br \/><br \/>\n<\/div><\/div>\n<h1>What Animals Have Taught Us: Six principles of an ideal healthcare system<\/h1>\n<p style=\"text-align: justify;\">The <a href=\"http:\/\/idealhealthcare.net\/?p=233\" target=\"_blank\">previous post<\/a> describes six striking principles of healthcare used in the world of ani<img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-250 size-medium\" src=\"http:\/\/idealhealthcare.net\/wp-content\/uploads\/2015\/09\/Owl-Teaching-172x300.png\" alt=\"Owl Teaching\" width=\"172\" height=\"300\" srcset=\"http:\/\/idealhealthcare.net\/wp-content\/uploads\/2015\/09\/Owl-Teaching-172x300.png 172w, http:\/\/idealhealthcare.net\/wp-content\/uploads\/2015\/09\/Owl-Teaching.png 191w\" sizes=\"auto, (max-width: 172px) 100vw, 172px\" \/>mals in the wild. Recall that animals far outnumber the human population. They have survived over several millennia\u00a0with many living healthy lives. The principles are simple but it remains to be seen if these can have any value in the human world. We do know, however, that each principle is backed by the World Health Organization. In the next few posts, these principles will be described as the basis of an ideal healthcare system. This will be followed by a detailed description of each of the principles.<\/p>\n<p style=\"text-align: justify;\">Let us see where wild animals can lead us humans who are educated and trained in the science and art of medicine.<\/p>\n<p style=\"text-align: justify;\">The 6P scoring\u00a0system is a six-principle based system \u2013 the building blocks of an ideal healthcare system. These principles are now discussed briefly and later are discussed in detailed by considering one principle at a time.<\/p>\n<p style=\"text-align: justify;\">There are two ways to think about improving healthcare systems. One is to look at the status quo and then to ask the question \u2013 what incremental changes will improve on status quo. The second way is to look at an ideal healthcare system and then ask the question \u2013 how can we borrow elements from\u00a0the ideal healthcare system and import them to various degrees to build a new healthcare\u00a0system. The later approach allows us to think outside the limitations of existing systems and forge inroads into bringing us closer to an ideal healthcare system. It is an alternative but a game-changing\u00a0approach.<\/p>\n<div class=\"theParallaxCrestaBlock\"><div class=\"theParallaxCresta fortunato-short-parallax-638\" style=\"background-image: url(http:\/\/idealhealthcare.net\/wp-content\/uploads\/2015\/10\/Prevention.jpg); height:550px;\"><h2><em>The superior doctor prevents sickness;<br \/>\nThe mediocre doctor attends to impending sickness;<br \/>\nThe inferior doctor treats actual sickness.<\/em><\/p>\n<p>- Chinese Proverb<br \/>\n<\/h2><\/div><\/div><script type=\"text\/javascript\">(function($) { $(document).ready(function() { if ( \/Android|webOS|iPhone|iPad|iPod|BlackBerry|IEMobile|Opera Mini\/i.test(navigator.userAgent) ) {} else { $(\".fortunato-short-parallax-638\").scrollparallax(\"50%\", \"0.2\"); } }); })(jQuery);<\/script>\n<p style=\"text-align: justify;\">Let us begin by suggesting a definition of an ideal healthcare system by its adherence to the six principles borrowed from the animal world. Although there may be more tenets to define an ideal healthcare system, and the construct\u00a0remains open to finding more (for example cost efficiency may be an additional principle), there are at least six principles that cannot be ignored in a serious definition of an ideal healthcare system:\u00a0<div class=\"otw-sc-box bordered otw-brown-border bordered shadow-outer rounded-3 otw-pattern-2\" style=\"background-color: #f5feff;\"><div><br \/>\n<ol><br \/>\n<li><span style=\"font-size: 12pt;\"><a href=\"http:\/\/idealhealthcare.net\/index.php\/2015\/09\/11\/lessons-from-the-animal-world\/#P1\" target=\"_blank\">Preventive healthcare<\/a><\/span><\/li><br \/>\n<li><span style=\"font-size: 12pt;\"><a href=\"http:\/\/idealhealthcare.net\/index.php\/2015\/09\/11\/lessons-from-the-animal-world\/#P2\" target=\"_blank\">Excellent state-of-the-art healthcare<\/a><\/span><\/li><br \/>\n<li><span style=\"font-size: 12pt;\"><a href=\"http:\/\/idealhealthcare.net\/index.php\/2015\/09\/11\/lessons-from-the-animal-world\/#P3\" target=\"_blank\">Healthcare of the body, mind and spirit<\/a><\/span><\/li><br \/>\n<li><span style=\"font-size: 12pt;\"><a href=\"http:\/\/idealhealthcare.net\/index.php\/2015\/09\/11\/lessons-from-the-animal-world\/#P3\" target=\"_blank\">Easy and timely accessibility of healthcare<\/a><\/span><\/li><br \/>\n<li><span style=\"font-size: 12pt;\"><a href=\"http:\/\/idealhealthcare.net\/index.php\/2015\/09\/11\/lessons-from-the-animal-world\/#P5\" target=\"_blank\">Compassionate and loving delivery of healthcare<\/a><\/span><\/li><br \/>\n<li><span style=\"font-size: 12pt;\"><a href=\"http:\/\/idealhealthcare.net\/index.php\/2015\/09\/11\/lessons-from-the-animal-world\/#P6\" target=\"_blank\">Healthcare free of cost to every\u00a0patient<\/a><\/span><\/div><\/div><\/li>\n<\/ol>\n<h3><span style=\"color: #800080;\"><strong>The 6P Scoring System<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\">Each one of these principles creates either a measurable, binary or an\u00a0ordinal\u00a0variable and together they contribute to the well-known indices of a country\u2019s health status such as <a href=\"http:\/\/www.who.int\/gho\/child_health\/mortality\/neonatal_infant_text\/en\/\" target=\"_blank\">Infant mortality<\/a> (IM), <a href=\"http:\/\/www.who.int\/healthinfo\/statistics\/indhale\/en\/\" target=\"_blank\">Healthy life expectancy <\/a>(HALE).\u00a0 There are several indices one could use to measure the health status of a country\u2019s population (Parrish RG. Measuring population health outcomes. <a href=\"http:\/\/www.cdc.gov\/pcd\/issues\/2010\/jul\/10_0005.htm\" target=\"_blank\"><em>Prev Chronic Dis<\/em> 2010;7(4):A71<\/a>). For now, let us consider HALE as the goal.<\/p>\n<p style=\"text-align: justify;\">Of these variables, 1 and 2 above can be measured by actual expenditure by the country towards preventive healthcare and capital (human and physical) expenditures respectively. 3 and 5 above are descriptive or subjective and may be obtainable as rankings based on a scale of 0-10 (0 being the worst and 10 the best). Number 4 can be measured using waiting times for patients to get access to healthcare in certain situations regarded as important (such as emergency room waiting times or elective surgery waiting times, or even just physical access to a healthcare provider or facility). Lastly 6 may be measured by the percentage of population that remains uninsured.<\/p>\n<h3 style=\"text-align: justify;\"><strong><span style=\"color: #800080;\">What is next?<\/span><\/strong><\/h3>\n<p style=\"text-align: justify;\">The <a href=\"http:\/\/idealhealthcare.net\/?p=633\" target=\"_blank\">next post<\/a> will describe the mathematical model\u00a0which forms the basis of the 6P scoring system and provides the analysis necessary to compute the 6P score for each country. This will result in:<\/p>\n<ol>\n<li style=\"text-align: justify;\">A 6P score for each country. This score will denote how close a given country is to achieving an ideal healthcare system.<\/li>\n<li style=\"text-align: justify;\">A ranking of countries by how close they are to an ideal healthcare system.<\/li>\n<li style=\"text-align: justify;\">Ascribe relative importance to each of the six attributes in how they can contribute to an improvement in <a href=\"http:\/\/www.who.int\/healthinfo\/statistics\/indhale\/en\/\" target=\"_blank\">HALE<\/a>\u00a0and therefore\u00a0guide\u00a0allocation of healthcare budgets to resources that will help most in achieving an ideal healthcare system.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What Animals Have Taught Us: Six principles of an ideal healthcare system The previous post describes six striking principles of healthcare used in the world of animals in the wild. Recall that animals far outnumber the human population. They have survived over several millennia\u00a0with many living healthy lives. The principles are simple but it remains&hellip;<\/p>\n","protected":false},"author":1,"featured_media":116,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[],"class_list":["post-110","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-principles"],"_links":{"self":[{"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/posts\/110","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/comments?post=110"}],"version-history":[{"count":96,"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/posts\/110\/revisions"}],"predecessor-version":[{"id":971,"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/posts\/110\/revisions\/971"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/media\/116"}],"wp:attachment":[{"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/media?parent=110"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/categories?post=110"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/tags?post=110"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}