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  Friday, May 17, 2002


I am beginning to like this. The reason is that for a babble brain like myself it is an outlet in an otherwise intellectually isolated environment. I can see that the exchanges/interactions could become very rewarding in a purely selfish way. But, whatever rings your bell could result in music.
11:40:12 AM    


  Saturday, May 11, 2002


Activated patientness is not a trait but a state. The state is created by the care team (in whatever form) providing patient-centered care. The only importance of patient traits is that they (e,g, locus of control, self-esteem, soci-economic status, location in the social structure) specify the probability of x level/type of patient-centered care activity resulting in y level of activation. The biggest barrier (if the focus groups done 2 years ago tell us anything) is not the patient, but the provider. Building patient-centered care (CCM's productive interactions) is identical to building team development (it is team development.....patient as full partner in the care team). The absolutely essential foundation of patient-centered care is the creation of team cohesiveness (see team measure) and this will require that providers redefine their role, the patient's role and the nature of the patient-provider relationship. My hypothesis is that few will be willing to go there and we may easily revert to blaming it on those noncompliant patients...an animal that does not exist.
9:17:07 AM    

Just thinking. Radio may have too many features for the needed PP functionality. If communication is the key may want to think about the Yahoo (do not name). It is an email, but not sure I see anything special about web site at this point. Perhaps later I will. Still anything that can be communication via a web site can be communicated via yahoo.

Will need to have a clean setup. I am now forced to use 1024 x 698 res for all web access and the size is very hard to see. Not sure this kind of thing will be welcomed by many.


9:06:56 AM    



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