Improving Health Outcomes by Healing Our Communities

By Ted A James, MD, MHCM, FACS
May 31, 2018

The Paradox of U.S. Health Care

We are not as good as we should be. Despite incredible technological advances and high-levels of spending, compared to other countries, the U.S. health care system fails to achieve superior outcomes on many key health indicators including life expectancy, infant mortality, and preventable disease. Although we are capable of delivering some of the most exceptional care in the world, we do not do so reliably or in a well-coordinated manner. According to recent studies from the Commonwealth Fund, the U.S. tends to excel in doctor–patient relationships, wellness counseling, shared decision making, and chronic disease management. However, we operate in a system plagued with major disparities in access to primary care and gross social inequities. Innovations in our approach to health care are required in order to address these challenges and remove the barriers they present to providing reliable and sustainable care for all patients.  Continue reading “Improving Health Outcomes by Healing Our Communities”

What Does Trauma-Informed Care Look Like?

May 11, 2018

[The following post by has been shared with us by Harvard Health Publishing where it originally appeared in April of 2018. In light of increased emphasis on engaging patients in shared decision making, we invite you to add your thoughts about, and experiences with, trauma-informed care in the comment section after reading this post.]

Trauma-informed care: What it is, and why it’s important

by Monique Tello, MD, MPH
Contributing editor, Harvard Health Publishing

Many years ago, when I was a trainee, I helped take care of patients at a family medicine clinic.* One day, a school-aged brother and sister came in for their annual physicals. Continue reading “What Does Trauma-Informed Care Look Like?”