In our world of technology, it is quite possible that a patient can go from start to finish with limited or no human contact with a real health care provider. A patient can make an appointment with a doctor online using a patient portal. They can complete a patient questionnaire on a tablet. They can check-in online. They can then see a doctor via Skype or possibly in person for 10 minutes. Today’s doctor commonly e-scribe a prescription to the pharmacy. A pharmacist receives the script via computer and fills it. A patient will receive a text alert that their medication is ready for pick up. Then we are back to where we started- the patient declining patient counseling and simply swiping their credit card to pay.
The patient is on their way in 15 minutes, but where was the conversation? Where was the customer relations? We now believe customer service means super quick, hassle-free service, but customer service used to mean service with a personal touch. It is no wonder that patients are less adherent. Patients likely feel anonymous and less accountable when they don’t have to face someone or answer to a human being. It’s much easier to say no to a computer. When you engage someone in a meaningful conversation about their health and look someone in the eye and they make a promise to you to take their medications as directed, they feel more accountable. I believe they will feel more responsible to keep that promise to you and will likely to increase medicien adherence. What do you think?