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Evolution of Healthcare in USA: From Passive Care to Active Patient Engagement

Imagine walking into a bustling hospital several decades ago. You’d probably feel like just another face in the crowd, a number on a chart, waiting for your turn to see a busy doctor. There’s no denying that, back then, healthcare was all about treatment. The personal touch, understanding, and overall patient experience took a back seat. But as the years rolled on, a transformation was brewing. Today’s healthcare paints a very different picture, and this article aims to journey through that evolution, showcasing how healthcare in the U.S. has shifted from passive care to a deeply engaging, patient-centric approach.

What was Passive Care?

At its core, passive care was a one-way street. Patients came in, got treated, and left. Little room existed for understanding their experiences, emotions, or concerns. Here’s a closer look:

It was all “Number” mentality. Patients often felt they were just numbers in a system. Personal stories and individual concerns? They often got lost amidst the rush to move on to the next patient.

Very limited channels for feedback. If you had a suggestion or a concern, where would you go? Back in the day, feedback mechanisms were few and far between. This meant patients had little say in shaping their own care experiences.

However, things started to change gradually until the year 1999 brought with it a jolt. The Institute of Medicine unveiled a report that estimated a staggering 44,000 to 98,000 people die annually in hospitals from preventable medical errors. It was more than a statistic; it was a clear sign that the system needed change.

As we entered the 21st century, a wind of change began to blow through the corridors of hospitals and clinics across the U.S. What sparked this shift?

Digital Information Wave

The internet changed the game. Suddenly, patients weren’t solely relying on doctors for medical information.

A 2013 Pew Research study found that 72% of internet users sought health information online. This was a significant shift, one that empowered patients to ask questions and demand better care.

Think about the last time you visited a coffee shop or booked a hotel. Chances are, you experienced personalized service. Other sectors were setting the bar high for customer experience, and healthcare couldn’t stay behind.

With platforms like online forums, reviews, and patient communities, individual stories and experiences started echoing louder than ever before. A poor hospital review could now reach thousands, urging institutions to listen and adapt.

Transitioning to Active Engagement

With the foundation laid, healthcare began its transformative journey:

  • If there’s one thing that streamlined healthcare, it’s technology. Electronic Health Records (EHRs) became pivotal. From being a novelty in 2008, the adoption rate for EHRs in U.S. hospitals jumped to an impressive 96% by 2017. It was clear that healthcare was turning a new leaf, one that was digital and efficient.
  • With the onset of the COVID-19 pandemic, another trend gained momentum – telemedicine. The convenience of consulting a doctor from one’s living room became not just preferred but essential.
  • A report from the CDC highlighted a 154% surge in telehealth visits during March 2020 compared to the previous year. It’s undeniable; that healthcare was evolving rapidly, focusing more on patient comfort and safety.

As we navigate through this narrative, it’s clear that the push for change in healthcare wasn’t just internal. External factors, technological advancements, and the rise of patient voices played a massive role in redefining the healthcare experience in the U.S.

Pillars of Modern Healthcare Engagement

As the healthcare landscape shifted, certain principles started standing out as beacons of modern patient care:

  • Tailored to You: Today, healthcare isn’t just about one-size-fits-all solutions.
  • Genomic Medicine: Imagine treatments crafted based on your unique genetic blueprint. This isn’t sci-fi; it’s happening now. Genomic medicine is revolutionizing how ailments are treated, ensuring that care is personalized and effective.
  • Feedback Loop: Hospitals today aren’t just places of healing; they’re learning institutions.
  • Patient Surveys & Feedback Systems: Clinics and hospitals actively seek out feedback, using it as a tool to continuously evolve and better their services.
  • Wellness Beyond Medicine: The definition of health has expanded. It’s not just about curing ailments but fostering overall well-being.
  • Mental and Emotional Health: More than ever, there’s an emphasis on addressing mental health concerns and emotional well-being alongside physical health. A holistic approach is at the forefront.

In U.S. healthcare, the emphasis on customer experience has grown significantly, underscoring the vital role tech companies play in developing digital tools to enhance this experience.

A survey conducted shows that 72% of patients would like to have access to a patient portal, and 64% would like to use a mobile app to manage their health. 

We have a vivid example of Manipal Hospital’s mHealth app developed by Mantra Labs. It’s a self-service healthcare mobile application that enables users to – book appointments (OPD, Lab tests, home collection), buy health packages, track health improvement reports, and self-check-in to avoid hospital queues.

Looking back, it’s truly remarkable to trace the journey of the U.S. healthcare system. From crowded waiting rooms where patients were mere numbers to a contemporary era where every individual’s health story is heard and valued—it’s a testament to the resilience and adaptability of the sector. As we move forward, with technological advancements on one hand and a commitment to patient-centric care on the other, the future of healthcare in the U.S. is not just bright—it’s luminous.

The progression from past to present-day healthcare showcases the incredible strides made in patient care, all geared towards creating an ecosystem where every patient feels valued, heard, and cared for.

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Platform Engineering: Accelerating Development and Deployment

The software development landscape is evolving rapidly, demanding unprecedented levels of speed, quality, and efficiency. To keep pace, organizations are turning to platform engineering. This innovative approach empowers development teams by providing a self-service platform that automates and streamlines infrastructure provisioning, deployment pipelines, and security. By bridging the gap between development and operations, platform engineering fosters standardization, and collaboration, accelerates time-to-market, and ensures the delivery of secure and high-quality software products. Let’s dive into how platform engineering can revolutionize your software delivery lifecycle.

The Rise of Platform Engineering

The rise of DevOps marked a significant shift in software development, bringing together development and operations teams for faster and more reliable deployments. As the complexity of applications and infrastructure grew, DevOps teams often found themselves overwhelmed with managing both code and infrastructure.

Platform engineering offers a solution by creating a dedicated team focused on building and maintaining a self-service platform for application development. By standardizing tools and processes, it reduces cognitive overload, improves efficiency, and accelerates time-to-market.  

Platform engineers are the architects of the developer experience. They curate a set of tools and best practices, such as Kubernetes, Jenkins, Terraform, and cloud platforms, to create a self-service environment. This empowers developers to innovate while ensuring adherence to security and compliance standards.

Role of DevOps and Cloud Engineers

Platform engineering reshapes the traditional development landscape. While platform teams focus on building and managing self-service infrastructure, application teams handle the development of software. To bridge this gap and optimize workflows, DevOps engineers become essential on both sides.

Platform and cloud engineering are distinct but complementary disciplines. Cloud engineers are the architects of cloud infrastructure, managing services, migrations, and cost optimization. On the other hand, platform engineers build upon this foundation, crafting internal developer platforms that abstract away cloud complexity.

Key Features of Platform Engineering:

Let’s dissect the core features that make platform engineering a game-changer for software development:

Abstraction and User-Friendly Platforms: 

An internal developer platform (IDP) is a one-stop shop for developers. This platform provides a user-friendly interface that abstracts away the complexities of the underlying infrastructure. Developers can focus on their core strength – building great applications – instead of wrestling with arcane tools. 

But it gets better. Platform engineering empowers teams through self-service capabilities.This not only reduces dependency on other teams but also accelerates workflows and boosts overall developer productivity.

Collaboration and Standardization

Close collaboration with application teams helps identify bottlenecks and smooth integration and fosters a trust-based environment where communication flows freely.

Standardization takes center stage here. Equipping teams with a consistent set of tools for automation, deployment, and secret management ensures consistency and security. 

Identifying the Current State

Before building a platform, it’s crucial to understand the existing technology landscape used by product teams. This involves performing a thorough audit of the tools currently in use, analyzing how teams leverage them, and identifying gaps where new solutions are needed. This ensures the platform we build addresses real-world needs effectively.

Security

Platform engineering prioritizes security by implementing mechanisms for managing secrets such as encrypted storage solutions. The platform adheres to industry best practices, including regular security audits, continuous vulnerability monitoring, and enforcing strict access controls. This relentless vigilance ensures all tools and processes are secure and compliant.

The Platform Engineer’s Toolkit For Building Better Software Delivery Pipelines

Platform engineering is all about streamlining and automating critical processes to empower your development teams. But how exactly does it achieve this? Let’s explore the essential tools that platform engineers rely on:

Building Automation Powerhouses:

Infrastructure as Code (IaC):

CI/CD Pipelines:

Tools like Jenkins and GitLab CI/CD are essential for automating testing and deployment processes, ensuring applications are built, tested, and delivered with speed and reliability.

Maintaining Observability:

Monitoring and Alerting:

Prometheus and Grafana is a powerful duo that provides comprehensive monitoring capabilities. Prometheus scrapes applications for valuable metrics, while Grafana transforms this data into easy-to-understand visualizations for troubleshooting and performance analysis.

All-in-one Monitoring Solutions:

Tools like New Relic and Datadog offer a broader feature set, including application performance monitoring (APM), log management, and real-time analytics. These platforms help teams to identify and resolve issues before they impact users proactively.

Site Reliability Tools To Ensure High Availability and Scalability:

Container Orchestration:

Kubernetes orchestrates and manages container deployments, guaranteeing high availability and seamless scaling for your applications.

Log Management and Analysis:

The ELK Stack (Elasticsearch, Logstash, Kibana) is the go-to tool for log aggregation and analysis. It provides valuable insights into system behavior and performance, allowing teams to maintain consistent and reliable operations.

Managing Infrastructure

Secret Management:

HashiCorp Vault protects secretes, centralizes, and manages sensitive data like passwords and API keys, ensuring security and compliance within your infrastructure.

Cloud Resource Management:

Tools like AWS CloudFormation and Azure Resource Manager streamline cloud deployments. They automate the creation and management of cloud resources, keeping your infrastructure scalable, secure, and easy to manage. These tools collectively ensure that platform engineering can handle automation scripts, monitor applications, maintain site reliability, and manage infrastructure smoothly.

The Future is AI-Powered:

The platform engineering landscape is constantly evolving, and AI is rapidly transforming how we build and manage software delivery pipelines. The tools like Terraform, Kubecost, Jenkins X, and New Relic AI facilitate AI capabilities like:

  • Enhance security
  • Predict infrastructure requirements
  • Optimize resource security 
  • Predictive maintenance
  • Optimize monitoring process and cost

Conclusion

Platform engineering is becoming the cornerstone of modern software development. Gartner estimates that by 2026, 80% of development companies will have internal platform services and teams to improve development efficiency. This surge underscores the critical role platform engineering plays in accelerating software delivery and gaining a competitive edge.

With a strong foundation in platform engineering, organizations can achieve greater agility, scalability, and efficiency in the ever-changing software landscape. Are you ready to embark on your platform engineering journey?

Building a robust platform requires careful planning, collaboration, and a deep understanding of your team’s needs. At Mantra Labs, we can help you accelerate your software delivery. Connect with us to know more. 

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