Closed Loop Models of Care
The average doctor/patient interaction is a slow and imperfect feedback loop. The patient sees the doctor whenever the next appointment is available, which may be weeks or months later. When they do meet, the doctor has to rely on incomplete and often poorly recalled information from the patient about how they have been getting on since the last appointment, in order to decide on how best to optimise the treatment regimen.
In the ideal setting the interval between patient and health system dialogue would be faster and capture more real-time information, to ensure that changes to the regimen reflected the patient’s true progress. In essence the feedback loop between patient and doctor needs to be tightened, and to include information on the effectiveness of the prescribed interventions, whether drug-based, behavioural, life style or wellness advice.
The Closed Loop approach fully integrates the prescribed regimen so the information coming back from the different interventions can be personalised to the individual, providing a much faster way of getting an individual to their optimum outcome. In time insights from individuals’ patterns of personalisation can be applied across whole populations to enable new patients to receive precision care from the very begging of their patient journey.