Andrew Rix is an independent research and evaluation consultant, and Honorary Researcher at Swansea University School of Medicine.
At the end of the recent Rethinking Medicine webinar, I felt uneasy. At one level the ‘movement’ is repositioning medicine in the broader context of the socioeconomic determinants of health and wellbeing, but in practice what is happening on the ground is the development of a whole range of changes to service delivery, concerning both the ‘what’ and the ‘how’.
New ways of thinking are leading to new ways of working, changed relationships and, most importantly, a reappraisal of the position of evidence-based medicine and the role of the patient.
We heard of a ‘narrative’ to plot progress, but it seemed to be mainly a retrospective account of initiatives that been tried and have attracted support.