Fluidity and shear Resistance in Medical Practice:

The metaphoric vindication of trends transforming the modern Healthcare

Originally Published by Authentics on Medium

Photo by Kostas Anastassiu from Pexels

Fluidity is the physically unstable, hence deforming state of a substance under applied shear stress or an external force. On the Runny state, a matter may represent a liquid, gas, or plasma, each accounting for the forms with varying degrees of resistance to any cutoff force being applied to them.

Today similarly the healthcare environment and the Physicians, scope of practice is becoming a fluid phenomenon. In a technical sense, the framework of the medical practice is merely losing its shear resistance to the dynamic evolution of its individual elements which independently contribute to the integrity of the system. Healthcare has lost its ability to sustain an everlasting contortion by resisting changes at a given rate in a squandering or frictional manner, hence it must take on the shape of the community associated with meant to serve. Physiognomies described are typically the role of fluidity and inability to support stress in static equilibrium, which metaphorically can be applied to the present-day healthcare crisis. In contrast, rigid objects respond to shear either with a spring-like restorative force, which means that deformations are reversible, or they need certain first stress before they deform. Artifacts typically respond with restoring forces to both shear stresses, and to normal — both compressible and tensile, but atypical fluids respond with restoring forces to normal stresses, called pressure.

Solid vs fluid state and how it applies to Medical Practice Over the past century, the healthcare system has been solidified through an architectural framework built on top of socioeconomic foundation, what is called today “the social determinants of health and wellness”. The constituents of the latter serve as the economic and social circumstances that influence an individual, or group variances in health standing within an outsized community. Some examples of social determining factors can be described as the accessibility of resources to meet essential needs, access to educational, economic, and job opportunities, access to health care services, quality of education and job training, availability of community-based resources in support of municipal living and opportunities for recreational and leisure-time activities, transportation options and public safety.

Traditionally, population health has been an effective medical service delivery strategy by the way of preserving all the basic rudiments of a healthcare rations static by the way of holding every patient to the same standard. However today, it has changed by the benefit of societal disharmony caused by shifting public perception, hence, strengthening the individual citizen’s position via improving education, ease of information access, and communication. The outcome transformed the healthcare environment into a melting pot for evolving personalized healthcare.

Position of the Pedical Practice in the history of Healthcare By tradition, from the time of Hippocrates to the era of modern healthcare the practice of medicine has been the subject of a multitude of tribulations architected by the hands of the social, economic, and political landscapes. Surviving the great depression medicine was solidified as the cookie-cutter system to combat some of the most lethal and debilitating infectious diseases of humankind in history, such as plague, polio, and syphilis. Far along, the 3rd party payers of medical services have emerged under the flagship of economic solutions and affordable healthcare for one and all. Even if under the statutes of public education and desperation, the after-mentioned solutions may have been the perfect choice for the era they preordained to serve, but since then such drift has surely been giving way to a more personal dynamic predicament. Historically, Medical practices have invariably struggled to maintain a central role in healthcare. Now physicians are facing another impending rectification.

Traditional medicine is a solid-state To keep costs low and preserve efficiency, central administrative standards were put in place in the form of public health policies under the population health protocols. The target population was retained at a bigger scale with standards subject to the greatest shear resistance for the prime role. Since the basic or shear elements of the system, i.e. the patients are becoming polarized by attaining kinetic perspective. To the equal gage, healthcare is trailing its outline to volatility, thus relying on its discrete players for efficiency, economy, and quality.

Contemporary Medicine is fluid Empowering every single player of a community, motivating all patients through education, engagement, technology as well as supporting physicians and healthcare stakeholders by way of strategy and technologies will increase the volatility of such commune, which will formulate a flexible healthcare delivery method to sustain.

The dynamics of the fluidity of a given system is a derivative of the prospective investors in its individual elements. Such rule precludes the preservation of traditionally rigid population ideal without the risk of shear stress, at the extreme, a broken system. The historical zero inherent resistance stereotype of traditional healthcare influencers representing the passive contribution from citizens within the public had made the concept of the population derive public health practicality.

Evolving pressures of the Healthcare Market The elaborate “tacky” medical delivery prospect is facing the cut-off pressures of the prevailing marketplace. Technologies, strategies, and knowledge are building up coercive power over physicians' practices. This more than ever requires healthcare professionals to keep their capacity and pliability while being able to mold and stream in conformity to the socioeconomic Influencers of their immediate surroundings, and the community. This ensures us to keep in mind, persistence to support the solid state of operations exposes our healthcare to wear, tear, and ultimately a broken system.

The dynamics of healthcare delivery The fluidity of the system varies from one community to another, state to state, by shifting trends in technology, legislation, education, and public demands. Every society is the collective depiction of its individual constituents. By the same virtue Education, Use of Technology, expectations in tandem diverge parallel to the size of a given state. Therefore, it is valid to say:

“Physicians, roles, and scope of practice is becoming a fluid state dependent on local needs, changing technologies and legislative initiatives that vary from state to state, while solutions often offered inadequate” Adam Tabriz, MD

The major setbacks around healthcare flux are limited aptitude to uphold its shape and integrity at a national and state level. The scope and size of the healthcare system, patient expectations, population footage, legislative mandates, technology, and science have advanced during the course of the last century. With today’s socioeconomic dynamics and mindset making citizens accept one-size-fits-all medical overhaul is not only unsustainable but also is against the liberty of individual choice, commitment, and sovereignty.

The broader the scope of the target population, the harder is to perpetuate the quality assurance, therefore causing exponentially intensifying legislative actions and mandates. Both the traditional (Solid) medicine, as well as contemporary (Fluid) healthcare delivery models encompass a certain degree of exposure (free surface), which requires some level of unrestricted dynamism (fiscal need) to form. In traditional logic, the sum of the free drive to maintain a given part of deliverance exposure is the “apparent administrative drive” of the administrative actions. In contrast to the fluid state of modern medical application, the same exposure quantity is the “publicity tautness”

To preserve flexibility, the healthcare system must retain its integrity by harnessing its external confrère to reduce its populace into as small of the community as necessary to preserve capacity, scope while maintaining public expectations, technology changes, and legislative mandates.

Healthcare is in a melting physical state, as the traditional solutions will be ineffective given the now evolving versatility of the medical culture. The scope of the outmoded population health scheme is excessively large to maintain its integrity for a sustainable period of time.

The fundamental solution requires breaking up the health care into smaller dews of societies where all the stressors are focused around individual medical practices where one can apply tailored strategies, technologies, policies, and hands-on solutions towards eliminating the political and socioeconomic barriers of quality healthcare for all without jeopardizing personal freedom

#Healthcare #Fluidity #Medicine #Reform #Population Health

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