Patient Engagement

Exercise is Prescribed Like Advice When It Should Be Delivered Like Treatment

Health care routinely recommends movement without providing assessment, dosage, progression, and follow-up that turn good advice into usable care.

Why the Future of Healthcare Depends on Reinventing Primary Care Access

What is needed is a fundamentally different operating model for primary care, one designed around continuous engagement rather than episodic encounters.

Loneliness And Diabetes: Harnessing an Opportunity for Better Outcomes

Asking the right questions about community support, caregiving responsibilities, emotional well-being, and the availability of trusted social networks can establish important context for a person’s outcomes — and spark conversations about social needs that might never otherwise take place.

AI Can Flag Cognitive Decline Earlier — Health Systems Still Own What Happens Next

Earlier detection is valuable, but it creates a duty that does not end when an alert appears in the electronic health record. Health systems need to decide, in advance, how a risk signal becomes a clinically accountable pathway.

Perimenopause Anxiety: Sometimes It’s a Progesterone Deficiency

Perimenopausal anxiety isn't simply in our patients' heads. It's often the result of complex physiologic changes involving hormones, sleep, metabolism, and the nervous system.

The Real Gap in All of Us Isn’t Consent, It’s Conversion

Why more than 300,000 missing patient records reveal an engineering problem, not a policy one — and why that's good news.

The Illegal Drug Marketplace in Your Patients’ Pockets

Patients obtaining drugs through social media, medical spas, or telehealth platforms are not the same as patients obtaining drugs through more traditional illicit channels because they often believe what they are receiving is a clinically validated product. This means they may present with unexplained symptoms without realizing their online purchase is even relevant to the conversation

Beyond One-Size-Fits-All: Women, Substance Use, and the Need for Gender-Responsive Care

While SUD affects people across all demographics, a growing body of research and clinical experience makes one point clear: gender meaningfully influences how substance use develops, how it is experienced, and what supports effective treatment.

From OpenNotes to “Doc Can I Record You?” Why Physicians Should Embrace Era of Accountability

Healthcare has a habit of embracing patient empowerment right up until patients become powerful.

The Trials Were Always There — Patients Just Couldn’t Find Them

This structural problem calls for a structural solution, requiring no new science, regulation, or data. 

AI Isn’t a Therapist, but Many Teens Are Treating It Like One

Clinicians have a responsibility to understand the risks posed by AI chatbots and to inform teen patients, their parents and caregivers about them.

What Health Equity Champions Can Learn from Pharmaceutical Sales

The same mechanics can now help people meet new Medicaid work requirements or exemptions, increase referrals to evidence-based health interventions, and dramatically increase enrollment in vital programs that improve health outcomes and reduce inequities.

Healing Through Heritage: Why Culturally Grounded Recovery Matters on Tribal Lands

This shift is not about replacing clinical care with tradition. It is about recognizing that healing in Native communities has always been deeply connected to culture.

Why Psychiatry Can’t Ignore Metabolic Health Anymore

Metabolic psychiatry has moved past being a fringe theory. It is a practical, evidence-based necessity for a field that has been stagnant for too long.

How to Prepare Your Hospital Before H.R. 1 Hits in 2027

A deadline many are not tracking is October 1, 2026. It’s the day federal Medicaid funding ends for refugees, asylees, and humanitarian parolees.