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Dr. Mitesh Patel on Nudging, Tech, and Health Care

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Mar 12, 2021

Background

Health care is filled with choices. For providers, this can be choosing the right prescription, deciding whether to (de)escalate treatment, offering the influenza vaccination, or referring a patient to a specialist. For patients, it is reflected in the decisions underlying their willingness to accept and adhere to the doctor’s orders.

High-quality health care depends heavily on high-quality decision-making. But far too often, this isn’t the reality of medical practice. How choices are framed in the context of healthcare delivery has received very little attention until very recently. This is why I wanted to sit down and talk with Mitesh Patel, MD, MBA.

Dr. Patel is the Director of the Penn Medicine Nudge Unit, the world’s first behavioral design team embedded within a health system. He is also the Associate Director at the Center for Health Incentives and Behavioral Economics, on faculty at the Penn Medicine Center for Health Care Innovation and the Center for Health Incentives and Behavioral Economics, a Staff Physician at the Crescenz VA Medical Center in Philadelphia, and a Senior Fellow at the Leonard Davis Institute of Health Economics.

His research combines behavioral science with scalable technology platforms such as electronic health records and wearable devices to improve health and health care. He has led more than 25 clinical trials in partnership with health systems, insurers, employers, and community organizations, that testing interventions such as nudges, incentives, and gamification to change clinician and patient behavior. This work includes digital health interventions that use wearable devices and smartphones, and health system interventions using the electronic health record.

As an aspiring physician interested in the leveraging behavioral science to design and test approaches to steer medical decision-making toward higher value and improved patient outcomes, I was thrilled to interview Dr. Patel.

About the Author

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Sanketh Andhavarapu

Staff Writer

Sanketh is an undergraduate student at the University of Maryland: College Park studying Health Decision Sciences (individual studies degree) and Biology. He is the co-Founder and co-CEO of Vitalize, a digital wellness platform for healthcare workers, and has published research on topics related to clinical decision-making, neurology, and emergency medicine and critical care. He is also currently leading business development for a new AI innovation at PediaMetrix, a pediatric health startup, and previously founded STEPS, an education nonprofit. Sanketh is interested in the applications of behavioral and decision sciences to improve medical decision-making, and how digital health and health policy serve as a scalable channel to do so.

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