Patients First reflects one physician's professional journey, from the traditional and individual patient orientation of medicine, to a broader vision of achieving optimal health outcomes for whole populations at risk. The central thesis of this book is that things can be better. One way to make them better is to translate the same scientific principles that underlie clinical practice decisions to health policy decisions. In that sense, an alternative title of this book might be: Evolution of Clinician to Politician, the Value of Retaining an Evidence Base.
In essence, this is a “how to” book. It explores how a physician's priorities change with time and experience, and how these changes continuously reinforce the notion that things, particularly health outcomes, can be better. It also describes how some relatively simple processes can work within our existing health resources to make those things better.