At a 2016 meeting on a research study designed to explore the effect of coproduction1—the cocreation of health care by professionals and patients—on outcomes in long-term disease, a mentor asked about my progress on the project in the preceding few weeks. I explained that being on our busy cardiology consult service had left me little time to accomplish much. Looking at me from under bushy brows, he asked if I had seen any patients with heart failure that I might have viewed through the lens of coproduction. Abashed at my failure to do that, I reflected on my time on the service and discovered several patients with heart failure sitting at the front of my mind, waiting to be seen through that lens.
Carlson MD. Reflections on Admissions for Heart—and Social System—Failure. JAMA Cardiol. Published online May 24, 2017. doi:10.1001/jamacardio.2017.1492