I think we are here. It’s not a place we’ve necessarily we’ve been to before, it’s a place we’ve arrived at and it’s only a station on the way to another place.

This other place is where more and more patients use metrics of one sort or another to choose the kind of health care they want. I don’t see it being something that we can stop, so it’s probably better that we embrace and guide it.

I think how clinicians currently work certainly makes it hard for them to embrace these changes. I think this radical change in how doctors are ‘rated’ will also necessarily a change in how doctors work. It’s only when those mechanisms of change are enabled will clinicians really be able to embrace the inevitable new world developing around them.

I also agree that a number of services that currently exist tend to be biased towards the vocal few. I believe this will change as we all get more and more used to rating everything in our lives. I realise rating films is different to rating a practice, but I am not sure that the patient/consumer sees it that way.

Thanks for sharing your thoughts; I appreciate it.

Pritpal