All you need is love .. and time and medicine

All you need is love.” Lennon/McCartney 1967

What do people want aside from food, money and shelter? Good health. Human connection. And being loved is part of that.

In the context of health care, patients rank relationships with their doctors as the top characteristic of quality of care.

Three factors most cited as critical to their healthcare experience are having a doctor:

  1. who listens,
  2. who is caring and compassionate, and
  3. who explains things well.

When people are asked about their healthcare experiences, they speak about the quality of the connection and interaction between them and their clinicians.

Yet we do not incentivise the time required to build a strong human connection – the average primary care visit lasts under 10 minutes. Kindness can be forgotten in the blur of work, more patients than you can handle, and  irritating admin tasks using clunky computer systems.

Older adults rank remaining independence and relief from pain and symptoms ahead of living longer. We also do not incentivise continuity in clinical relationships that are required to achieve that.

If the purpose of the healthcare system is to improve the overall well-being of society, part of the NHS’s budget (£180 billion per year) could be redirected to facilitate human connection.

Interaction time with doctors needs to lengthen to improve that doctor/patient connection. And when combined with a reduction in poverty, safe housing, and easy access to healthy food and social care, this will benefit us all.