{"id":20121,"date":"2016-11-18T17:51:17","date_gmt":"2016-11-18T22:51:17","guid":{"rendered":"https:\/\/digital.hbs.edu\/platform-rctom\/submission\/zocdoc\/"},"modified":"2016-11-18T17:57:46","modified_gmt":"2016-11-18T22:57:46","slug":"the-zocdoc-will-see-you-now","status":"publish","type":"hck-submission","link":"https:\/\/d3.harvard.edu\/platform-rctom\/submission\/the-zocdoc-will-see-you-now\/","title":{"rendered":"The ZocDoc will see you now\u2026"},"content":{"rendered":"
Medical Malady Surfaces Ingenious Idea Imagine you\u2019re on the tail end of a redeye flight. As the plane descends and the pressure in the cabin shifts accordingly, you hear a sudden \u201cpop\u201d and feel excruciating pain in your ear. You\u2019ve ruptured your eardrum. After a night fraught with pain\u2014waiting for business hours to resume\u2014you call office after office of otolaryngologists hoping for an urgent appointment, desperately scouring websites and poorly-organized directories for phone numbers, only to learn that virtually every otolaryngologist is booked weeks in advance. The pain is unbearable. After many hours, you are relieved when you finally find a provider who can fit you into their schedule. Four days later.<\/em><\/p>\n With millions of previously uninsured Americans now receiving health insurance under the Affordable Care Act, medical practices are experiencing ever-growing demand for their valuable services. Unfortunately for patients everywhere, this demand has put further strain on physicians\u2019 already overbooked schedules, leaving many patients to either delay their care or seek treatment elsewhere (often in overcrowded emergency departments where bills can reach astronomical amounts).[i]<\/a> The patient described above did eventually make it to the doctor, and soon thereafter founded ZocDoc; an online service that helps instantly connect millions of patients with scarce appointment slots in otherwise busy doctors\u2019 schedules.[ii]<\/a><\/p>\n Taking a Lesson from Yelp<\/strong><\/p>\n Finding the right doctor is no easy task; you must find one who is nearby, practices within a certain specialty, accepts your specific health insurance plan, has openings convenient for your schedule, and is known to provide good care. Patients have traditionally relied on referrals from other doctors (usually requiring an additional visit to their office) or word-of-mouth from friends and family, limiting the effective number of choices at a patient\u2019s disposal. In retrospect, the solution seems obvious\u2014people already use services like Yelp.com<\/a> to search for nearby restaurants, read customer reviews, and make reservations\u2014why not provide a similar service to find doctors? Becoming the Middleman <\/strong><\/p>\n ZocDoc allows customers to \u201csee doctors\u2019 open appointment times and book instantly online, make informed choices with verified reviews, and stay on top of important checkups with tailored reminders.[iii]<\/a>\u201d The service is provided free to patients (2 million of whom use the services each month) while doctors pay a flat monthly fee[iv]<\/a> to be listed on the service. The service integrates seamlessly with the doctors\u2019 own scheduling software, displaying openings and bookings in real time. Scheduling is automated, allowing patients to make appointments even after hours, which frees office staff to perform other critical tasks. The service was an instant success, with analysts estimating that the company remains profitable in every market in which it operates.[v]<\/a><\/p>\n Many More Symptoms, Many Potential Cures<\/strong><\/p>\n More than 26% of Americans wait longer than a week for a doctor\u2019s appointment, and the experience in some markets is even more extreme; in Boston, for example, patients wait 66 days on average just for a physical exam.[vi]<\/a> Although ZocDoc makes the process of searching for and booking appointments much easier, the underlying problem of low availability is expected to worsen\u2014by 2025, it is estimated that there will be a 20% deficit in the physician workforce needed to care for our aging population.[vii]<\/a> In light of rising demand, doctors are increasingly overbooking patients (similar to airlines and restaurants) in order to accommodate patients when others cancel last minute,[viii]<\/a> further overcrowding congested waiting rooms. However, these problems open up many opportunities for ZocDoc to further enhance the interface between doctors and patients.<\/p>\n ZocDoc\u2019s success illustrates how impactful mobile technology can be in helping streamline the delivery of healthcare in an otherwise convoluted system. Development of creative digital solutions to reduce these hindrances are vital to sustaining the equitable provision of healthcare for years to come.<\/p>\n <\/p>\n (789 words)<\/em><\/p>\n Sources:<\/em><\/p>\n [i]<\/a> Murray M, Berwick DM. Advanced Access: Reducing Waiting and Delays in Primary Care<\/em>.\u00a0JAMA.<\/em>\u00a02003;289(8):1035-1040. doi:10.1001\/jama.289.8.1035 In Boston, the average patient must wait 66 days to receive a simple physical exam. The growing demand for services in the setting of worsening physician shortages has created great difficulty in scheduling care. One man discovered this the hard way after a sudden injury, but is his solution the start of something even bigger?<\/p>\n","protected":false},"author":2605,"featured_media":20487,"comment_status":"open","ping_status":"closed","template":"","categories":[2618,41,950,2643],"class_list":["post-20121","hck-submission","type-hck-submission","status-publish","has-post-thumbnail","hentry","category-digital-age","category-healthcare","category-primary-care","category-waiting-time"],"connected_submission_link":"https:\/\/d3.harvard.edu\/platform-rctom\/assignment\/digitization-challenge-2016\/","yoast_head":"\n
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\n[ii]<\/a> Cyrus Massoumi (2014). Out of Office: How a Ruptured Eardrum Became My Biggest Idea<\/em>. LinkedIn, Aug 5 2014. https:\/\/www.linkedin.com\/pulse\/20140805095400-766323-out-of-office-how-a-ruptured-eardrum-became-my-biggest-idea
\n[iii]<\/a> ZocDoc official website. (2016). www.zocdoc.com\/about
\n[iv]<\/a> CNBC. (2012). Off the Cuff<\/em>. Dec 14 2012. \u00a0http:\/\/finance.yahoo.com\/blogs\/off-the-cuff\/ear-infection-across-country-led-great-idea-172725392.html
\n[v]<\/a> Allison Shontell. (2013). Aetna Once Offered To Buy NY Startup ZocDoc For More Than $300 Million And The Founders Walked Away.<\/em> Business Insider, Sep 5 2013. http:\/\/www.businessinsider.com\/aenta-offered-to-acquire-zocdoc-2013-9
\n[vi]<\/a> Elisabeth Rosenthal. (2014). The Health Care Waiting Game: Long Waits for Doctors\u2019 Appointments Have Become the Norm<\/em>. The New York Times, July 5 2014. http:\/\/www.nytimes.com\/2014\/07\/06\/sunday-review\/long-waits-for-doctors-appointments-have-become-the-norm.html?_r=0
\n<\/a>[vii] <\/a>Cooper RA. (2004). Weighing the evidence for expanding physician supply<\/em>. Ann Inter Med. 2004 Nov 2;141(9):705-14. PubMed PMID: 15520427.
\n[viii]<\/a> Nick Tate. (2015). Doc Wait Times Costing Patients More Time, Money: Study<\/em>. Newsmax Health, Oct 19 2015. http:\/\/www.newsmax.com\/Health\/Health-News\/doc-wait-times-growing\/2015\/10\/19\/id\/696980\/
\n[ix]<\/a> Wiesche L, Schacht M, Werners B. (2016). Strategies for interday appointment scheduling in primary care.<\/em> Health Care Manag Sci. 2016 Mar 21. PubMed PMID: 27000079.
\n<\/a>[x]<\/a> Stewart BA, Fernandes S, Rodriguez-Huertas E, Landzberg M. (2010). A preliminary look at duplicate testing associated with lack of electronic health record interoperability for transferred patients.<\/em> Journal of the American Medical Informatics Association\u202f: JAMIA. 2010;17(3):341-344. doi:10.1136\/jamia.2009.001750.<\/p>\n","protected":false},"excerpt":{"rendered":"