The New “Disrupters” in Healthcare – Patients and Pharmacists | Rajiv Shah | TEDxFargo


Dr. Shah is the CEO of MyMeds (, a digital health company whose medication adherence platform engages patients, physicians and pharmacists to work together.
Technology is disrupting consumer industries across the globe. In healthcare, technology is being used to improve systems, but the new disruption will be driven by people – patients and pharmacists. Like never before, patients are demanding consumer technologies to help them become more engaged on their changing health care team. The new team brings pharmacists off the bench and puts them in a starring role to help solve one of healthcare’s biggest issues – the $300 billion problem of medication non-adherence (not taking medicines properly).

Dr. Shah is the CEO of MyMeds and a Board-certified nephrologist who practices in Minneapolis. Combining his front-line experience of understanding the multiple roles (patient, provider, entrepreneur) in a rapidly-changing health environment, and his dedication to implementing digital health IT to improve health outcomes, Dr. Shah provides a unique perspective on innovation in healthcare today. He received his M.D. from the University of Minnesota Medical School, and attended Boston University, from where he graduated with a B.A. in Cognitive Psychology with a focus on memory creation. This provided the foundation on which the MyMeds adherence platform was created to improve medication-taking behaviors. He has been recognized for his work in business, medicine and philanthropy with the Virginia McKnight Binger Award in Human Service, 40 Under 40, Ten Outstanding Young Minnesotans, and Real Power.

This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at


Xem thêm bài viết khác:

28 thoughts on “The New “Disrupters” in Healthcare – Patients and Pharmacists | Rajiv Shah | TEDxFargo

  1. MTM struggles to find its place in Brazil. Things get further complicated due to a drugstore industry working almost in the opposite direction to our public health system (SUS). On top of that, pharmacists are not well paid in Brazil, which in turn make the class unmotivated to pursue better qualifications and then provide a better service to patients. It is sad. I was taking Pharmaceutical Care modules in 2015 and I have seen little to no improvement here, especially when looking to the large public. It has been told that either Pharmacy reinvents itself as a profession, or it will keep slowly dying after the third industrial revolution when medicine manufacture went to industrial levels.

  2. They have already disrupted healthcare in africa by running down the costs of medicines and encouraging self medication, antibiotic misuse etc

  3. About the last thing we need in our badly broken healthcare system is more Rx. We are in an epidemic of overtreatment which is one of the root causes behind our exploding healthcare costs. These drugs alone are NOT the answer.
    The best proven form of medicine (for our chronic illness explosion) is lifestyle.
    The most helpful part of the equation that Dr Shah promotes is the 'health coach.' If you have never tried using one yourself, do yourself a favor.

  4. Boy and how. 2018 is the definite kill the Chronic Pain Patient year. with the Pharmacists pulling the trigger of the CDC loaded Gun… WELL DONE, The HUGE UP SWING IN SUICIDE due to pain is DEFIANTLY driving up the Death Businesses. BUT! here are THE BUT!

  5. Interesting, but where is the push for functional athletic fitness and nutritional strategy. I feel that without those components, obesity/diabetes will continue to prevail.

  6. I am glad that some MDs think this way. Unfortunately, we have yet to have a profitable model for the corporations to make pharmacists more relevant so they can deliver both better clinical patient care with their trainings and better financial bottom line for those corporations. I graduated from pharmacy school almost 2 decades ago and have been practising. When my older brother went to Tufts Medical School and subsequently did his cardiology fellowship in Scripps Green, San Diego, CA, he said one thing to me. He said "You [as a pharmacist] are not important. No one dies when you are not around. People die when I am not around." That was about 9 years ago. He was very well liked by his patients and colleagues. Assuming he is not an odd ball whose mental and social perception lie outside 3 standard deviations from the middle of the bell curve in the medical student community, his perception as a provider of pharmacist is likely shared by many providers of even the younger generations. As optimistic and hopeful as Dr. Shah's talking points , it will take long time for this kind of pointed professional discrimination and denigration to be, at least, mostly, eradicated. Today, a lot, though not all, physicians and medical students have been conditioned to believe they are the top end of the intellectual ladder in medicine and everyone else are below them. In some ways, I have to acknowledge that is true if we compare GPA…etc. etc. But, we know that certainly does not represent the entire equation that represent patient health outcomes, if we are to quantify them….. well, food for thoughts for the readers. Shah is right about one thing. Pharmacist is the "forgotten member of the healthcare team." They are rarely acknowledged in the media.

  7. this is what , Pharm.D can play an important role in health care sector………….and improve the system!!!!!!!

  8. I am a doctor for the past 36 years. When I entered the medical school, patients said "Doctor, you know best" and doctors tried to give them their best. When I was a young physician, a GP, patients had started telling GP's "It's my life & my body and I know my body. You just deliver what I want and everything is going to be fine". And most of the time what the people sought from the 'healer' was self-destruction !!!! But when faced with a specialist, they reverted back to the old kind of doctor patient relationship: "you know the best……". So, I worked hard and became a specialist in Internal Medicine. At some point down the line, "empowered" by the internet, patients began to seek 'self-destruction" from even the specialists. If a GP or a specialist was honest to his professional ethics and refused to yield, they had the option of finding someone else. But they reverted back to the good old paradigm "doctor, you know the best" when faced with surgeons and those physicians who performed invasive procedures. Such physicians are called 'super specialists' in Europe and 'sub specialists' in North America, e.g. all kinds of "….ists" like Cardiologist, Gastroenterologist etc etc. So I had to rejig my professional life all over oncr again to become a Cardiologist. But please be informed: I could have done a lot more for my patients as a GP and I WANTED to be a GP…… alas, destiny willed otherwise. BTW, there is no GP today: even a family physician is called "Specialist in Family Medicine". How much more "disruption" this speaker wants to bring about, only future will tell but I am ready to adapt even at this age. So do millions of my colleagues world over…… quietly & silently.

  9. The doctor used to comer to my house and saved my life as a child. My question: are you working for Dr. Phil? this is a completely wrong idea. I want a hands on doctor period. Not a computer doctor. Then I go get my meds from my much loved pharmacist that I have known for years. My husband was and is a hands on physician he was available all the time. His patient was the center of his life.
    What we need is the administrators out of the way and insurance companies.

  10. We need less disruptions in medical care.  I agree with Dr. Shah that it is the patient's life.  The key to healthcare is that the patient should have the right to make every decision, including decisions the healthcare providers disagree with, and the providers should nevertheless facilitate the patient's wishes.  For some, using a pharmacist for medical advice may seem to be a good idea.  But is the pharmacist doing this for free?  Personally, I want the pharmacist to fill my prescriptions, accurately, and nothing more.  I view the pharmacist as a random person, hired by the local pharmacy, who happens to be on duty when I need a prescription filled.  I don't downplay the pharmacist's knowledge and skill, but he is not my chosen doctor.  The pharmacist does not know me, my medical history, or my needs.  I don't want some pharmacist telling me what I can or cannot have.  A more enlightened view recognizes that allowing the pharmacist to disrupt the medication prescribed by the doctor unnecessarily interferes with the doctor-patient relationship.  If the patient wants the pharmacist's help, I say yes to that.  But I do not want the pharmacist forced on me.  It is easier to dump a doctor than a pharmacist (and thus a pharmacy chain), particularly in these days of highly managed care.  I prefer to let pharmacists do what they do, fill prescriptions, and let me worry about my medications and dosing with my doctor.

  11. In their current role, the Doctor of Pharmacy (PharmD.) professional is the most over-educated but under-utilized healthcare provider. They are the medication experts and know so much!!! They need to be included more in the Interprofessional/Interdisciplinary Team. They already have the education, we just need to expand their role. The patient would benefit the most.

  12. Excellent, this is the way forward for the patient to be educated and need to add a Nutritionist and a Dietician to advice on preventive care through eating right.

  13. Although the emphasys on "Pharmacists as new disrupters of health care" is positive, it is dangerous to advance all these informal powers to untrainned non-MD as Pharmacists are, without expecting them to be responsible for the commitment it implies. Talking something different just because of that is sad and potentially dangerous. This is healthcare.

  14. Technology is definitely a factor that has impacted our society and changed the way many careers are handled, the medical and healthcare field being one. I thought speaker Shah pointed out something that isn't pointed out very often as that in the past doctors went to the patients, and in today's world, sick patients are expected to go to them while possible waiting for hours just to see them for a few minutes, and maybe not even enough time to discuss everything they had intended too. Since technology is a huge factor, why not let it be driven by the patients instead of the medical staff as that I agree the patient is the most important part in any patient to medical staff relationship. Even though the doctor is very important as to give the patient a diagnosis, I agree that pharmacists are just as important as that the prescription given is what is expected to help the patient, and since the pharmacist has a great amount of knowledge about medication, they can help. Incorporating them into the team as to assist to the patient's needs, I feel that getting the patient where they want to be faster, is achievable. DR. Shah makes the statement at the end that "by the future of technology being driven by our patients and pharmacists joining our team, these are the new healthcare disrupters" which sums up most of his talk as that these disrupters are problems that need to be addressed.

Leave a Reply

Your email address will not be published. Required fields are marked *