I am a surprised I have not seen an https://calendly.com + https://envoy.com + CRM solution focused on Healthcare.
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And triage can be largely automated, but I don't think the issue is "we dont get reminders".
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I think it is the patient engagement is not approached cohesively.
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I am curious now, maybe I just need new doctors; sounds like you think the "system works fine as it is".
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(BTW I worked in healthcare too) but what gets me is that was over 20 years ago and my experience today is the same.
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It seems to me there are very few things that remain static for 20y and are considered a good experience :)
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