The hospital has long functioned as the symbolic and operational center of healthcare systems. Funding, workforce pipelines, policy conversations, and performance metrics have historically revolved around it.

But healthcare is decentralizing.

Chronic disease management increasingly occurs outside hospital walls. Telehealth reshapes access. Employers influence prevention strategy. Community organizations and universities function as distributed health nodes. Yet much of public health strategy still operates under hospital-centric assumptions.

In this episode of The Public Health Practice Gap, Dr. Bradley Fevrier examines what happens when the structural center of healthcare shifts — but leadership models, funding logic, and workforce design do not.

This episode explores:

• Why hospital-centric thinking persists
• How decentralization changes authority and accountability
• The risks of designing strategy for an outdated model
• What distributed healthcare requires from public health leadership

The hospital remains essential. But it is no longer the sole organizing principle of healthcare. The future belongs to coordinated networks, not centralized control.

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Hosted by Dr. Bradley Fevrier
Founder, NextGen Public Health Consultancy
https://nextgenpublichealthconsulting.com

New episodes every Tuesday.