GET https://rct.dev.bbntimes.com/science/consumerism-in-healthcare-the-relentless-chase-of-an-elusive-goal

Response
200 OK
IP
3.133.138.72
Profiled on
Token
f55c87

ArticleController :: show

Request

GET Parameters

None

POST Parameters

None

Uploaded Files

None

Request Attributes

Key Value
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"App\Controller\ArticleController::show"
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"_security_main"
_stopwatch_token 
"e7b9cc"
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"science"
slug 
"consumerism-in-healthcare-the-relentless-chase-of-an-elusive-goal"

Request Headers

Header Value
accept 
"*/*"
accept-encoding 
"gzip, br, zstd, deflate"
connection 
"close"
cookie 
"PHPSESSID=hmvr1semt8d1sdh7be5nol1l78"
host 
"rct.dev.bbntimes.com"
user-agent 
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
x-php-ob-level 
"1"

Request Content

Request content not available (it was retrieved as a resource).

Response

Response Headers

Header Value
cache-control 
"no-cache, private"
content-type 
"text/html; charset=UTF-8"
date 
"Thu, 17 Apr 2025 19:22:35 GMT"
link 
"</build/runtime.js>; rel="preload"; as="script",</build/644.js>; rel="preload"; as="script",</build/502.js>; rel="preload"; as="script",</build/app.js>; rel="preload"; as="script",</build/view-more.js>; rel="preload"; as="script",</build/term-condition.js>; rel="preload"; as="script",</build/contact.js>; rel="preload"; as="script",</build/scroll-infinite-article.js>; rel="preload"; as="script",</build/app.css>; rel="preload"; as="style",</build/cookie-style.css>; rel="preload"; as="style",</build/term-condition-css.css>; rel="preload"; as="style",</build/contact-css.css>; rel="preload"; as="style",</build/comment-css.css>; rel="preload"; as="style""
x-debug-token 
"f55c87"

Cookies

Request Cookies

Key Value
PHPSESSID 
"hmvr1semt8d1sdh7be5nol1l78"

Response Cookies

No response cookies

Session 6

Session Metadata

Key Value
Created 
"Thu, 17 Apr 25 19:22:33 +0000"
Last used 
"Thu, 17 Apr 25 19:22:33 +0000"
Lifetime 
0

Session Attributes

Attribute Value
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"ZpYt8NybW1VMk-nHTBQ4N2DZJXSbuTixvxCHXDMusY8"
_csrf/https-cookie_accept 
"ZzshYYDu6UU7U4sClUe1PauJTJ10WVTBlLbJdh7DgQg"

Session Usage

6 Usages
Stateless check enabled
Usage
Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:76
Show trace 
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:79
Show trace 
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:52
Show trace 
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:56
Show trace 
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    "line" => 181
    "function" => "show"
    "class" => "App\Controller\ArticleController"
    "type" => "->"
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 76
    "function" => "handleRaw"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
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    "line" => 197
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
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    "line" => 35
    "function" => "handle"
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    "type" => "->"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    "line" => 29
    "function" => "run"
    "class" => "Symfony\Component\Runtime\Runner\Symfony\HttpKernelRunner"
    "type" => "->"
  ]
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
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    "args" => [
      "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    ]
    "function" => "require_once"
  ]
]
Symfony\Component\Security\Core\Authentication\Token\Storage\UsageTrackingTokenStorage:41
Show trace 
[
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/security-core/Authentication/Token/Storage/UsageTrackingTokenStorage.php"
    "line" => 41
    "function" => "getMetadataBag"
    "class" => "Symfony\Component\HttpFoundation\Session\Session"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/twig-bridge/AppVariable.php"
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    "function" => "getToken"
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    "function" => "handle"
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  [
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    "function" => "show"
    "class" => "App\Controller\ArticleController"
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    "line" => 76
    "function" => "handleRaw"
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    "type" => "->"
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  [
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    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
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    "function" => "handle"
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
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    "function" => "run"
    "class" => "Symfony\Component\Runtime\Runner\Symfony\HttpKernelRunner"
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  [
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    "line" => 5
    "args" => [
      "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    ]
    "function" => "require_once"
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]
Symfony\Component\Security\Http\Firewall\ContextListener:171
Show trace 
[
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/security-http/Firewall/ContextListener.php"
    "line" => 171
    "function" => "remove"
    "class" => "Symfony\Component\HttpFoundation\Session\Session"
    "type" => "->"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/event-dispatcher/Debug/WrappedListener.php"
    "line" => 116
    "function" => "onKernelResponse"
    "class" => "Symfony\Component\Security\Http\Firewall\ContextListener"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/event-dispatcher/EventDispatcher.php"
    "line" => 220
    "function" => "__invoke"
    "class" => "Symfony\Component\EventDispatcher\Debug\WrappedListener"
    "type" => "->"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/event-dispatcher/EventDispatcher.php"
    "line" => 56
    "function" => "callListeners"
    "class" => "Symfony\Component\EventDispatcher\EventDispatcher"
    "type" => "->"
  ]
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    "function" => "dispatch"
    "class" => "Symfony\Component\EventDispatcher\EventDispatcher"
    "type" => "->"
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    "function" => "dispatch"
    "class" => "Symfony\Component\EventDispatcher\Debug\TraceableEventDispatcher"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 202
    "function" => "filterResponse"
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    "type" => "->"
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Flashes

Flashes

No flash messages were created.

Server Parameters

Server Parameters

Defined in .env

Key Value
APP_ENV 
"dev"
APP_SECRET 
"0a988e63f011514eaabfc650b599af4d"
CORS_ALLOW_ORIGIN 
"*"
DATABASE_URL 
"mysql://bbndb_rctuser:33F5W25z40or0f7@localhost:3306/rct_bbntimes"
GOOGLE_RECAPTCHA_SECRET_KEY 
"6LdV5fgpAAAAANxzTG8ZMfIjil1wu-1vrQvnUt-x"
GOOGLE_RECAPTCHA_SITE_KEY 
"6LdV5fgpAAAAAENKcn73MJAhQrbtQeqgyC4wDLMP"
MAILER_DSN 
"smtp://no-reply%40rct.dev.bbntimes.com:Bl6%26gLD48%26Of919@rct.dev.bbntimes.com:465"
MARIADB_PASSWORD 
"i!87pK&!85ezc8"

Defined as regular env variables

Key Value
APP_DEBUG 
"1"
BASE 
"/public"
CONTEXT_DOCUMENT_ROOT 
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com"
CONTEXT_PREFIX 
""
DOCUMENT_ROOT 
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com"
FCGI_ROLE 
"RESPONDER"
GATEWAY_INTERFACE 
"CGI/1.1"
HTTPS 
"on"
HTTP_ACCEPT 
"*/*"
HTTP_ACCEPT_ENCODING 
"gzip, br, zstd, deflate"
HTTP_CONNECTION 
"close"
HTTP_COOKIE 
"PHPSESSID=hmvr1semt8d1sdh7be5nol1l78"
HTTP_HOST 
"rct.dev.bbntimes.com"
HTTP_USER_AGENT 
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY 
"0"
PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY 
"0"
PATH 
"/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/sbin:/bin:/snap/bin"
PHP_SELF 
"/public/index.php"
PP_CUSTOM_PHP_CGI_INDEX 
"plesk-php81-fastcgi"
PP_CUSTOM_PHP_INI 
"/var/www/vhosts/system/rct.dev.bbntimes.com/etc/php.ini"
QUERY_STRING 
""
REDIRECT_BASE 
"/public"
REDIRECT_HTTPS 
"on"
REDIRECT_PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_REDIRECT_HTTPS 
"on"
REDIRECT_REDIRECT_PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_REDIRECT_PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_REDIRECT_SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/consumerism-in-healthcare-the-relentless-chase-of-an-elusive-goal"
REDIRECT_REDIRECT_SCRIPT_URL 
"/science/consumerism-in-healthcare-the-relentless-chase-of-an-elusive-goal"
REDIRECT_REDIRECT_SSL_TLS_SNI 
"rct.dev.bbntimes.com"
REDIRECT_REDIRECT_STATUS 
"200"
REDIRECT_REDIRECT_UNIQUE_ID 
"aAFU-oWy1c_PnVmKlNqR1QAAAIg"
REDIRECT_SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/consumerism-in-healthcare-the-relentless-chase-of-an-elusive-goal"
REDIRECT_SCRIPT_URL 
"/science/consumerism-in-healthcare-the-relentless-chase-of-an-elusive-goal"
REDIRECT_SSL_TLS_SNI 
"rct.dev.bbntimes.com"
REDIRECT_STATUS 
"200"
REDIRECT_UNIQUE_ID 
"aAFU-oWy1c_PnVmKlNqR1QAAAIg"
REDIRECT_URL 
"/public/science/consumerism-in-healthcare-the-relentless-chase-of-an-elusive-goal"
REMOTE_ADDR 
"3.133.138.72"
REMOTE_PORT 
"36319"
REQUEST_METHOD 
"GET"
REQUEST_SCHEME 
"https"
REQUEST_TIME 
1744917754
REQUEST_TIME_FLOAT 
1744917754.3934
REQUEST_URI 
"/science/consumerism-in-healthcare-the-relentless-chase-of-an-elusive-goal"
SCRIPT_FILENAME 
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
SCRIPT_NAME 
"/public/index.php"
SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/consumerism-in-healthcare-the-relentless-chase-of-an-elusive-goal"
SCRIPT_URL 
"/science/consumerism-in-healthcare-the-relentless-chase-of-an-elusive-goal"
SERVER_ADDR 
"5.196.1.209"
SERVER_ADMIN 
"[no address given]"
SERVER_NAME 
"rct.dev.bbntimes.com"
SERVER_PORT 
"443"
SERVER_PROTOCOL 
"HTTP/1.1"
SERVER_SIGNATURE 
"<address>Apache Server at rct.dev.bbntimes.com Port 443</address>\n"
SERVER_SOFTWARE 
"Apache"
SSL_TLS_SNI 
"rct.dev.bbntimes.com"
SYMFONY_DOTENV_VARS 
"APP_ENV,APP_SECRET,DATABASE_URL,MARIADB_PASSWORD,CORS_ALLOW_ORIGIN,MAILER_DSN,GOOGLE_RECAPTCHA_SECRET_KEY,GOOGLE_RECAPTCHA_SITE_KEY"
UNIQUE_ID 
"aAFU-oWy1c_PnVmKlNqR1QAAAIg"

Sub Requests 6

CookieController :: renderAnalysis (token = 739b05)

Key Value
_controller 
"App\Controller\CookieController::renderAnalysis"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"14e68b"

AppController :: renderHeader (token = de7891)

Key Value
_controller 
"App\Controller\AppController::renderHeader"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"b03def"
slug 
"home"

ArticleController :: trendingArticle (token = 2044ed)

Key Value
_controller 
"App\Controller\ArticleController::trendingArticle"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"44d962"
category 
"Science"

ArticleController :: relatedArticles (token = 083a35)

Key Value
_controller 
"App\Controller\ArticleController::relatedArticles"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"edbc95"
current_article 
App\Entity\Article {#1094
  -id: 2125
  -title: "Consumerism In Healthcare: The Relentless Chase Of An Elusive Goal"
  -slug: "consumerism-in-healthcare-the-relentless-chase-of-an-elusive-goal"
  -introtext: "<p class="p1">I guess it all converges on one point: the customer. From the dry cleaners to the operating room, the goal now seems to be customer-centricity. Yes, thumbs up, four stars, and likes are today's currency of success. In a recent&nbsp;<a href="https://www.kaufmanhall.com/news/survey-major-health-systems-reveals-greater-emphasis-consumer-focused-strategies-progress"><span class="s1">survey</span></a>&nbsp;by&nbsp;<a href="https://www.kaufmanhall.com/"><span class="s1">Kaufman Hall</span></a>, that examined 200 hospitals and healthcare systems, the headline was loud and clear.</p>\r\n"
  -content: """
    \r\n
    <p class="p3"><span style="color: #10228b;"><b>Survey of Major Health Systems Reveals a Great Emphasis on Consumer-Focused Strategies, but Progress Remains Slow</b></span></p>\r\n
    <p class="p3">Let's take a closer look.</p>\r\n
    <p class="p3">It's interesting that 90% of respondents stated that improving the customer experience is a high priority--a number that's jumped up from 30% in 2017. Further, the role of digital tools to engage customers has also climbed significantly from 14% to 64% over the same short time span. Hospitals seem to be catching the same consumer bug that pharma has been infected with for several years. But I don't know if the cure is worse than the disease.</p>\r\n
    <p class="p3">I remain&nbsp;<a href="https://www.forbes.com/sites/johnnosta/2017/09/29/is-pharmas-focus-on-the-patient-all-wrong/#7c39c3c050ef"><span class="s1">worried</span></a>. And there are two central concerns:</p>\r\n
    <ul class="ul1">\r\n
    <li class="li4">Will patient-centricity truly trump superior care and drive a market where style over substance&nbsp;can adversely impact the quality of care?</li>\r\n
    <li class="li4">Are hospitals wasting valuable dollars by following the herd with poorly planned and tracked consumer marketing programs?</li>\r\n
    </ul>\r\n
    <p class="p3">OK, nice waiting rooms and on-line scheduling is fine. Let's even throw in some billboards and TV spots too. But just as pharma seems to be defined by their ubiquitous "I've got my life back" taglines, I sense that hospitals are looking to become the next Apple story or Amazon experience. (I wonder what&nbsp;<a href="https://www.businesswire.com/news/home/20180620005747/en/Amazon-Berkshire-Hathaway-JPMorgan-Chase-appoint-Dr."><span class="s1">Atul Gawande</span></a>&nbsp;would think?) But does this obsession with the patient—I mean the consumer—reflect the best strategy for superior medical care? The blurred distinctions of consumer brands rely on perception as the path to creating a key reality. But perceptions of efficacy and safety are vastly different and the imposition of "joy" and "satisfaction" as the new statistical p value. Well, perhaps p now stands for patient!</p>\r\n
    <p class="p3">Here's a quote from the study that confounds this even more.</p>\r\n
    <p class="p3 quote-left"><b>We are assuming we know what they (consumers) want, but I'm not sure we do.</b></p>\r\n
    <p class="p3 quote-right"><b>Unnamed executive</b></p>\r\n
    <p class="p3">And as we dig a little deeper, we find that many hospitals are ill prepared to do the "history and physical exam" of marketing to be successful.&nbsp; Only 15% of respondents indicated that they have personnel trained and experienced in consumer research. And only 25% had a fully operational team in this area.</p>\r\n
    <p class="p3">And this is where we end up: at a point where "progress remains slow."</p>\r\n
    <p class="p3">Healthcare is broken. Just ask anyone. And the path to repair may be less about the "consumerization" of care but the implementation of quality, data-driven guidelines for both care receiver and care provider. And advances in technology can certainly help drive change. But that "search for joy" may be taking our eyes off the ball and making us seek more of an elusive than practical goal. Of course, the patient experience is essential. But the prioritization of strategy is as important as the strategy itself. Pushing customer-centricity to the front of the pack and implementing it with an ill-informed staff is no path at all. It's simply not affordable and might just be a dangerous waste of time.</p>\r\n
    <p>A version of this article appeared on <a href="https://www.forbes.com/sites/johnnosta/2018/06/25/consumerism-in-healthcare-the-relentless-chase-of-an-elusive-goal/#7995259e5164" target="_blank" rel="noopener">Forbes</a>.</p>
    """
  -user: Proxies\__CG__\App\Entity\User {#1092 …}
  -createdAt: DateTime @1530590153 {#1145
    date: 2018-07-03 03:55:53.0 UTC (+00:00)
  }
  -updatedAt: DateTime @1530590371 {#1150
    date: 2018-07-03 03:59:31.0 UTC (+00:00)
  }
  -deletedAt: null
  -category: App\Entity\Category {#445 …}
  -status: "published"
  -imageCard: Proxies\__CG__\App\Entity\File {#1184 …}
  -ImageHeader: Proxies\__CG__\App\Entity\File {#1184 …}
  -featured: false
  -mainView: false
  -clicks: 2594
  -comments: Doctrine\ORM\PersistentCollection {#1125 …}
  -reviewed_at: DateTime @1530590151 {#1148
    date: 2018-07-03 03:55:51.0 UTC (+00:00)
  }
  -metakey: ""
  -metadesc: "I guess it all converges on one point: the customer. From the dry cleaners to the operating room, the goal now seems to be customer-centricity.\u{A0} Yes, thumbs up, four stars, and likes are today's currency of success. In a recent\u{A0}survey\u{A0}by\u{A0}Kaufman Hall, that examined 200 hospitals and healthcare systems, the headline was loud and clear."
  -robots: null
  -publishedAt: DateTime @1530590151 {#1147
    date: 2018-07-03 03:55:51.0 UTC (+00:00)
  }
  -canonical: null
  -superTag: null
}

AppController :: renderFooter (token = 3e3c98)

Key Value
_controller 
"App\Controller\AppController::renderFooter"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"e9f367"

CookieController :: renderCookie (token = 16f8ac)

Key Value
_controller 
"App\Controller\CookieController::renderCookie"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"edd341"