Join us in making healthcare more sustainable for patients, clinicians, societies and the planet - gcsh.org
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Our Bee Prize of the Year goes to an early career researcher from a LMIC generously contributing to form a more sustainable healthcare. This year the brilliant dr Agostina Risso went to Lausanne to present her work on TNT & SDM - and won another prize! 🐝
globalsustainablehealthcare.…
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Global Center for Sustainable Healthcare retweeted
”Such a starting point changes everything. From a state of plentiful symptoms being treated by a small number of health professionals; to plentiful actors in a community co-creating the common – and finite – conditions fundamental to health” Amazing initiative by @GH_Together !!
“Things are still hard. But we have a sense of possibility, hope, invigoration even.”
From ideas in the surgery coffee room, to a new way of working in primary care. GP Dr Gillian Orrow on how @GH_Together flipped how health was done, with big results.
🧵newlocal.org.uk/articles/upt…
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Global Center for Sustainable Healthcare retweeted
Very interesting work by @ebmgatineau @RolandGrad and others - estimating the Time Needed to Treat for two different approaches for screening to prevent fragility fractures! @GCSHcare @vmontori
Here’s a strategy for saving clinician time and preventing overdiagnosis @minnajohansson1 @LessIsMoreMed @ChooseWiselyCA @cantaskforce cfp.ca/content/69/8/537
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Global Center for Sustainable Healthcare retweeted
Nice coverage of our @BMJ_EBM study ebm.bmj.com/content/early/20…
@minnajohansson1 @Institute4EBH @GCSHcare
A group of researchers are arguing that, while lifestyle interventions can be effective, clinicians don’t have the time to deliver them—at least, not as the health service currently stands.
@emahase_ reports the story in 60 seconds
bmj.com/content/381/bmj.p132…
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Rough estimates suggest that NHS currently does not employ enough healthcare professionals to implement all NICE-recommended lifestyle interventions - bit.ly/43EMmXu
Learn more about Time Needed to Treat (TNT) at gcsh.org & bit.ly/3C9ddPB
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The beneficial effects of healthy lifestyle habits are uncontested - but it is uncertain whether clinicians targeting individuals with unhealthy habits through lifestyle interventions is a feasible and effective way to achieve healthier lifestyle habits in the general population
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Also check out our previous work - we found that the lifestyle interventions recommended were rarely underpinned by reliable evidence of a beneficial effect
bmjmedicine.bmj.com/content/…
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What is Digital Minimalism - why do health systems need it - and what can you do to push digital minimalism in your context?
Read our @GCSHcare interview with @nina_singh_ @devin_mann @ChristineSinsky & Katharine Lawrence on their paper in the @NEJM
globalsustainablehealthcare.…
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And here link to the paper nejm.org/doi/full/10.1056/NE…
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Global Center for Sustainable Healthcare retweeted
Very important perspective by @EvieRothwell @RVSurtees @DrDominiqueAllw @AnyaGopfert balancing sustainable with equitable in healthcare paying attention to both edges of proposed swords cc @KateRaworth @minnajohansson1 bmj.com/content/381/bmj.p116…
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Global Center for Sustainable Healthcare retweeted
Digital Minimalism's 3 tenets applied to healthcare:
1. Clutter is costly
Think PCP reading through reams of cc’d notes looking for needle in a haystack of useful information. Solution: "D/C the CC"
nejm.org/doi/full/10.1056/NE…
@Calnewport_ @nina_singh_ @devin_mann
(1/4)
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Global Center for Sustainable Healthcare retweeted
Rather than categorically rejecting digital technology or endorsing the current maximalist approach, digital minimalism carefully considers whether and how each digital technology should be used. (4/6)
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Global Center for Sustainable Healthcare retweeted
Excited to share this @NEJM perspective piece that I co-authored with Katharine Lawrence, @ChristineSinsky, and @devin_mann on digital minimalism as an Rx for clinician burnout! nejm.org/doi/full/10.1056/NE… (1/6)
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Global Center for Sustainable Healthcare retweeted
YES!! Spot on @nina_singh_ !!
"Medicine’s haphazard adoption of more and more technology without deep consideration of the implications has been costly. We hope that digital minimalism will inspire better design, implementation, and regulation of clinician-facing technology."
Excited to share this @NEJM perspective piece that I co-authored with Katharine Lawrence, @ChristineSinsky, and @devin_mann on digital minimalism as an Rx for clinician burnout! nejm.org/doi/full/10.1056/NE… (1/6)
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Global Center for Sustainable Healthcare retweeted
You will love this wonderful @bmj_latest interview to @minnajohansson1 - founder of @gcshcare - brilliantly discussing the time needed to treat (TNT) and what to do and not to do about it. @GuyattGH @KerUnit podcasts.apple.com/us/podcas…
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Global Center for Sustainable Healthcare retweeted
Thanks everyone for joining us. More at @patientrev @GCSHcare and @magicevidence - lets all work together to advance careful and kind and sustainable healthcare for all #ckscare
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Global Center for Sustainable Healthcare retweeted
Let's all collect the best generalizable models of careful kind and sustainable care that we know, and share lessons. Here on Twitter, and wherever we can.
Wheels that work already exist.
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Global Center for Sustainable Healthcare retweeted
The work of @GCSHcare and other organizations is key here in making sure that care drives research questions, and that care draws from the best research evidence (minimizing harm and waste) while avoiding industrialization of care, medicalization of life #cskcare
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Global Center for Sustainable Healthcare retweeted
This is outstanding.
Congrats @minnajohansson1 @vmontori @GuyattGH!
We are drowning in guidelines that don't consider the lived realities of those most impacted by them- PCP & patients.
TNT is a step forward, patient-partnered GLS is the next leap forward. @sumedh_bele
Time Needed to Treat (TNT) - a new method to help guidelines consider clinican time as a finite resource that needs to be carefully prioritized @vmontori @GuyattGH @GCSHcare 1/5
bmj.com/content/380/bmj-2022…
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