VIDEO: Take Back Health: Join the #RightCare Alliance

Although the USA is a slightly different animal, with more emphasis on health care as a for-profit industry, many of the same problems exist in Canada and other nations with a primarily single-payer, public system.

The solution to health care interventions that are unnecessary, unwanted, or even harmful is: a social movement. That's what the Lown Institute thinks, and the Right Care Alliance is gaining momentum.

Watch this:

Source: https://www.youtube.com/watch?v=mdeH1bwYYD...

It's #PODC2015 time: Preventing Overdiagnosis 2015 is here

After an incredible General Council (the annual meeting of the Canadian Medical Association), it is now time for me to zip off to Bethesda, MD for Preventing Overdiagnosis.

Although I attended last year in Oxford, this will be my first time speaking at the conference; I have the fortune of working with Dr James Rickert (who challenges conflict of interest in orthopedics and puts the patient first) in order to present a workshop around some of the criticisms (and related solutions) for the Choosing Wisely campaign (at 11:30, Weds Sept 2nd).

I would say that I am Choosing Wisely's biggest fan, and biggest critic. I am looking forward to the opportunity to hear more thought from my peers about the campaign and what the next steps might entail. There is so much hope and opportunity with this initiative and it's a great time to strengthen it and to reach higher!

This conference will also be a great opportunity to reflect on the past couple of years and the progress that so many people have made, and to meet up with colleagues to hear about their planned work going forward. There will be quite a few curious and critical-thinking Canadians in attendance, including (I hear):

-   Dr. Laurent Marcoux (former head of the Quebec Medical Association, one of the key developers of their Action Plan for Overdiagnosis

-    Dr. Roland Grad (researcher in family practice currently looking at harnessing infoPOEMs to identify low-value tests and treatments)

-    Dr. Rita McCracken (finishing her PhD, an expert on polypharmacy/deprescribing in the elderly)

-    Dr. Tracy Monk (humble yet highly effective champion and practicer of patient centered, evidence-based, and relationship-based care)

-    Dr Alan Cassels (co-author of Selling Sickness and highly sensible drug policy researcher)

-    Joanna Trimble (family member and advocate for confronting polypharmacy and sedative overuse in the elderly, at Is Your Mom On Drugs?)

-    Dr. Danielle Martin (head of Canadian Doctors for Medicare and outspoken advocate for doing more with less)

-    Dr Sacha Bhatia (chair of evaluation and can-do pioneer for Choosing Wisely Canada)

-    Dr Jennifer Young (leader of the Don’t Just Do Something, Stand There workshop with the Ontario College of Family Practitioners)

Go Canada!

And that is just the tip of the iceberg. The entire conference will be comprised of like-minded peers from around the world. I can't wait to get started tomorrow; see you there!!!

 

VIDEO: Choosing Wisely and Encouraging Effective Treatment

Healthcare Triage briefly presents the notion that we should "stop doing things that don't work" in medicine. In the United States, vast amounts of money are being wasted on unnecessary care. Fortunately, the Choosing Wisely campaign helps enable patients and providers to take part in "reducing spending without negatively affecting quality of care."

In Canada, it is framed a little bit differently. We focus mostly on preventing harm and promoting high quality care. We expect that there will be significant financial benefits to the system from working in this way but saving money is not the primary motivation behind the Choosing Wisely Canada campaign. 

There are also some things the campaign (whether in the US, Canada, or elsewhere) doesn't address, like the fact that people respond to financial incentives and if we do not change the way health care providers are paid, they will continue to do unnecessary things to patients simply for the monetary gain (in direct violation of medical professionalism and most would say the Hippocratic Oath).
 

See the video here:

Source: https://www.youtube.com/watch?v=E505JhAIfp...