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This thread is about steps/ideas that can be done to make healthcare more sustainable. Evidence for these will vary, but Im hoping this will increase awareness and start the dialogue. This will also help guide the direction of future shows.
Early goals of care discussions.
We shouldnt be having these conversations after putting our loved ones on life support. Lets have honest conversations with our loved ones. Lets respect their values.
Furthermore, the cost of taking of ICU pts is crazy.
-$3000/day
-1% of GDP
-Population is aging
We really need to think about who is actually going to BENEFIT from an ICU admission
We need to think more about prevention.
-Make our cities more walkable
-#SocialPrescribing
-Get ppl #vaccinated
Support mental health:
-Psychological services should be covered
-Any measures to support HCP wellbeing should be championed #meditation #Mindfulness
Reducing homelessness
It is hard to be healthy without a home
Stop cutting allied health position.
We need our physios, psychologists, OTs, RTs to get patients healthy & FUNCTIONAL
We need to think about privatization.

We need to think about how to make it equitable.
eConsults, virtual clinics

Lets make healthcare more convenient and more accessible.
Physician Assistants and Nurse Practitioners
Probably underutilized
Antibiotic resistance

This will be a massive issue if we dont change how we prescribe
More homecare services
Cheaper than being in hospital
FOR NURSES:
-Self scheduling
-Reduce absenteeism
-Reduced overtime
Major part of each depts budget
Personalized medicine

The right treatment for the right pt

#personalizedmedicine
Better decision making
This is where #AI has potential
Increased cost awareness
Most clinicians have no idea how much treatments cost
More access to palliative care services.
I feel like it’s getting tougher to die at home
A lot of our efforts for change should be focused on physicians, early in their training. From what I see, they’re eager to learn and eager help where it’s most needed. @CFMSFEMC @residentdoctors
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