Aaron Derfel Profile picture
Feb 18 28 tweets 5 min read
1) As a lark and also out of fear of AI, I asked #ChatGPT this question: How do you fix health care in Quebec? In less than 30 seconds, this was its verbatim answer. You be the judge.👇
2) “Fixing healthcare in Quebec, or any other place, is a complex and multi-faceted challenge that requires a systemic approach.”
3) “However, there are a few key strategies that can help improve the quality of healthcare services and ensure better health outcomes for patients in Quebec:
4) “Increase funding: Healthcare is a resource-intensive field, and Quebec's healthcare system is often criticized for being underfunded.
5) “Increasing funding for healthcare can help improve access to medical equipment and supplies, hire more healthcare professionals, and reduce wait times for medical procedures.
6) “Focus on prevention: Investing in preventive healthcare measures, such as early detection and treatment of chronic diseases, can help reduce the overall cost of healthcare and improve health outcomes for patients.
7) “Improve primary care: Strengthening primary care services, including family medicine, can help reduce the burden on emergency departments and hospitals and improve access to care for patients.
8) “Address workforce shortages: Quebec, like many other regions, is facing a shortage of healthcare professionals, particularly in certain specialties.
9) “Addressing this shortage requires strategies such as investing in training programs, incentivizing healthcare professionals to work in underserved areas, and streamlining the process for foreign-trained professionals to work in Quebec.
10) “Foster innovation: Embracing new technologies and approaches to healthcare, such as telemedicine and personalized medicine, can help improve the quality of care and make healthcare more efficient.
11) “Overall, fixing healthcare in Quebec will require a collaborative effort among healthcare professionals, policymakers, and patients to address the many challenges facing the healthcare system and improve health outcomes for all Quebecers.”
12) All this @ChatGpt churned out in less than 30 seconds. Many of the points it raised are valid, including making it easier for foreign-trained health professionals to practice here in Quebec.
13) ChatGpt’s observation about the burden on Quebec ERs could not be more relevant. And its point to reduce wait times was frighteningly accurate, given my story in the @mtlgazette today. montrealgazette.com/news/quebec/pa…
14) Which raises the obvious question: If #ChatGpt can provide a coherent blueprint like this in a flash to fix Quebec health care, why spend taxpayer funds on consultants like #McKinsey? End of thread.
Addendum: Comment réparez-vous les soins de santé au Québec? Monsieur le ministre @cdube_sante, voici la réponse que j'ai reçue de #ChatGpt en cinq secondes en français :
Addendum 2: “Réparer les soins de santé au Québec, ou dans n'importe quel autre endroit, est un défi complexe et multifacette qui nécessite une approche systémique.”
Addendum 3: “Cependant, il existe quelques stratégies clés qui peuvent aider à améliorer la qualité des services de santé et assurer de meilleurs résultats de santé pour les patients au Québec :”
Addendum 4: “Augmenter le financement : Les soins de santé nécessitent des ressources importantes, et le système de santé du Québec est souvent critiqué pour être sous-financé.”
Addendum 5: “Augmenter le financement des soins de santé peut aider à améliorer l'accès aux équipements et aux fournitures médicales, embaucher plus de professionnels de la santé et réduire les temps d'attente pour les procédures médicales.”
Addendum 6: “Mettre l'accent sur la prévention : Investir dans des mesures de santé préventives, telles que la détection précoce et le traitement des maladies chroniques, peut aider à réduire le coût global des soins de santé et améliorer les résultats de santé pour les patients.
Addendum 7: “Améliorer les soins primaires : Renforcer les services de soins primaires, y compris la médecine de famille, peut aider à réduire le fardeau sur les services d'urgence et les hôpitaux et améliorer l'accès aux soins pour les patients.”
Addendum 8: “S'attaquer aux pénuries de main-d'œuvre : Le Québec, comme de nombreuses autres régions, fait face à une pénurie de professionnels de la santé, en particulier dans certaines spécialités.”
Addendum 9: “Pour remédier à cette pénurie, des stratégies telles que l'investissement dans des programmes de formation, l'incitation des professionnels de la santé à travailler dans des zones sous-desservies et…”
Addendum 10: “la simplification du processus pour les professionnels formés à l'étranger pour travailler au Québec sont nécessaires.”
Addendum 11: “Favoriser l'innovation : L'adoption de nouvelles technologies et approches en matière de santé, telles que la télémédecine et la médecine personnalisée, peut aider à améliorer la qualité des soins et rendre les soins de santé plus efficaces.”
Addendum 12: “Dans l'ensemble, la réparation des soins de santé au Québec exigera un effort collaboratif entre les professionnels de la santé, les décideurs politiques et…”
Addendum 13: “les patients pour aborder les nombreux défis auxquels le système de santé est confronté et améliorer les résultats de santé pour tous les Québécois.”
Addendum 14: Question : Question : Qu'est-ce que cela signifie lorsque l'intelligence artificielle met davantage l'accent sur les patients que le rapport d'un consultant ?

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More from @Aaron_Derfel

Feb 17
1) Conséquences de la pandémie : au moins 46 000 patients ont été ajoutés à l'arriéré des chirurgies dites non urgentes au Québec. Mais cela ne dit pas tout.
montrealgazette.com/news/quebec/pa…
2) Selon le texte ci-dessous, un total de 162 000 Québécois étaient sur des listes d'attente pour une chirurgie élective à la fin du mois dernier. Mais il y avait aussi 4 160 autres patients sur des listes d'attente pour une chirurgie urgente du cancer.
montrealgazette.com/news/quebec/pa…
3) Et parmi les personnes inscrites sur les listes d'attente pour une chirurgie du cancer, près de 750 patients languissaient depuis plus de 57 jours - le délai médicalement acceptable. Et comme nous le savons tous, la pandémie n'est toujours pas terminée.
Read 5 tweets
Feb 17
1) Pandemic fallout: at least 46,000 patients have been added to the backlog for so-called non-urgent surgeries in Quebec. But this doesn't tell the whole story. montrealgazette.com/news/quebec/pa…
2) As you will note when reading the story below, a total of 162,000 Quebecers were on wait lists for elective surgery at the end of last month. But there were also another 4,160 patients on wait lists for urgent cancer surgery.

montrealgazette.com/news/quebec/pa…
3) And among those on cancer wait lists, nearly 750 cancer patients were languishing for more than 57 days — the medically acceptable time limit. And as we all know, the pandemic is still not over.
Read 5 tweets
Jan 30
1) On the eve of the World Health Organization's announcement tomorrow on whether it will declare the #COVID pandemic effectively over, it's worth surveying the current situation around the globe to gain a better idea of what's going on with SARS-CoV-2 as the virus evolves.
2) Ultimately, it will be up to the director-general of the World Health Organization, Dr. Tedros Adhanom Ghebreyesus, to decide whether to renew or discontinue the designation of #COVID as an "public health emergency of international concern" following a meeting with experts.
3) The W.H.O. was supposed to announce a decision Friday, suggesting there may be some disagreement over what action to take. In a speech before the committee met, Ghebreyesus noted "since the beginning of December, the number of weekly reported deaths globally has been rising."
Read 14 tweets
Jan 21
1) Despite record high pandemic hospitalizations and deaths, Japan on Friday is believed to have become the first jurisdiction in the world to announce plans to downgrade #COVID on a par with the seasonal flu. In this thread, I will examine the implications of this decision.
2) First, though, it's worth reviewing the state of the #pandemic in the nation of nearly 126 million. Japan Today is reporting that ambulance workers are struggling to find hospitals to admit patients for the 4th week in a row amid the country's latest wave of #COVID infections.
3) And Japan is not merely struggling with its highest resurgence in #COVID hospitalizations since the pandemic's start. It's also recording its highest number of fatalities, as the chart below shows. Japan's COVID death rate is likely now the world's 2nd highest after China's.
Read 10 tweets
Jan 14
1) As the world approaches the third anniversary of the #pandemic, it's worth nothing that two nations — China and Japan — are now observing their highest number of fatalities since the crisis began. And Sweden is also recording its highest #COVID death toll in almost two years.
2) On Friday, the research firm Airfinity updated its #COVID forecast for China, predicting the world's most populous nation will hit a peak of 25,000 #pandemic deaths per day in 10 days. Ultimately, China's death toll is projected to soar to 1.7 million by the end of April.
3) Meanwhile, Japan has declared record highs in the number of #COVID deaths in recent days, calling into question that country's plans to end its #pandemic measures. The country reported 489 SARS-CoV-2 fatalities on Thursday, but officials are now playing down those numbers.
Read 9 tweets
Jan 11
1) One of the apparent signs of progress in the #COVID pandemic some observers like to point out is the decreasing intensive-care burden in many countries around the world. In this thread, I will delve into this phenomenon and argue that one can't rely solely on this indicator.
2) First, it's worth noting that #COVID ICU stays did soar during the first #Omicron wave last winter in many Northern Hemisphere jurisdictions, contradicting the impression conveyed by some experts that this variant of concern was somehow mild. See the chart below for Quebec.
3) During the first #Omicron wave, Quebec authorities considered activating a protocol to decide who would live and who would die in the event that ICU capacity was breached. Thankfully, that never happened and since then the #COVID ICU burden has been much easier to manage.
Read 10 tweets

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