Shared Decision Making has three main objectives : patients who are, to the extent they desire, well-informed about options relevant to the decision they are making, helped in clarifying what matters most to them about the decision, and involved in the process of decision making. The Evidence Communication Innovation Collaborative (ECIC)’ of the Institute of […]
Recent articles
Shared Decision Making – 30 Years On, What’s Changed? What’s Next?February 16, 2015
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Is General Practice good value for money?November 11, 2014
Last year taxpayers spent A$6.3 billion on GP services through Medicare, about 6% of the total government health expenditure. The authors of the Bettering the Evaluation and Care of Health (BEACH) program published in the Conversation their assessment of whether this represented good value for money. Their conclusion, as outlined in the infographic above, is […] |
The Art of DeprescribingSeptember 24, 2014
 First do no harm: a real need to deprescribe in older patients | MJA Online Sept 22nd (1) The benefits and harms of deprescribing | MJA Online Sept 22nd (2) Emperor Joseph II: My dear young man, don’t take it too hard. Your work is ingenious. It’s quality work. And there are simply too many […]
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Cholesterol Tests – non fasting is OKSeptember 16, 2014
Tools for Practice this week confirmed that it is unnecessary (? and cruel) to make our patient fast for a cholesterol test. The differences between fasting and non fasting levels are not clinically significant. Bottom-line: Minimal differences exist between fasting and non-fasting HDL, LDL, and total cholesterol (TC). Also, non-fasting HDL and non-HDL levels correlate […] |
Explaining a new primary care focus to the community of Counties MaukauSeptember 8, 2014
 Counties Manukau District Health Board has oversight of health delivery in South Auckland and surrounding areas. Their ‘The System Integration Programme is ‘an initiative that will strengthen our healthcare system through a more local and integrated patient experience.’ They have developed this video to explain to their community how they will be affected by this […]
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Mailbox for MacSeptember 8, 2014
 Mailbox is an innovative mail client for iOS that had an enormous impact when it was released last year. I remember being 500,000th in line for an invitation to be a beta tester. Mailbox makes it easier to achieve Inbox Zero – that sweet spot where your inbox is empty of all messages. This doesn’t […] |
Improvement Science – Testing Change and the PDSA CycleJune 11, 2014
This article is part of a new series on Improvement Science and Practice Coaching The PDSA Cycle is the key to improvement, but is often poorly understood.(and no, Ken, it doesn’t stand for “Please Don’t Say that Again”) A PDSA is a process in which we use small, simple steps to test a change idea. The […] |
If you come to our hospital missing a finger, no one will believe you until we get a CT scan, an MRI and an orthopedic consultJune 9, 2014
In this TED talk, physician and writer Abraham Verghese talks about the power of the ritual in medical consultation. The power of human touch is a powerful healing tool that is put at risk by our reliance on investigations and imaging. |
The cost of one admission to hospital is more than 15 years worth of GP consultationsJune 6, 2014
Should we be discouraging people from seeing their general practitioner? Calculating from federal government figures: The cost of one admission to a public hospital is more than the government would spend on 15 years worth of GP consultations It is cheaper to pay for someone to see their GP every week for a year than […] |
Strange But True – Vintage Medical Procedures and Weird Looking EquipmentMay 1, 2014
 So Bad So Good presents a selection of strange medical procedures and freakish looking equipment from our recent past. What do we do now that will look weird in the future? Tanning babies at the Chicago Orphan Asylum, 1925, to offset winter rickets Physiotherapy 1920’s style Blood Transfusion 1978 More at So Bad So Good, […] |
