Global Center for Sustainable Healthcare

Join us in making healthcare more sustainable for patients, clinicians, societies and the planet -

[Global Center for Sustainable Healthcare @GCSHcare]

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! 🐝
https://t.co/REZmwgpsY0

[Minna Johansson @minnajohansson1]

”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 !!

[Minna Johansson @minnajohansson1]

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

[Loai Albarqouni @LoaiAlbarqouni]

Nice coverage of our @BMJ_EBM study https://t.co/vPEhP14qkk
@minnajohansson1 @Institute4EBH @GCSHcare

[Global Center for Sustainable Healthcare @GCSHcare]

Also check out our previous work - we found that the lifestyle interventions recommended were rarely underpinned by reliable evidence of a beneficial effect
https://t.co/HkSCK6r8S8

[Global Center for Sustainable Healthcare @GCSHcare]

Rough estimates suggest that NHS currently does not employ enough healthcare professionals to implement all NICE-recommended lifestyle interventions - https://t.co/1NdB15G62N
Learn more about Time Needed to Treat (TNT) at https://t.co/6SBg25epzs & https://t.co/QDXAMbLTiK

[Global Center for Sustainable Healthcare @GCSHcare]

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

[Global Center for Sustainable Healthcare @GCSHcare]

And here link to the paper https://t.co/1edaTVIXTI

[Global Center for Sustainable Healthcare @GCSHcare]

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

https://t.co/Ag2oBaPh8P

[Victor Montori, MD 💙 @vmontori]

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 https://t.co/FsP00vutxd

[Christine Sinsky @ChristineSinsky]

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"

https://t.co/XUckD0Ry00
@Calnewport_ @nina_singh_ @devin_mann
(1/4)

[Nina Singh, MD @nina_singh_]

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)

[Nina Singh, MD @nina_singh_]

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! https://t.co/jn3ADAroPs (1/6)

[Minna Johansson @minnajohansson1]

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."

[Victor Montori, MD 💙 @vmontori]

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 https://t.co/Zg4vIGlq3r

[Victor Montori, MD 💙 @vmontori]

@magicevidence @PerVandvik @minnajohansson1 @RichardLehman1 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

[Richard Lehman @RichardLehman1]

@vmontori @GCSHcare 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.

[Victor Montori, MD 💙 @vmontori]

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

[Doreen Rabi, M.D. @doreen_rabi]

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

[Minna Johansson @minnajohansson1]

Want to try TNT out and help us improve the method? Find out more at Global Center for Sustainable Healthcare - https://t.co/bI8u5teJ5d - a new non-profit - join us! @GCSHcare 5/5