Medicine and Science from The BMJ

Planet centred care - Why doing less can be hard

Oct 6, 2023

Reducing low value care and resource stewardship, understanding human behavior and improving decisions, complexities and drivers of low value care, role of fear in medical decision-making, reducing unnecessary CT scans of the head, complexities of medical decision-making

49:46

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Quick takeaways

Reducing low value care improves patient outcomes and is environmentally friendly.

Various factors contribute to the continuation of low value care, including culture, fear of missing a diagnosis, and income generation.

Deep dives

The Role of Confidence in Healthcare Professionals

The podcast episode discusses the role of confidence in healthcare professionals and how it affects their ability to provide care. It emphasizes the importance of having confidence in order to push for change, but also highlights that excessive confidence is not necessary. The episode explores the impact of confidence on healthcare decisions and actions taken by providers.

Introduction

2min

Reducing Low Value Care and Resource Stewardship

7min

Understanding human behavior, improving decisions, and communicating risks

3min

Complexities and Drivers of Low Value Care

9min

The Role of Fear in Medical Decision-Making

10min

Reducing Unnecessary CT Scans of the Head for Minor Head Injuries

5min

The Complexities of Medical Decision-Making

14min

One element of sustainable healthcare is simply reducing the amount of healthcare you’re doing by not doing the things that are of no value to patients. However, how do we do this in practice? And why is it often so hard? What is the role of fear in this discussion? These are all questions we will discuss in this episode.

To help us with this we’ll be joined by Prof Ben Newell (cognitive psychologist from University of New South Wales, whose research interest includes judgement and decision making). and Dr Lucas Chartier, emergency medicine physician at the University Health Network in Toronto.

Ben Newell also has also recently released a book, Open Minded, co-authored with David Shanks on the role of the unconscious mind in our decisions making

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Medicine and Science from The BMJ

Planet centred care - Why doing less can be hard

Podcast summary created with Snipd AI

Quick takeaways

Deep dives

The Role of Confidence in Healthcare Professionals

Understanding Low Value Care and its Benefits

Drivers of Low Value Care

Reducing Unnecessary Tests: A QI Project Example

Remember Everything You Learn from Podcasts