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Tessa Richards

Tessa Richards: “Burnout shops” are bad for health

24 May, 16 | by BMJ

Tessa_richardsBurnout is a pervasive problem. Its high prevalence among health professionals is well recognised. But the extent of its impact on the quality, safety, and cost of patient care needs more scrutiny, agreed participants at the WELL-Med conference in Greece last week.

“Fixing toxic workplaces rather than fixing the people” who suffer from working in them should also be a priority, said the guru of burnout research, Christina Maslach, professor of psychology at the University of California. She went on to warn that “the number of organisations” whose policies seem designed to make them “burnout shops” is rising. more…

Tessa Richards: “Millennials” seek to reshape health

6 Oct, 15 | by BMJ


What better place to debate how emerging technologies are transforming healthcare than the Silicon Valley? Bathed in sunshine, the Stanford University campus is a magnet for people with the vision and skills to create new futures, and Stanford Medicine X (#MedX) attracts health innovators from a wide range of disciplines. Now in its fifth year, the meeting, led by Larry Chu, an anaesthetist at Stanford, is notable for its “inclusivity.” Patient scholars, in particular, play a major part; both as members of the steering committee and speakers in the forum’s informal TED style talks, panel discussions, and workshops which flow with showbiz panache. more…

Tessa Richards: Fewer tablets, more self management support

21 May, 15 | by BMJ

Tessa_richardsIt’s easy to lose confidence and withdraw from life when you become ill and lose your job. “Anne” struggled for 20 years with multiple long term conditions and a drug regimen of 28 tablets a day before going on a six week self management course which “turned [her] life around.” She and other patients spoke eloquently at a recent meeting organised by The Health Foundation on how such courses gave them the motivation, knowledge, and skill to question what best management meant for them, change their behaviour, and reach self defined goals. Doctors should routinely “prescribe” self management courses for patients with long term conditions—and do so soon after diagnosis, not 20 years later, the meeting concluded. more…

Tessa Richards: Is your conference “Patients Included?”

17 Apr, 15 | by BMJ

Tessa_richardsThe conference circuit is buzzing. If you are not physically caught up in the whirl there are plenty of colourful twitter feeds to follow—last week’s #EvidenceLive for example. Next week #Quality2015 will be a hot hashtag as around 3000 or so delegates will gather at this year’s International Forum on Quality and Safety in Healthcare at London ExCel. Among the throng will be a small but doughty team of patients and carers, for this year’s conference has taken the “Patients Included” call seriously and is holding a “Big Debate” on the motion “The patient knows best.” more…

Tessa Richards: Big data—jam tomorrow

5 Mar, 15 | by BMJ

Tessa_richardsRest easy in your beds overworked doctors and ailing patients, for tomorrow, all will be well. Big data will revolutionise healthcare. Processes in creaky health systems will be streamlined, patients empowered, and outcomes improved. Upbeat messages permeated the air at the UK e-health meeting at Olympia in London this week ( E-health is more a joined up state of mind than a technology, a tweeter observed, and a smorgasbord was on offer. It included workshops on service transformation and informatics priorities, best practice cafes, “future zones,” “digital plenaries,” and numerous tech company stands. The programme listed 501 in total. Some with enticing names, such as Clarity Informatics and Co–ordinate My Care. But frustration was in the air too…. more…

Tessa Richards: When doctors and patients disagree

4 Sep, 14 | by BMJ

Tessa_richardsThe Ashya King case has gone global, and in the UK is assuming Mid Staffordshire proportions. The law, as interpreted, would appear to have totally overlooked the best interests of a gravely ill child: to have parents who love and care for you at your side.

Amid the media hullabaloo, unfolding events, heated debate, and hasty responses, the seminal event: the “breakdown in communication” between the family and Southampton hospital staff, should prompt doctors everywhere to take a long, hard look at how they interact with patients and their families. more…

Tessa Richards: Go with the flow

18 Jul, 14 | by BMJ

Tessa_richardsLegend has it that the Anglo-Saxon king Canute believed his command could hold back the tide. Last week, Financial Times columnist Robert Shrimsley conjured up Canute’s image, as he describes how he went to his GP for a problem and the latter pleaded with him not to go to the internet for information. Of course, the first thing Shrimsley did after leaving the surgery was to search the web, and he says that “‘Don’t google this’ is surely the most forlorn demand since ‘Don’t eat the apple’.”

It’s a great piece. He says cross examination of a doctor was “almost akin to arguing with a priest,” and, tongue in cheek, states it must be “jolly tiresome” for doctors to deal with informed patients; and even more so with “slightly informed ones.” But he urges them to put themselves on “the right side of modernity” and deal with a potentially empowered public. more…

Tessa Richards: Health 2.0—new technologies and e-patients

18 Jun, 14 | by BMJ

Tessa Richards“All changed, changed utterly.” W B Yeats’s famous line was triggered by the Irish rebellion in 1916. Close to 100 years on, it could describe how digital technologies and social media are changing the world; not least the world of healthcare. At the Doctors 2.0 & You conference—launched and led by Denise Silber, a Paris based digital health consultant—delegates fizzed with enthusiasm. Their tweets contended with the dawn chorus, as word was instantly spread about “le dernier mot” on health apps, “serious” games for health, “wearables” (think Google Glasses), and the use of social media in health (#doctors20). And on how big data around the global, online discourse on health is being tracked and analysed.

In contrast to many health fora, patient representation was strong, and their contributions equally so. Those who have found the willpower and energy to use their experience of illness to innovate, and help others, tend to be effective advocates. A well known example is e-patient Dave (deBronkart), author of Let Patients Help, which is a must read for doctors and patients alike. He defines e-patients as “empowered, engaged, equipped, and enabled.” more…

Tessa Richards: The right to be supported to self manage disease

16 May, 14 | by BMJ

Tessa RichardsOn the eve of the EU elections, reports and manifestos aimed at attracting the attention of newly elected MEPs and commission officials have been flowing thick and fast. A new one shortly to be added to their list has the working title, “Empowered patients are a resource not a cost.” It will set out recommendations on how people living with long term chronic disease should be supported to self-manage not just the medical aspects of their conditions, but the social, psychological, caring, and financial burdens they impose too. more…

Tessa Richards: “All I ask is that you listen”

14 Apr, 14 | by BMJ

Tessa RichardsIf healthcare was a patient, the diagnosis would be multimorbidity. There is a near terminal mix of fragmentation of services, failure to listen and respond to patients concerns, lack of compassion, patchy performance on protecting and promoting health, and unsustainably high costs. Simplistic perhaps, but fighting talk galvanises. Maureen Bisognano, president of the Institute of Healthcare Improvement, used a similar scenario to argue the case for “flipping” healthcare, at last week’s Quality Forum in Paris. more…

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