{"id":34381,"date":"2015-06-05T11:03:30","date_gmt":"2015-06-05T10:03:30","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=34381"},"modified":"2015-06-05T11:03:43","modified_gmt":"2015-06-05T10:03:43","slug":"the-bmj-today-systems-need-to-change-to-overcome-healthcare-problems","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/05\/the-bmj-today-systems-need-to-change-to-overcome-healthcare-problems\/","title":{"rendered":"The BMJ Today: Systems need to change to overcome healthcare problems"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/06\/older_woman.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-34383\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/06\/older_woman-150x150.jpg\" alt=\"older_woman\" width=\"150\" height=\"150\" \/><\/a><a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h2697\">\u2022 Elder abuse, say Yuliya Mysyuk and colleagues<\/a>, is a \u201cfar reaching public health problem that affects the quality of life of people worldwide,\u201d and point to failures in health systems, rather than to individuals, as the reason for its prevalence. Healthcare professionals, they say, are one of the most important groups to identify abuse. Yet this is underreported and older people remain let down by the system. Mysyuk suggests that their voices should be deliberately sought when restructuring healthcare systems, and that proposes \u201cadding system abuse\u2014harm or distress to an older person that is caused by the organisation and resulting practices in our institutions \u2014to the classifications of abuse.\u201d<!--more--><\/p>\n<p><a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h3082\">\u2022 Failures of systems rather than individuals, and calls for change<\/a>, were also echoed by a warning from the royal nursing and medical colleges in Scotland, who have come together to issue a warning on the future sustainability of the NHS. They say new ways must be found to deliver the service in Scotland and have issued a statement requesting a frank public debate on all available options; \u201can end to targets that distort clinical priorities and waste resources; development of new ways to deliver care that replace the traditional hospital based model; and better team working among all health professionals.\u201d<\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/06\/running.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-34382\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/06\/running-150x150.jpg\" alt=\"running\" width=\"150\" height=\"150\" \/><\/a>\u2022 Meanwhile Douglas Kamerow, senior scholar at Georgetown University, points out that action by both individuals and healthcare professionals is needed to tackle the growing number of people who do no exercise at all. In an column\u00a0titled \u201c<a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h3024\">Why don\u2019t people exercise, even a little?<\/a>\u201d he suggests individuals come up with exercise strategies which work for them, and that doctors help them to do so. Whilst accepting that research has shown counselling for exercise isn\u2019t wholly effective, he is adamant that \u201ccommon sense and public health urgency demand that we do something.\u201d<\/p>\n<p><em><strong>Rebecca Winson<\/strong> is a publishing executive, The BMJ.\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2022 Elder abuse, say Yuliya Mysyuk and colleagues, is a \u201cfar reaching public health problem that affects the quality of life of people worldwide,\u201d and point to failures in health [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/05\/the-bmj-today-systems-need-to-change-to-overcome-healthcare-problems\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5750],"tags":[],"class_list":["post-34381","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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