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cross-posted from: https://lemmy.world/post/9433613

Oliver McGowan was 18 years old when he was hospitalized in England with recurrent seizures and pneumonia. He was autistic, and he and his parents had one specific request for the medical team: no antipsychotic medications. When he had taken them in the past, they made his seizures worse and had devastating effects on his mood. Despite the family’s vehement protests, doctors gave him an antipsychotic. A few days later, Oliver suffered a lethal neurological side effect. A week later, he was taken off life support. An inquest into his death found that the drug had led to the rapid deterioration.

After his death in 2016, his mother, Paula, launched a campaign to mandate training on intellectual disability and autism for health care workers. In 2022, the U.K. National Health Service listened. Now, all health care workers in the NHS must complete both an online module and a live interactive session covering communication and accommodations needed for this population. The U.S. needs to follow suit, starting with medical schools.

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I haven't read through the entire thing yet, but so far it looks very thorough and well cited. It's aimed at healthcare decision makers in Canada but it's pretty accessible and there are sections that might be helpful to others too.

For those unfamiliar:

Canada Health Infoway is an independent, federally funded, not-for-profit organization tasked with accelerating the adoption of digital health solutions, such as electronic health records, across Canada. (wikipedia)

My personal opinion is that they're pretty good about it


Here is the description from the site:

The goals of the Toolkit for Implementers of Artificial Intelligence in Health Care are to assist health care organizations across Canada in understanding what is required to embark on an AI implementation journey, to provide specific tools to begin this journey and to ensure that organizations are prepared to adopt AI in a safe way that minimizes risk for all stakeholders.

The toolkit is divided into six modules that provide:

  • Checklists to ensure that organizations can more effectively plan their activities
  • Best practices, tips and recommendations related to responsible innovation
  • Case studies demonstrating real-world Canadian examples of successfully implemented AI solutions
  • Comprehensive footnotes and bibliographic links for further readings about AI and health care
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cross-posted from: https://lemmy.ca/post/10617328

An analysis on primary care in Canada, and what we can do to improve it

KEY POINTS

  • Canada spends less of its total health budget on primary care than the average among Organisation for Economic Cooperation and Development (OECD) countries (5.3% v. 8.1%).

  • Canada can learn lessons to inform policy on primary care from OECD countries like the United Kingdom, Norway, Netherlands and Finland where more than 95% of the population has a regular primary care clinician or place of care.

  • An analysis of these countries shows that those with high rates of primary care attachment have stronger contractual agreements and accountability for family physicians, including where they practise, their scope of practice and who they accept as patients.

  • Countries with high rates of primary care attachment have similar numbers of family physicians, but fewer work in walk-in clinics or specialized areas; family physicians are paid by capitation or salary, work in interprofessional teams and have excellent digital tools and information systems.

The article has more, I just pulled the key points section out

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Cross posting the AMA from our parallel community for those that were interested!

https://www.reddit.com/r/medicine/comments/18a6l3f/ama_im_dr_larry_edwards_a_rheumatologist_at_the/

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Medicine

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