Category: Health Care Public Health
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Epidemiology of multi morbidity volume 2
A question rolled into my inbox from a senior clinician I know. It’s here “Do you have a few killer facts about: • Prevalence of LTCs, trends over last 5 years and predictions for next 5 years? • Ditto prevalence of multi morbidity • Ditto healthy life expectancy.. We have all sorts of conflicting stories […]
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Population health, population health care, population managemen
More than 30 years ago Rose set out the importance of focusing on population factors and not just individuals. We’ve not really made good on the hypothesis yet. Population health is still all the rage, if not properly defined. I’ve had a few gos at defining. Firstly trying to distinguish “public health” and “population health”. […]
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Screening for cardiac risk in young adults – a poor way to save lives
This one has cropped up a lot over the years. See this thread from @CRY_UK inviting people between 14-35 to get free ECG heart screenings There’s a handy link to a website to get tested, with handy locations all over the uk. I mostly see the red mist at this point. I’ve also seen mass […]
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innovation is NOT the same as shiny gadget or “invention”
people keep asking me to write a blog on “innovation” I recently wrote about our idolatry of gizmos. gizmos are certainly inventions, sometimes they are innovative. Sometimes they don’t add a lot (any) value thus Im mostly unconvinced they class as “innovative” I’m not sure I can summon the will to live to write more […]
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Robotic prostatectomy. £60m capital cost on gizmo idolatry
I’ve previously had my rant about the ProtecT study. This broadly backs up earlier studies e.g. The PIVOT study suggesting radical prostatectomy doesn’t beat watchful waiting in terms of overall survival for localised prostate cancer. Surgery can do harm, watchful waiting will not. This is a development based on the hot of the press study […]
Sheffield DPH 