Discover and read the best of Twitter Threads about #Healthpolicy

Most recents (24)

THREAD:
1/8 Lets unpack the Labour health briefing document that was published yesterday ⬇️.
#NHS #healthpolicy Image
2/8 👍There are some promising elements - like an increased focus on staff numbers, a much-needed shift to prevention, and an emphasis on bettering pay and conditions within social care. But….
3/8 ❗️….the briefing reiterates a commitment to private sector delivery, particularly to cut waiting lists. This means further erosion of public provision and privatisation of our healthcare services, and your taxes flowing out of the NHS to boost profits. #NHSPrivatisation
Read 8 tweets
We could write a book about this short article:
1) explaining complex insurance terms— ok good
2) using a healthy white married man with f-t employment and a wife with access to excellent benefits at work as your lead example — wow *lots* to unpack there: nytimes.com/2022/09/30/bus…
3) Array of brokers & financial advisors weighing in as experts.
4) None of the 26yos featured in the article are parents, which is telling.
5) Are we finally witnessing a normalization of ACA marketplace plans as part of ins landscape rather than a new experiment?
#healthpolicy
A while back my brilliant colleague @jmullig5 and I wrote an article about the “young invincibles” and what it means over decades to build the insurance “system” around a presumed young white healthy male consumer. It’s long been a fraught concept: read.dukeupress.edu/jhppl/article-…
Read 5 tweets
A reflection on one year at @StanfordHP , and a bit of what I have learned over the last year studying US #HealthPolicy at one of the top universities in the world. (And a photo tour.)
During my time here I learned about health policy in the classroom, through my own research, and by being both a patient and resident doctor in one of the most expensive health systems in the world. I have experienced US healthcare from all angles.
1. No health system in the world is perfect. Each system is designed for the outcome that it gets. The USA has the most expensive systems in the world, this means that some people get the absolute best care, others get absolutely no care.
Read 17 tweets
(1/10) ❗️Disclaimer❗️: Not an #intersectionality expert but care about #intersectionality & #healthequity. I want my research to reflect personal values. Below are just some of my musings on this ⬇️
(2/10) In my #epidemiology research, often constrained by what data is available to me...

e.g. forced to conflate #sex & #gender, treat gender as binary construct, collapse #ethnicity into meaningless categories etc. This is not good research! ☠️
(3/10) Most importantly, not doing justice to the people my research is aimed to serve. Want to change that.
Read 10 tweets
Join us at the @WHO Global Evidence-to-Policy Summit, 15-17 November 2021. One hot topic will be the #COVID19 pandemic, which has been a turning point for evidence-informed decision-making. More info and free registration 👉 e2psummit2021.org #E2PSummit Image
NOW! ✨I will be live-tweeting during the @WHO #E2PSummit2021, 15-17 November. Follow along! Free registration and more info here: e2psummit2021.org Image
🗓️ Day 1 of the @WHO #E2PSummit2021 is all about reshaping evidence-to-policy mechanisms, strengthening country resilience - beyond the #COVID19 pandemic. Moderated by @drhuerta. Find some background info here: e2psummit2021.org
Read 77 tweets
@ePatientDave @HealthHats @DrDannySands @lizsalmi @tessajlrichards @BMJPatientEd So much truth - IMO this flip to consumerism WITHOUT full participation of both clinical experts and patient community leaders in creating health literacy resources for humans is root cause of much "I did my own research" nonsense now driving medical misinformation online.
@ePatientDave @HealthHats @DrDannySands @lizsalmi @tessajlrichards @BMJPatientEd What I mean by that is "the academy" (in this instance the @AmerMedicalAssn who I give fish-eye to on the regular over their K St lobbying in service of status quo in US healthcare spend, but I digress) has missed eleventy-million-and-five opportunities to ... /2
@ePatientDave @HealthHats @DrDannySands @lizsalmi @tessajlrichards @BMJPatientEd @AmerMedicalAssn Team up with patient community leaders savvy in comms, community organizing, and *science* to build health literacy resources that can be deployed all over ever'where to help humans be prepared to made decisions about their/their families' health. /3
Read 8 tweets
NJ Medicaid Director Jennifer Langer Jacobs @NJDHS discussing Medicaid Payment Issues: Facilitating Access, Supporting Care at @SetonHallLaw's Telehealth Post-Pandemic virtual symposium #telehealth #postpandemic #vulnerablepopulations #HealthLaw #healthpolicy #Medicaidpolicy ImageImage
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"We live at the intersection of creativity and compliance." Director Jacobs
Read 3 tweets
🧐🧐🧐 Thread: Every wondered why the use of #technology is not well-integrated in the #mentalhealthcare system? This paper provides insights, and calls attention to the need for strategic, visionary, coordinated, and stakeholder-engaged leadership...Summary Tweets Below: 1/
We reviewed 22 #healthpolicy documents from all Canadian provinces and territories published between 2011-2019 describing their vision, strategy, action plan, for improving #mentalhealthcare 2/
We analyzed the extent to which each #healthpolicy document mentioned the use of technology in relation to the delivery of #mentalhealth services 3/
Read 10 tweets
Still reflecting on a Grand Rounds presentation by @TaraLaguMD last week on people with disabilities as an unrecognized health disparity population. And how there needs to be systemic change, with attention to detecting, understanding, and reducing. #DisabilityPolicy

A 🧵 (1/8)
A selection of articles discussed in the talk:

Paper #1
pubmed.ncbi.nlm.nih.gov/23552258/

(2/8)
Read 8 tweets
Hello 👋 new followers. Feel free to introduce yourself.

Me: A top strength of mine is “input” Others in pics.

I tweet A LOT. I tweet long threads with links to articles, with highlighted screenshots, links to others’ tweets. I hold onto info & reference past yet “futuristic”
You have to know the past to understand patterns and see possibilities as well as navigate past barriers for the future.

If you like control or boundaries, run now as I promise you I will be 🤯 for you.

If you like creativity, expression, innovation, equity, ethics, welcome.
I am going to constantly run around the world finding interesting concepts & facts, be passionate & outspoken on justice/equity, re-use old tweets to explore new facet in new thread.

I’ll shape shift & if you try to pin me down or box me in, you will be frustrated.

All me:
Read 28 tweets
Interesting experience at the dentist, with #zentensivist and #healthpolicy lessons.

Had a cleaning a couple weeks ago, she said I had a small cavity worth filling. I went back today to do that.

1/5
She pokes around, makes eyebrows, says let me go look at that X-ray again.

Pokes around some more, pauses for a moment.

“Let’s just leave it alone and watch it.”

2/
I’m de facto happy but also curious about the reasoning. She explains. It makes sense (but not quite enough for me to relate it here).

On my way out I ask her if there’s a billing code for her careful consideration.

Nope. You only get paid if you do stuff.

3/
Read 5 tweets
Issue brief THREAD: addressing #SDoH through #ValueBasedPayment #HealthPolicy

I'm SUPER excited about this piece. Work began ~8 months ago, I led it, a topic I care a LOT about (and which the Biden administration does, too). @DukeMargolis @MilbankFund

milbank.org/wp-content/upl… Image
THREAD 1/

Alright, finally had a day this week without 200 meetings 😅 so I have time to give this very important topic its proper twitter download. Tweets incoming.

#HealthPolicy #SDoH #PaymentReform #ValueBasedCare
2/ Preface: Important to acknowledge differences in language
-"SDoH:" structural factors shaping downstream social factors
-"Social risk factors:" individual adverse SDoH
-"Social needs:" patients' preferences for help w/social risk factors

#HealthPolicy #SDoH #PaymentReform
Read 50 tweets
To celebrate #NewYearsEve, we present the past year’s top 10 Health Affairs Blog posts. To see the #healthpolicy analysis and commentary that captured the most attention in #2020, please view the full post, and have a #HappyNewYear: bit.ly/3aWhEkm 1/11
1) Could – Or Should – The Government Impose A Mass #Quarantine On An American City? by @LawrenceGostin of @oneillinstitute bit.ly/3rzu7Ai #COVID19 #pandemic #InfectiousDisease 2/11
2) Mapping #Misinformation In The #Coronavirus Outbreak by @a_rutschman of @SLULAW bit.ly/38R6Ilg 3/11
Read 11 tweets
1⃣ Awareness. Most policymakers are challenged to understand how many #health workers they have, their locations, status & latest qualifications when making #health decisions. These challenges are exacerbated during crises like #COVID19 where real-time data are essential.
2⃣ Self-regulation. Effective human resource information systems are not built overnight. Most resulted through #healthpolicy mandates & required #multisectoral governance & buy-in, including health, IT, education, labor, finance, private sectors, as done in the #Philippines.
Read 7 tweets
Hmm..so have to say, the most misogyny I have encountered is on #MedTwitter mostly from anon account doctors or anti-vaxx.

& tho I repost "The Female Lead" I have rare to no trolls or harassers. I have found @LinkedIn pretty female-friendly, in fact. Rarely get a weird message
My first run in was an all male group of doctors discussing IVF and ridiculing acupuncture as not evidence based but they had fragility to any aspect of IVF itself at all questioned or perceiving even tolerance of acupuncture as "quackery"
My point then was more a people in glass houses should not throw stones. There is a difference between clinical trials existing and #EBM as I know from having been on the payer side where business-minded clinicians' narrative advances ahead of science: ncbi.nlm.nih.gov/pmc/articles/P…
Read 33 tweets
I don't know who needs to hear this, but providing examples of being nice or supportive to women in your own family does not make on a feminist or pro-woman nor does that make you anti-racist regarding POC or WOC or BIPOC. The "I am a good person" is at the root of much harm.
Okay, I do know who needs to hear this and this was not really a subtweet because the individuals who fit this description do not use Twitter. But there is more than one individual who may or may not need to have some deep reflection on what "I am a good person" says about ego.
This is from Australia. If in these times, as a not BIPOC, certainly as a not Black person in America, you are asking "Are you calling me a racist?!" (when that word not uttered but, yes, #implicitbias exists and racism is a #public health crisis)....

researchgate.net/publication/43…
Read 20 tweets
So about COVID & Health Disparities?
What is @emoryhealthcare @GradyHealth doing about this on a Structural Level?
Very Good Question!
It is institutions that we focus on, not just ppl
Let's Begin!
@TheRealDoctorT #ShareTheMicNowMed @arghavan_salles @FutureDocs @EmoryNews
/1
Sometimes there is sooo much going on at once it's hard to keep up.
But let this be the Guide to #DEI at @EmoryUniversity!
Follow me and I'll show you around.
Don't stop at the attractions too long you may get lost,
But Do follow everyone who is linked! 😉
@TypicallySilent
/2
#DEI introducing @EmoryDOMRyse #DOING THE #WORK!
Vision Statement: "To be a destination and model for inclusive caring, training, development, and celebration of a diverse patient population and workforce"
@TypicallySilent #ShareTheMicNowMed
@arghavan_salles @DrHowardLiu
/3
Read 10 tweets
House Democrats are moving ahead with another round of #COVID19 relief and more on KHN's 'What The Health?' #podcast. This weeks panelists are @RebeccaAdamsDC, @JoanneKenen, and host @jrovner. khn.org/news/podcast-k…
Here's the full rundown on episode 147 of KHN's 'What the Health?' complete with timestamps so you can skip to the juicy stuff! Image
It may be harder to reach a deal on the next stimulus bill, but with 3.5 million more jobless there is a push to reopen says @politico's @JoanneKenen.
Read 4 tweets
Umbereen S Nehal MD MPH: who is this person? Several people have been asking

A thread

Where am I from? Hooboy.
Let’s say, citizen of the world, human ping pong ball. Third culture kid. Genetic mutt

Born: 🇺🇸
🇵🇰 parents - when my parents born colonial rule, pre-Pakistan
To thoroughly annoy my Twitter bestie, @DrvanTilburg

Am an ENFP - a cross between Snoopy, Robin Willians, Ellen Degeneres, Dr. Seuss, Charles Dickens, Upton Sinclair

I border on ENTP - love new info and love to challenge in order to break through barriers or limitations
My great-grandfather was given title "Khan Bahadur" (brave). As a judge, a brown man under Colonial rule, he threw the book at a British attorney. "Learn the law" if in his courtroom. Hence my stiff moral backbone

My mom & me:

(She loves this song)
Read 52 tweets
For the most part, asthma, hypertension, and diabetes are inequalities — differences that are a direct result of racism, poverty, disinvestment, and other structural barriers — not “pre-existing conditions.”
#publichealth #healthequity #covid19
Here’s an excellent article by @uche_blackstock that provides an overview of the barriers to equitable treatment and other inequalities that emerge during the #covid19 pandemic and similar disasters: #healthequity #phealth
Most US cities have a 15-year gap in life expectancy. Neighborhoods that have seen these catastrophically-high premature death rates for decades, due to inequality, racism, & incarceration, are also likely to be impacted by #covid19 at 2-5 times the rate of affluent areas. #nnip Image
Read 41 tweets
The government’s removal of the time modifier is aimed at saving $200 million, which is about half of the #healthcarecuts government is looking for. (1/13) #ABdocs4patients
#Healthpolicy research and basic economics both suggest that the government’s proposal is in the wrong direction. It will not save money; it will damage health. (2/13)
The incentive is toward the short visit, with physicians spending less time with patients. #10minutemedicine (3/13)
Read 13 tweets
“If health economists were in charge of the health system, not a lot would change,” which tells you just about all you need to know about most health economists in the United States. @afrakt ow.ly/bJO030qj6KX
@afrakt More constructively...the responses to this survey's normative questions confirm something that I’ve observed anecdatally: there is a mountainous structural ideological-bias problem in #HealthPolicy.

cc: @KosaliSimon, @cawley_john
@afrakt @KosaliSimon @cawley_john The health policy professions skew left, because federal and state health policy skew left; thus the set of individuals who select into these professions skews toward those whose ideas concern *how* government should allocate resources/regulate rather than *whether* it should.
Read 7 tweets
#healthpolicy #halloween in full effect at @VUMChealth! 🎃 ImageImageImageImage
Loving it! Image
Our winning costume: #trumpcare. 🤣 Winning dessert: eclair cake. 🤤 Image
Read 6 tweets
A brief #tweetorial for those curious as to why I spend countless hours on a non-specialty medical organization. The basic premise of the @AmerMedicalAssn House of Delegates is actually simple. #healthpolicy #publichealth #MembersMoveMedicine 1/
It’s a representative democratic body consisting of members of societies from the US states and subspecialties of medicine, convening twice a year as the @AmerMedicalAssn House of Delegates (HoD). The majority of each meeting is spent deliberating policy proposals. #AMAmtg 2/
Any member or organization can bring resolutions with various policy goals to the HoD to be debated and voted on. These go through a multistep vetting process where everyone has the opportunity to speak on and amend these policies under the rules of parliamentary procedure. 3/
Read 11 tweets

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