#JACR Transcript
Healthcare social media transcript of the #JACR hashtag.
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See #JACR Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Maria Antonieta Diaz- Fernandez @MdAntonieta RT @mloxton: Hope you can join us on the #JACR tweet starting now-ish @ShereesePubHlth @Elizabe85727641 @MdAntonieta @lisadbudzinski https://t.co/SpjIPDyc4m |
 | JACR @JACRJournal All tweets are assumed to be your own #JACR |
| JACR @JACRJournal Don't forget T1, T2, etc. in your tweets so we know which question you’re responding to. And make sure to use #JACR. We want your thoughts to be seen and not lose into the twitter-sphere https://t.co/FMX5QX6uAD |
| JACR @JACRJournal Welcome to the #JACR Tweet chat on Health Equity and Quality Improvement. who's tweeting with us today? Let's start with intros... https://t.co/kmOc5mIGF3 |
 | Society of Breast Imaging @BreastImaging RT @RadiologyACR: Are you joining our friends @JACRJournal in 30 minutes for the #JACR tweet chat? @mloxton will talk Health Equity and Quality Improvement. Head to https://t.co/dyUIaiCrDx for a sneak peak! |
 | Matthew Loxton is also on Mastodon @mloxton Matthew here, principal analyst and healthcare improvement improvement gnome - trying to improve healthcare quality and safety one day at a time #JACR |
 | PF Anderson @pfanderson@disabled.social @pfanderson RT @JACRJournal: Welcome to the #JACR Tweet chat on Health Equity and Quality Improvement. who's tweeting with us today? Let's start with intros... https://t.co/kmOc5mIGF3 |
| Matthew Loxton is also on Mastodon @mloxton @Change_HC @JACRJournal Yes! In your view, what goes wrong if we don't have a comprehensive approach in radiology for women? What bad things will happen? #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @JACRJournal Patricia, emerging tech informationist & medical librarian, here for #JACR on health equity. Important topic! |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @JACRJournal: Don't forget T1, T2, etc. in your tweets so we know which question you’re responding to. And make sure to use #JACR. We want your thoughts to be seen and not lose into the twitter-sphere https://t.co/FMX5QX6uAD |
| JACR @JACRJournal Let's get started! T1: What risks, issues, or missed opportunities in #radiology do you see related to SCREENING of disadvantaged or vulnerable populations? #JACR https://t.co/JhHQp6pkqJ |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @mloxton: @Change_HC @JACRJournal Yes! In your view, what goes wrong if we don't have a comprehensive approach in radiology for women? What bad things will happen? #JACR |
| Matthew Loxton is also on Mastodon @mloxton T1 think of what "bad looks like" - what going wrong, who gets hurt, where is the pain if screening of disadvantaged or vulnerable populations is not working optimally #JACR https://t.co/Jic9lyWomp |
 | Radiology Partners @Rad_Partners T1: A few thoughts: Do they have coverage beyond screening? What about costs for work-up (biopsy, etc) and treatment? What is the advantage of looking for disease with screening exams if people don’t have access to care beyond screening? #JACR |
| Matthew Loxton is also on Mastodon @mloxton @Change_HC @JACRJournal Good point - and what happens if this doesn't happen? who will be hurt, how? #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @Change_HC @JACRJournal T1 My concern about health equity is the impacts on #PrecisionMedicine #PrecisionHealth. Without strong robust data on diverse populations, we WILL miss things we need to know, be unable to extract critical patterns, make false judgments based on incomplete data #JACR |
 | Chad Hudnall @ChudnallACR RT @JACRJournal: Let's get started! T1: Let's get started! T1: What risks, issues, or missed opportunities in #radiology do you see related to SCREENING of disadvantaged or vulnerable populations? #JACR https://t.co/JhHQp6pkqJ |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @mloxton: T1 think of what "bad looks like" - what going wrong, who gets hurt, where is the pain if screening of disadvantaged or vulnerable populations is not working optimally #JACR https://t.co/Jic9lyWomp |
| PF Anderson @pfanderson@disabled.social @pfanderson @Change_HC @JACRJournal I'm admittedly intrigued by the shift in #EHR to #CHR (comprehensive health records) and capturing a broader range of data from a broader range of people. Lots of potential for CHR to support #PrecisionMedicine & Learning Health Systems #JACR |
| Matthew Loxton is also on Mastodon @mloxton @pfanderson @Change_HC @JACRJournal Very valid concern! In your view, who stands to get hurt most if this doesn't happen? #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @Rad_Partners: T1: A few thoughts: T1: A few thoughts: Do they have coverage beyond screening? What about costs for work-up (biopsy, etc) and treatment? What is the advantage of looking for disease with screening exams if people don’t have access to care beyond screening? #JACR |
| Matthew Loxton is also on Mastodon @mloxton RT @pfanderson: @Change_HC @JACRJournal I'm admittedly intrigued by the shift in #EHR to #CHR (comprehensive health records) and capturing a broader range of data from a broader range of people. Lots of potential for CHR to support #PrecisionMedicine & Learning Health Systems #JACR |
 | Hawk @DrKEHawk Joining in intermittently between clinical duties- what a critically important topic! #JACR |
 | Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T1 Missed opportunity to build sustainable relationships with those sements of the population, missed opportunity to improve awareness, thus improving outcomes, and also the risk of increasing HC costs for everyone #jacr https://t.co/4aKw6EvwoY |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Hi everyone. I Shereese, a HC strategist. I'm lurking here while physically attending #HDpalooza #jacr https://t.co/YgK0yYZPap |
| Matthew Loxton is also on Mastodon @mloxton @ShereesePubHlth How would we notice the harm if we don't build those sustainable relationships? Would we see morbidity and mortality increase somewhere? #jacr |
 | American College of Radiology @RadiologyACR T1 Women who live in rural areas are less likely to be screened for #breastcancer with #mammography than those in metropolitan areas. All women should have access to screening mammography beginning at age 40, regardless of where they live #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @Change_HC @JACRJournal EVERYONE! That's part of the concern also with concierge medicine. If we have imbalance in health data collection & access, that inserts bias into the system, bias circles around to ultimately undermine access & quality of care for EVERYONE. #JACR |
| Matthew Loxton is also on Mastodon @mloxton RT @pfanderson: @mloxton @Change_HC @JACRJournal EVERYONE! That's part of the concern also with concierge medicine. If we have imbalance in health data collection & access, that inserts bias into the system, bias circles around to ultimately undermine access & quality of care for EVERYONE. #JACR |
 | Alec Pettifer @alecpett RT @ShereesePubHlth: Hi everyone. I Shereese, a HC strategist. I'm lurking here while physically attending #HDpalooza #jacr https://t.co/YgK0yYZPap |
| Maria Antonieta Diaz- Fernandez @MdAntonieta @mloxton T1 i guess nothing supply the physical exam ... and only in particular cases use of radiology help because is expensive #JACR |
 | Jennifer Broder, MD @JCBroderMD @JACRJournal T1: It's one thing to go to those communities and do outreach, but that still expects them to come to us. We need to go to them. #JACR |
| Matthew Loxton is also on Mastodon @mloxton RT @JCBroderMD: @JACRJournal T1: @JACRJournal T1: It's one thing to go to those communities and do outreach, but that still expects them to come to us. We need to go to them. #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @Change_HC @JACRJournal It's the old story about the rich folk who caught dread disease because their nanny or custodial staff didn't have access to care. If the have-nots lack good healthcare, that becomes a vector for the entire population. #JACR |
| JACR @JACRJournal T2: What risks, issues, or missed opportunities in radiology do you see related to CARE DELIVERY to disadvantaged or vulnerable populations? #JACR https://t.co/gdY4rVypfE |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @ShereesePubHlth: T1 Missed opportunity to build sustainable relationships with those sements of the population, missed opportunity to improve awareness, thus improving outcomes, and also the risk of increasing HC costs for everyone #jacr https://t.co/4aKw6EvwoY |
| Matthew Loxton is also on Mastodon @mloxton RT @pfanderson: @mloxton @Change_HC @JACRJournal It's the old story about the rich folk who caught dread disease because their nanny or custodial staff didn't have access to care. If the have-nots lack good healthcare, that becomes a vector for the entire population. #JACR |
| Matthew Loxton is also on Mastodon @mloxton @JCBroderMD @JACRJournal Great point - so what stops us from going to them? #JACR |
| Maria Antonieta Diaz- Fernandez @MdAntonieta @RadiologyACR maybe is difficult start with mammography ... i guess at least with ultrasonography in rural areas ... #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @ShereesePubHlth Think "House the Jack built," or dominoes, or "finger in the dike," or "First they came for the socialists". Inequity in care ultimately sets the stage for system-wide disasters & crises. #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @JCBroderMD: @JACRJournal T1: @JACRJournal T1: It's one thing to go to those communities and do outreach, but that still expects them to come to us. We need to go to them. #JACR |
| American College of Radiology @RadiologyACR Don't miss this conversation on #HealthEquity and Quality Improvement! Happening NOW until 1pm. Use #JACR to join in! https://t.co/pLfpeBNbL7 |
| Maria Antonieta Diaz- Fernandez @MdAntonieta @mloxton @ShereesePubHlth i guess education is the clue autoknowledge and auto care of health till childhood ... #JACR |
| Radiology Partners @Rad_Partners T2: We have to be sure we're asking ourselves a few things: Do we spend as much time on shared decision-making with disadvantaged or vulnerable populations? Are our actions sometimes shaped by implicit bias? #JACR |
 | Becky Haines @grebeccahaines T2: People keep getting sicker as a population. The patient in front of you may be helped but the 10 you don’t see create a sicker community #JACR https://t.co/3NJ6X8TNnY |
| PF Anderson @pfanderson@disabled.social @pfanderson @JCBroderMD @JACRJournal Bravo. We are circling around. Healthcare built in economies of scale, but those have proven to undermine population wide health. OTOH, we don't have the funding to support our current model. It's sad, watching "Call the Midwives" & seeing what we've lost #JACR |
| Becky Haines @grebeccahaines RT @pfanderson: @mloxton @ShereesePubHlth Think "House the Jack built," or dominoes, or "finger in the dike," or "First they came for the socialists". Inequity in care ultimately sets the stage for system-wide disasters & crises. #JACR |
| Matthew Loxton is also on Mastodon @mloxton @pfanderson @Change_HC @JACRJournal I guess a good example would be TB screening? If you ignore vulnerable populations, then by the time you notice it in the affluent pop it is far harder to combat. esp XDTB #JACR |
 | Ruth Carlos @ruthcarlosmd @JACRJournal use of mobile service delivery =opportunity. eg mobile breast screening vans, mobile ct / mri. increased geographic and temporal access. #JACR @mloxton |
| Becky Haines @grebeccahaines RT @ruthcarlosmd: @JACRJournal use of mobile service delivery =opportunity. eg mobile breast screening vans, mobile ct / mri. increased geographic and temporal access. #JACR @mloxton |
| Jennifer Broder, MD @JCBroderMD RT @Rad_Partners: T2: We have to be sure we're asking ourselves a few things: T2: We have to be sure we're asking ourselves a few things: Do we spend as much time on shared decision-making with disadvantaged or vulnerable populations? Are our actions sometimes shaped by implicit bias? #JACR |
| Matthew Loxton is also on Mastodon @mloxton RT @Rad_Partners: T2: We have to be sure we're asking ourselves a few things: T2: We have to be sure we're asking ourselves a few things: Do we spend as much time on shared decision-making with disadvantaged or vulnerable populations? Are our actions sometimes shaped by implicit bias? #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @JCBroderMD @JACRJournal Recently saw a WONDERFUL video about clinician in Africa who trained grannies to provide some kinds of healthcare, do screening https://t.co/nkrkmmCgEX Why? BECAUSE THEY ARE ALREADY IN THE COMMUNITY #JACR #accesstocare |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @mloxton We're already witnessing it. 32% AA pts say they have personally experienced racial discrimination when going to a doctor or health clinic; 22% have avoided seeking medical care out of concern about discrimination. Growing research says this contributes to premature deaths #jacr |
| Ruth Carlos @ruthcarlosmd @pfanderson @JCBroderMD @JACRJournal think population health to deliver efficient care, need to balance with care "personalization" implementing at the n=1 #JACR |
| Maria Antonieta Diaz- Fernandez @MdAntonieta @JACRJournal T2 the size of equipment ... the cost of the studies and cultural behavior ... shame to show breast to physician .. #JACR |
| Ruth Carlos @ruthcarlosmd @MdAntonieta @mloxton @ShereesePubHlth education seems to be the best answer to many of the issues in health care--very challenging to deliver to the right stakeholder at the right time in the right mode. #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @Change_HC @JACRJournal Bingo. And TB is back. Why? INEQUITY + antibiotic resistance https://t.co/yELQ8ph3IZ #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @grebeccahaines: T2: T2: People keep getting sicker as a population. The patient in front of you may be helped but the 10 you don’t see create a sicker community #JACR https://t.co/3NJ6X8TNnY |
| Matthew Loxton is also on Mastodon @mloxton @Rad_Partners Such a wonderful point! Yes, an fundamental concept in QI is to view the process through the eyes of the "customer", in this case, the patient. Do things look safe, timely, effective, efficient, equitable, patient-centered, and affordable to THEM :) #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @ShereesePubHlth: @mloxton We're already witnessing it. 32% AA pts say they have personally experienced racial discrimination when going to a doctor or health clinic; 22% have avoided seeking medical care out of concern about discrimination. Growing research says this contributes to premature deaths #jacr |
| Maria Antonieta Diaz- Fernandez @MdAntonieta RT @ruthcarlosmd: @MdAntonieta @mloxton @ShereesePubHlth education seems to be the best answer to many of the issues in health care--very challenging to deliver to the right stakeholder at the right time in the right mode. #JACR |
| Matthew Loxton is also on Mastodon @mloxton RT @pfanderson: @JCBroderMD @JACRJournal Bravo. We are circling around. Healthcare built in economies of scale, but those have proven to undermine population wide health. OTOH, we don't have the funding to support our current model. It's sad, watching "Call the Midwives" & seeing what we've lost #JACR |
| Matthew Loxton is also on Mastodon @mloxton @pfanderson @JCBroderMD @JACRJournal In many ways ironic that Victorian England, and the establishment of Public Health England has lessons for 21st century America ;) #JACR |
| Matthew Loxton is also on Mastodon @mloxton RT @ruthcarlosmd: @JACRJournal use of mobile service delivery =opportunity. eg mobile breast screening vans, mobile ct / mri. increased geographic and temporal access. #JACR @mloxton |
| PF Anderson @pfanderson@disabled.social @pfanderson @ShereesePubHlth @mloxton Think of ALL marginalized populations (disabled, obese, race, gender, facial difference, mental illness, ...). Stigma kills, and we don't have a solution for stigma. I'm working on guide for clinicians about stigma, & the amount & range of evidence is overwhelming #JACR |
 | Brett Hansen @RadiologyAlly T2: Population health will be key in delivering tailored screening/treatment to underserved populations #JACR @TOPFORMY https://t.co/syhaQka70a |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @ruthcarlosmd: @pfanderson @JCBroderMD @JACRJournal think population health to deliver efficient care, need to balance with care "personalization" implementing at the n=1 #JACR |
 | Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @mloxton: T1 think of what "bad looks like" - what going wrong, who gets hurt, where is the pain if screening of disadvantaged or vulnerable populations is not working optimally #JACR https://t.co/Jic9lyWomp |
| Jennifer Broder, MD @JCBroderMD T2 #JACR: We also have to ask ourselves whether the knowledge that informs our interpretations/clinical decisions is appropriate to apply to these patients. Much of what we know about disease comes from research on Caucasians of European descent... https://t.co/YvqkdFgFK0 |
| JACR @JACRJournal T3: What limitations or frustrations do you experience when delivering care to people with mental health, obesity, gender, or age-related comorbidities? #JACR https://t.co/gpz8zuu9G0 |
 | MEQAPI @meqapi RT @ShereesePubHlth: @mloxton We're already witnessing it. 32% AA pts say they have personally experienced racial discrimination when going to a doctor or health clinic; 22% have avoided seeking medical care out of concern about discrimination. Growing research says this contributes to premature deaths #jacr |
| PF Anderson @pfanderson@disabled.social @pfanderson @ruthcarlosmd @JCBroderMD @JACRJournal Well said! #Nof1 + personalized health interventions + equity in access & data collection/sharing + learning health systems = population health improvements across the board #JACR |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @JACRJournal: T3: T3: What limitations or frustrations do you experience when delivering care to people with mental health, obesity, gender, or age-related comorbidities? #JACR https://t.co/gpz8zuu9G0 |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @JCBroderMD: T2 #JACR: T2 #JACR: We also have to ask ourselves whether the knowledge that informs our interpretations/clinical decisions is appropriate to apply to these patients. Much of what we know about disease comes from research on Caucasians of European descent... https://t.co/YvqkdFgFK0 |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @RadiologyBoy1: T2: T2: Population health will be key in delivering tailored screening/treatment to underserved populations #JACR @TOPFORMY https://t.co/syhaQka70a |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @ShereesePubHlth: @mloxton We're already witnessing it. 32% AA pts say they have personally experienced racial discrimination when going to a doctor or health clinic; 22% have avoided seeking medical care out of concern about discrimination. Growing research says this contributes to premature deaths #jacr |
| Matthew Loxton is also on Mastodon @mloxton @pfanderson @JCBroderMD @JACRJournal What kinds of radiology screenings or treatments could we potentially deliver through that kind of community health worker model? #JACR |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @pfanderson @mloxton That's great but I also find you have to approach clinicians where they are as well. Some cultural norms (physicians) cause them to have certain opinions IMHO, How do you change thinking that's been ingrained since birth #JACR |
 | Suzanne Chong MD, MS, FASER @suzchongmd @mloxton @JCBroderMD @JACRJournal @cjeverett @sethmhardy @mitraddoc @RichDuszak #JACR, forgot to tag 😊 |
| PF Anderson @pfanderson@disabled.social @pfanderson @RadiologyBoy1 @TOPFORMY Yes, but. Most research now is based on population studies, and fails because of lack of inclusion, incomplete data. We need to couple pop health studies with #nof1 (with standards for data collection/sharing such as CARE Stmt https://t.co/LxC838Angq ) #jacr |
| Matthew Loxton is also on Mastodon @mloxton RT @ruthcarlosmd: @MdAntonieta @mloxton @ShereesePubHlth education seems to be the best answer to many of the issues in health care--very challenging to deliver to the right stakeholder at the right time in the right mode. #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @ShereesePubHlth @mloxton You know, we've been there before. Back when docs had home visits as the norm, they were really worried about the creation of the model of care we have now. The reverse will also be true. We need both, something new. Change happens. #JACR |
| Matthew Loxton is also on Mastodon @mloxton @ruthcarlosmd @MdAntonieta @ShereesePubHlth True, so who is responsible for developing and delivering that education? The PC physician, radiologist, gov, schools, ...? #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson #JACR https://t.co/mi3Isxy3hL |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @JACRJournal: T3: T3: What limitations or frustrations do you experience when delivering care to people with mental health, obesity, gender, or age-related comorbidities? #JACR https://t.co/gpz8zuu9G0 |
| Jennifer Broder, MD @JCBroderMD @Suz6Cho @mloxton @JACRJournal @cjeverett @sethmhardy @mitraddoc @RichDuszak T2 #JACR: Agree with this. We also need to put the resources we need to obtain the images in their community to increase physical accessibility. How many outpatient radiology facilities w mammo/CT/MR are in low-income areas? Mammo vans are a start, but not common enough. |
| Matthew Loxton is also on Mastodon @mloxton @pfanderson @Change_HC @JACRJournal The million $ question: does inequity breed antibiotic resistance? #JACR |
| Suzanne Chong MD, MS, FASER @suzchongmd @ruthcarlosmd @JACRJournal @mloxton Levering IT and telerad and coordinating regionalization of rad services so those mobile studies can get read #JACR |
| JACR @JACRJournal We're about half way through our #JACR tweet chat. Want to chime in? search #JACR and click latest to see what the participants are discussing. https://t.co/Y5mr3cDdKk |
| Matthew Loxton is also on Mastodon @mloxton RT @pfanderson: @ShereesePubHlth @mloxton Think of ALL marginalized populations (disabled, obese, race, gender, facial difference, mental illness, ...). Stigma kills, and we don't have a solution for stigma. I'm working on guide for clinicians about stigma, & the amount & range of evidence is overwhelming #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @JACRJournal Big one for both care providers and patients is that clinical spaces are often designed to the mean, the typical patient, and not accommodating for the patient with differences. This creates shame, stigma, AND clinical visit inefficiencies #JACR |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD @JACRJournal #JACR other physicians stigma. I have had to apologize and try to explain bad behavior by other physicians that disregard pt's complains or wrongly attributed them to #gender #mentalhealth #obesity |
| Matthew Loxton is also on Mastodon @mloxton RT @JCBroderMD: T2 #JACR: T2 #JACR: We also have to ask ourselves whether the knowledge that informs our interpretations/clinical decisions is appropriate to apply to these patients. Much of what we know about disease comes from research on Caucasians of European descent... https://t.co/YvqkdFgFK0 |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @JACRJournal: We're about half way through our #JACR tweet chat. Want to chime in? search #JACR and click latest to see what the participants are discussing. https://t.co/Y5mr3cDdKk |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @JCBroderMD: @Suz6Cho @mloxton @JACRJournal @cjeverett @sethmhardy @mitraddoc @RichDuszak T2 #JACR: @Suz6Cho @mloxton @JACRJournal @cjeverett @sethmhardy @mitraddoc @RichDuszak T2 #JACR: Agree with this. We also need to put the resources we need to obtain the images in their community to increase physical accessibility. How many outpatient radiology facilities w mammo/CT/MR are in low-income areas? Mammo vans are a start, but not common enough. |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @pfanderson: @JACRJournal Big one for both care providers and patients is that clinical spaces are often designed to the mean, the typical patient, and not accommodating for the patient with differences. This creates shame, stigma, AND clinical visit inefficiencies #JACR |
| Matthew Loxton is also on Mastodon @mloxton RT @JCBroderMD: @Suz6Cho @mloxton @JACRJournal @cjeverett @sethmhardy @mitraddoc @RichDuszak T2 #JACR: @Suz6Cho @mloxton @JACRJournal @cjeverett @sethmhardy @mitraddoc @RichDuszak T2 #JACR: Agree with this. We also need to put the resources we need to obtain the images in their community to increase physical accessibility. How many outpatient radiology facilities w mammo/CT/MR are in low-income areas? Mammo vans are a start, but not common enough. |
| PF Anderson @pfanderson@disabled.social @pfanderson @JACRJournal Friend in a wheelchair was recently in clinic with one room for folk w/ disabilities. That room was already being used by pt who didn't need accommodations because things were busy when they had arrived, & it was only room available. So friend who needed it cdnt get access #JACR |
| MEQAPI @meqapi RT @JACRJournal: We're about half way through our #JACR tweet chat. Want to chime in? search #JACR and click latest to see what the participants are discussing. https://t.co/Y5mr3cDdKk |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @mloxton @ruthcarlosmd @MdAntonieta All of the above. I have physician clients. When they say something I know to be a scandalous falsehood or stigma, I say something. If I have readily-available statistics, even better #JACR https://t.co/KUoyQiNCrL |
| Brett Hansen @RadiologyAlly @pfanderson @JACRJournal I would argue that the spaces are often designed not even for the mean patient, but for the efficiency of the process sans humanity. #jacr |
| Matthew Loxton is also on Mastodon @mloxton RT @MariaCMoraP: @JACRJournal #JACR other physicians stigma. I have had to apologize and try to explain bad behavior by other physicians that disregard pt's complains or wrongly attributed them to #gender #mentalhealth #obesity |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @mloxton: @pfanderson @JCBroderMD @JACRJournal In many ways ironic that Victorian England, and the establishment of Public Health England has lessons for 21st century America ;) #JACR |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @ShereesePubHlth: @mloxton @ruthcarlosmd @MdAntonieta All of the above. I have physician clients. When they say something I know to be a scandalous falsehood or stigma, I say something. If I have readily-available statistics, even better #JACR https://t.co/KUoyQiNCrL |
| Matthew Loxton is also on Mastodon @mloxton @MariaCMoraP @JACRJournal Were you able to shift the attitudes and reduce the bad behavior as well? #JACR |
 | Tiffany ⁷ @TiffanyAndLupus RT @JACRJournal: T3: T3: What limitations or frustrations do you experience when delivering care to people with mental health, obesity, gender, or age-related comorbidities? #JACR https://t.co/gpz8zuu9G0 |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @pfanderson: @JACRJournal Friend in a wheelchair was recently in clinic with one room for folk w/ disabilities. That room was already being used by pt who didn't need accommodations because things were busy when they had arrived, & it was only room available. So friend who needed it cdnt get access #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @JCBroderMD @JACRJournal Well, "Call the Midwives" is set in the 1950s and 60s, but yes. :) #JACR |
| Matthew Loxton is also on Mastodon @mloxton RT @ShereesePubHlth: @mloxton @ruthcarlosmd @MdAntonieta All of the above. I have physician clients. When they say something I know to be a scandalous falsehood or stigma, I say something. If I have readily-available statistics, even better #JACR https://t.co/KUoyQiNCrL |
| Matthew Loxton is also on Mastodon @mloxton Ah this! #JACR https://t.co/cUuyjROMjO |
| JACR @JACRJournal T4: What issues or opportunities do you see in reaching patients who may not be receiving recommended screening or care? #JACR https://t.co/Ex3jUTIusG |
| Brett Hansen @RadiologyAlly Why aren’t there any kids on the tweetchat? #jacr #bringyourchildtowork |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @JCBroderMD @JACRJournal I'm thinking it would have to be telemedicine underneath it. Would be trickier in radiology than some other health area, & would need careful training #jacr |
| Ruth Carlos @ruthcarlosmd @ShereesePubHlth @mloxton @MdAntonieta I’m almost missed my plane participating in this #jacr tchat!!! They are literally calling my name. @pfanderson @JACRJournal |
 | Efrén J. Flores, MD @EJFloresMD Caring and advocating for the underserved are important steps for #radiology as we continue to provide #valuebased care and move towards a central role in #population health. #JACR #missedopportunities https://t.co/xEmanFdwZJ |
| Ruth Carlos @ruthcarlosmd @MariaCMoraP @JACRJournal Hard to believe inappropriate Physician behavior toward patients happens 🙄#Jacr |
| Matthew Loxton is also on Mastodon @mloxton @RadiologyBoy1 @pfanderson @JACRJournal yes yes yes :) The processes (and spaces) are often built to suit priorities and stakeholders other than the patient, with the result that they work very well for stakeholders but not patients or their well-being. #JACR |
| American College of Radiology @RadiologyACR RT @EJFloresMD: Caring and advocating for the underserved are important steps for #radiology as we continue to provide #valuebased care and move towards a central role in #population health. #JACR #missedopportunities https://t.co/xEmanFdwZJ |
| Matthew Loxton is also on Mastodon @mloxton RT @RadiologyBoy1: Why aren’t there any kids on the tweetchat? #jacr #bringyourchildtowork |
| Ruth Carlos @ruthcarlosmd @RadiologyBoy1 @pfanderson @JACRJournal Great insight #jacr |
| Matthew Loxton is also on Mastodon @mloxton RT @ruthcarlosmd: @ShereesePubHlth @mloxton @MdAntonieta I’m almost missed my plane participating in this #jacr tchat!!! They are literally calling my name. @pfanderson @JACRJournal |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @ruthcarlosmd @mloxton @MdAntonieta @pfanderson @JACRJournal #JACR https://t.co/C1VRxAxDG0 |
| Jennifer Broder, MD @JCBroderMD T3 #JACR: We need to do the work to make our tools more accommodating for patient's disabilities. Eg. mammo more accessible for pts in wheelchairs, MRIs more accessible for pts with claustrophia or pain issues. Do you REALLY need all those sequences? https://t.co/FPOKUadtzH |
| Suzanne Chong MD, MS, FASER @suzchongmd @RadiologyBoy1 My child is with me and demanding I get off my phone and play with her. 😂 #JACR #worklife juggle |
| Ruth Carlos @ruthcarlosmd @ShereesePubHlth @mloxton @MdAntonieta @pfanderson @JACRJournal Ok im@oullinf away from he gate and still tweeting !!!!! #jacr |
| Jennifer Broder, MD @JCBroderMD RT @pfanderson: @JACRJournal Big one for both care providers and patients is that clinical spaces are often designed to the mean, the typical patient, and not accommodating for the patient with differences. This creates shame, stigma, AND clinical visit inefficiencies #JACR |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @mloxton: @RadiologyBoy1 @pfanderson @JACRJournal yes yes yes :) The processes (and spaces) are often built to suit priorities and stakeholders other than the patient, with the result that they work very well for stakeholders but not patients or their well-being. #JACR |
| Ruth Carlos @ruthcarlosmd @RadiologyBoy1 They’re on Snapchat #jacr |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @Change_HC @JACRJournal I don't know that anyone has done that specific question, but parts of it are being studied: Securing access to effective antibiotics for current and future generations. Whose responsibility? https://t.co/gz1XTwURGw | https://t.co/pQ7oz16dgV | https://t.co/qt35ZPfcT3 #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @RadiologyBoy1: @pfanderson @JACRJournal I would argue that the spaces are often designed not even for the mean patient, but for the efficiency of the process sans humanity. #jacr |
| Radiology Partners @Rad_Partners T4: Understand why they aren’t getting the recommended care. Is it an issue of out-of-pocket cost? Work or family-related limitations? Lack of transportation? It’s often not that they don’t want care, it’s that they can’t easily access it & thus it gets pushed to the side. #JACR |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Health Equity: Why It Matters, and How To Take Action - RWJF https://t.co/FnlvBQ6cC7 #JACR |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD #JACR Patient-centered Care & Community-based Participatory Research for the design of programs and alternatives that ACTUALLY work for those that need it the most. https://t.co/EE9flZeurw |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @ShereesePubHlth: Health Equity: Health Equity: Why It Matters, and How To Take Action - RWJF https://t.co/FnlvBQ6cC7 #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @RadiologyBoy1 @JACRJournal There you go. BRAVO! :) Efficiency of process is PARTIALLY built around standard patient, but not completely, and even standard patients experience struggles in clinical spaces #jacr |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @Rad_Partners: T4: T4: Understand why they aren’t getting the recommended care. Is it an issue of out-of-pocket cost? Work or family-related limitations? Lack of transportation? It’s often not that they don’t want care, it’s that they can’t easily access it & thus it gets pushed to the side. #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @ruthcarlosmd @ShereesePubHlth @mloxton @MdAntonieta @JACRJournal Oops! Safe travels! #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @mloxton: @RadiologyBoy1 @pfanderson @JACRJournal yes yes yes :) The processes (and spaces) are often built to suit priorities and stakeholders other than the patient, with the result that they work very well for stakeholders but not patients or their well-being. #JACR |
| Matthew Loxton is also on Mastodon @mloxton @ruthcarlosmd @MariaCMoraP @JACRJournal Depends who you ask. I use views of Transgender and women of colour as the most sensitive instruments to detect that sort of thing. They report very high levels of discrimination and bad behaviour #JACR |
| Matthew Loxton is also on Mastodon @mloxton RT @EJFloresMD: Caring and advocating for the underserved are important steps for #radiology as we continue to provide #valuebased care and move towards a central role in #population health. #JACR #missedopportunities https://t.co/xEmanFdwZJ |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @mloxton: @ruthcarlosmd @MariaCMoraP @JACRJournal Depends who you ask. I use views of Transgender and women of colour as the most sensitive instruments to detect that sort of thing. They report very high levels of discrimination and bad behaviour #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @RadiologyBoy1 @JACRJournal Was recently hearing that this is also true for the ways we approach cost reduction. Strategies for reducing costs reduce costs to PAYERS, but NOT to hospitals, clinics, or patients. #JACR |
| Hawk @DrKEHawk Excellent... even taking a step back... sometimes it’s an education issue and patients don’t even understand the disease process and what the care options are- need to be a partner w the patient from the start. Empower patients w knowledge and understanding #JACR https://t.co/UQ8TbcxeQK |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @MariaCMoraP: @JACRJournal #JACR other physicians stigma. I have had to apologize and try to explain bad behavior by other physicians that disregard pt's complains or wrongly attributed them to #gender #mentalhealth #obesity |
| Matthew Loxton is also on Mastodon @mloxton @EJFloresMD Very good point. The road to Value-based care and high performance organizations requires patient collaboration and input #JACR |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba We need to clearly define what #Equity looks like. I'm not sure all stakeholders are on the same page. #JACR https://t.co/4Ugn7P7pvX |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD @mloxton @JACRJournal #JACR now that training is done. I Have been able to explain what are the bad behaviors and I think people is listening and taking recommendations. More research is needed to fully describe results. |
| Matthew Loxton is also on Mastodon @mloxton RT @JCBroderMD: T3 #JACR: T3 #JACR: We need to do the work to make our tools more accommodating for patient's disabilities. Eg. mammo more accessible for pts in wheelchairs, MRIs more accessible for pts with claustrophia or pain issues. Do you REALLY need all those sequences? https://t.co/FPOKUadtzH |
| PF Anderson @pfanderson@disabled.social @pfanderson @MariaCMoraP @JACRJournal This is a Must Watch video about the typical experience of an obese patient (and why they quit seeking healthcare) https://t.co/7xr56EdsOj #jacr |
| Jennifer Broder, MD @JCBroderMD RT @MariaCMoraP: #JACR Patient-centered Care & Community-based Participatory Research for the design of programs and alternatives that ACTUALLY work for those that need it the most. https://t.co/EE9flZeurw |
| Matthew Loxton is also on Mastodon @mloxton RT @pfanderson: @mloxton @Change_HC @JACRJournal I don't know that anyone has done that specific question, but parts of it are being studied: Securing access to effective antibiotics for current and future generations. Whose responsibility? https://t.co/gz1XTwURGw | https://t.co/pQ7oz16dgV | https://t.co/qt35ZPfcT3 #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @JCBroderMD: T3 #JACR: T3 #JACR: We need to do the work to make our tools more accommodating for patient's disabilities. Eg. mammo more accessible for pts in wheelchairs, MRIs more accessible for pts with claustrophia or pain issues. Do you REALLY need all those sequences? https://t.co/FPOKUadtzH |
| Matthew Loxton is also on Mastodon @mloxton RT @Rad_Partners: T4: T4: Understand why they aren’t getting the recommended care. Is it an issue of out-of-pocket cost? Work or family-related limitations? Lack of transportation? It’s often not that they don’t want care, it’s that they can’t easily access it & thus it gets pushed to the side. #JACR |
 | mary w. young @marywyoung RT @ShereesePubHlth: We need to clearly define what #Equity looks like. I'm not sure all stakeholders are on the same page. #JACR https://t.co/4Ugn7P7pvX |
| Matthew Loxton is also on Mastodon @mloxton RT @MariaCMoraP: #JACR Patient-centered Care & Community-based Participatory Research for the design of programs and alternatives that ACTUALLY work for those that need it the most. https://t.co/EE9flZeurw |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @pfanderson: @MariaCMoraP @JACRJournal This is a Must Watch video about the typical experience of an obese patient (and why they quit seeking healthcare) https://t.co/7xr56EdsOj #jacr |
| JACR @JACRJournal T5: In #radiology, which of the 6 IoM care element do you feel are least met, and why? #JACR https://t.co/yNsIEOIaLZ |
| PF Anderson @pfanderson@disabled.social @pfanderson @JCBroderMD I worry sometimes that healthcare is too much done with a "cookbook" approach, not actually utilizing the intelligence & insights & creativity of the clinicians. #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @Rad_Partners: T4: T4: Understand why they aren’t getting the recommended care. Is it an issue of out-of-pocket cost? Work or family-related limitations? Lack of transportation? It’s often not that they don’t want care, it’s that they can’t easily access it & thus it gets pushed to the side. #JACR |
| Matthew Loxton is also on Mastodon @mloxton RT @pfanderson: @mloxton @RadiologyBoy1 @JACRJournal Was recently hearing that this is also true for the ways we approach cost reduction. Strategies for reducing costs reduce costs to PAYERS, but NOT to hospitals, clinics, or patients. #JACR |
| Jennifer Broder, MD @JCBroderMD @Rad_Partners T4: Yes, this. And once we understand, can we help address those things? #JACR |
 | AuntMinnie.com @AuntMinnie RT @JACRJournal: Let's get started! T1: Let's get started! T1: What risks, issues, or missed opportunities in #radiology do you see related to SCREENING of disadvantaged or vulnerable populations? #JACR https://t.co/JhHQp6pkqJ |
| PF Anderson @pfanderson@disabled.social @pfanderson @Rad_Partners I hear that! We've had so many house crises & my son's medical issues, that I have had an earache since last Fall, and can't get ME into the doctor! #jacr |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD @pfanderson @JACRJournal Thank you for sharing. This is important. #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @ShereesePubHlth: Health Equity: Health Equity: Why It Matters, and How To Take Action - RWJF https://t.co/FnlvBQ6cC7 #JACR |
| Matthew Loxton is also on Mastodon @mloxton @pfanderson @RadiologyBoy1 @JACRJournal Yes, and very often "cost reduction" is focused on increasing profit margin for one specific stakeholder, rather than what happens to the patient's experience #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @mloxton: @ruthcarlosmd @MariaCMoraP @JACRJournal Depends who you ask. I use views of Transgender and women of colour as the most sensitive instruments to detect that sort of thing. They report very high levels of discrimination and bad behaviour #JACR |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @HawkImaging: Excellent... even taking a step back... sometimes it’s an education issue and patients don’t even understand the disease process and what the care options are- need to be a partner w the patient from the start. Empower patients w knowledge and understanding #JACR https://t.co/UQ8TbcxeQK |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @ShereesePubHlth: We need to clearly define what #Equity looks like. I'm not sure all stakeholders are on the same page. #JACR https://t.co/4Ugn7P7pvX |
| Matthew Loxton is also on Mastodon @mloxton RT @HawkImaging: Excellent... even taking a step back... sometimes it’s an education issue and patients don’t even understand the disease process and what the care options are- need to be a partner w the patient from the start. Empower patients w knowledge and understanding #JACR https://t.co/UQ8TbcxeQK |
| Matthew Loxton is also on Mastodon @mloxton RT @ShereesePubHlth: We need to clearly define what #Equity looks like. I'm not sure all stakeholders are on the same page. #JACR https://t.co/4Ugn7P7pvX |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @ruthcarlosmd @MariaCMoraP @JACRJournal Most marginalized/excluded/underserved communities (IMHO): transgender, LGBT or disabled women of color, women with facial difference, men who've been raped or have breast cancer. #jacr |
| Matthew Loxton is also on Mastodon @mloxton RT @pfanderson: @JCBroderMD I worry sometimes that healthcare is too much done with a "cookbook" approach, not actually utilizing the intelligence & insights & creativity of the clinicians. #JACR |
| Radiology Partners @Rad_Partners T5: Equitability is a huge issue. Financial stresses due to costs of care have meaningful impacts on outcomes. #JACR |
| mary w. young @marywyoung RT @ShereesePubHlth: Health Equity: Health Equity: Why It Matters, and How To Take Action - RWJF https://t.co/FnlvBQ6cC7 #JACR |
| Maria Antonieta Diaz- Fernandez @MdAntonieta @JACRJournal T5 timeliness ... long time waiting in almost all public health systems worldwide #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @MariaCMoraP @JACRJournal When it comes to equity, inclusion, and patient stories, we need to look beyond our usual sources, to medical humanities #medhum , comics #GraphicMedicine , poetry, fiction, etc #jacr |
| Matthew Loxton is also on Mastodon @mloxton @pfanderson @JCBroderMD Probably so, especially as more and more physicians are employees of a facility or system that has different priorities. Some of this reduction of variation is good, but is it done to improve patient experience or outcome? #JACR |
| Suzanne Chong MD, MS, FASER @suzchongmd @JACRJournal That’s a great list. From #emrad perspective, timeliness 24/7 is one we’re struggling with in radiology. #JACR |
 | Dr. Samadov Aabdić @samadovaabditch RT @JACRJournal: T5: T5: In #radiology, which of the 6 IoM care element do you feel are least met, and why? #JACR https://t.co/yNsIEOIaLZ |
| Matthew Loxton is also on Mastodon @mloxton @Change_HC That is alarming! Any examples come to mind? #JACR |
| Dr. Samadov Aabdić @samadovaabditch RT @MdAntonieta: @JACRJournal T5 timeliness ... long time waiting in almost all public health systems worldwide #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @RadiologyBoy1 @JACRJournal Bingo! It's a penny-wise / pound-foolish short-term solution for people who will retire before the challenges build up and explode into awareness #jacr |
| Matthew Loxton is also on Mastodon @mloxton RT @pfanderson: @mloxton @ruthcarlosmd @MariaCMoraP @JACRJournal Most marginalized/excluded/underserved communities (IMHO): @mloxton @ruthcarlosmd @MariaCMoraP @JACRJournal Most marginalized/excluded/underserved communities (IMHO): transgender, LGBT or disabled women of color, women with facial difference, men who've been raped or have breast cancer. #jacr |
| Hawk @DrKEHawk T5: access to care in the first place can be a huge barrier... so many get lost just trying to navigate to initial care #JACR |
| Matthew Loxton is also on Mastodon @mloxton RT @MdAntonieta: @JACRJournal T5 timeliness ... long time waiting in almost all public health systems worldwide #JACR |
| Jennifer Broder, MD @JCBroderMD T4: I think that we miss opportunities while pts come in for one thing to just get the other done at the same time. "Okay, you are here because you broke your toe, sure let's add on that mammogram today!" It's an operations nightmare, but we could reach so many more people. #JACR https://t.co/xn3ZzF1Mh0 |
| Matthew Loxton is also on Mastodon @mloxton RT @HawkImaging: T5: T5: access to care in the first place can be a huge barrier... so many get lost just trying to navigate to initial care #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @JACRJournal: T5: T5: In #radiology, which of the 6 IoM care element do you feel are least met, and why? #JACR https://t.co/yNsIEOIaLZ |
| Matthew Loxton is also on Mastodon @mloxton RT @JCBroderMD: T4: T4: I think that we miss opportunities while pts come in for one thing to just get the other done at the same time. "Okay, you are here because you broke your toe, sure let's add on that mammogram today!" It's an operations nightmare, but we could reach so many more people. #JACR https://t.co/xn3ZzF1Mh0 |
| PF Anderson @pfanderson@disabled.social @pfanderson @Change_HC Not "can," they DO. I've attended enough funerals where this has been part of the story. #jacr |
| PF Anderson @pfanderson@disabled.social @pfanderson @JCBroderMD My clinic does that for vaccinations & flu shots. Low hanging fruit ... Wonder how that's being incentivized. #jacr |
| Efrén J. Flores, MD @EJFloresMD Can we consider combining Equitability and Patient Centeredness into 1: Compassionate care, where we see healthcare through our patient’s eyes to undestand their needs and barriers to care. This will allow us to provide tailored care delivery and move closer to equity #JACR #pfcc https://t.co/fWjjKbL5kM |
| Matthew Loxton is also on Mastodon @mloxton @JCBroderMD Ironic, because many clinics expressly limit patients to a single complaint, which not only creates missed opportunities, but places the patient in the invidious position of triaging themselves! #JACR |
| JACR @JACRJournal As the tweet chat draws to a close, any last thoughts on the topic? #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @mitraddoc @Suz6Cho @mloxton @JCBroderMD @JACRJournal @cjeverett @sethmhardy @RichDuszak This is standard practice in dental training. Also, a trend that is being increasingly included in interprofessional education #IPE #jacr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @mloxton: @JCBroderMD Ironic, because many clinics expressly limit patients to a single complaint, which not only creates missed opportunities, but places the patient in the invidious position of triaging themselves! #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @JCBroderMD Except at the annual visit, where you come in with your laundry list of everything that had to wait, & get criticized by the doc for waiting! #JACR |
| Suzanne Chong MD, MS, FASER @suzchongmd @JACRJournal Great tweetchat! Inspiring and informative. Thanks #JACR |
| Matthew Loxton is also on Mastodon @mloxton @pfanderson @JCBroderMD There is a very instructive approach in the capital equipment maintenance industry - EAM systems are like EHR for equipment, and when eqp comes in for service/repair, they look at the maximum number of things that could be done at that time - saves outage, costs, accidents #JACR |
| Matthew Loxton is also on Mastodon @mloxton RT @EJFloresMD: Can we consider combining Equitability and Patient Centeredness into 1: Can we consider combining Equitability and Patient Centeredness into 1: Compassionate care, where we see healthcare through our patient’s eyes to undestand their needs and barriers to care. This will allow us to provide tailored care delivery and move closer to equity #JACR #pfcc https://t.co/fWjjKbL5kM |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @JCBroderMD That said, I do think that self-triage is a helpful skill for patients to build, and perhaps one we in healthcare need to more intentionally help support and develop #jacr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @mloxton: @pfanderson @JCBroderMD Probably so, especially as more and more physicians are employees of a facility or system that has different priorities. Some of this reduction of variation is good, but is it done to improve patient experience or outcome? #JACR |
| Matthew Loxton is also on Mastodon @mloxton RT @pfanderson: @mloxton @JCBroderMD That said, I do think that self-triage is a helpful skill for patients to build, and perhaps one we in healthcare need to more intentionally help support and develop #jacr |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @JCBroderMD I've known docs who were threatened with being fired if they strayed from the cookbook, even when this was demanded by the patient. Scary. #jacr |
| JACR @JACRJournal RT @EJFloresMD: Can we consider combining Equitability and Patient Centeredness into 1: Can we consider combining Equitability and Patient Centeredness into 1: Compassionate care, where we see healthcare through our patient’s eyes to undestand their needs and barriers to care. This will allow us to provide tailored care delivery and move closer to equity #JACR #pfcc https://t.co/fWjjKbL5kM |
| Matthew Loxton is also on Mastodon @mloxton RT @pfanderson: @mloxton @JCBroderMD I've known docs who were threatened with being fired if they strayed from the cookbook, even when this was demanded by the patient. Scary. #jacr |
| Hawk @DrKEHawk As the saying goes “none of us is as smart as all of us” (Blanchard) great discussion and actionable solutions come only from a diversity of prospectives and ideas #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @JCBroderMD And not just when the patient requests it, but when the cookbook doesn't include varieties to represent the full range of options for informed consent, or when an alternative is in the patient's best interests #JACR |
| JACR @JACRJournal Thanks to all participants today for sharing your #thursdaythoughts on Health Equity and Quality Improvement . Keep tweeting! #JACR https://t.co/iCOaOLbl79 |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @mloxton: @pfanderson @JCBroderMD There is a very instructive approach in the capital equipment maintenance industry - EAM systems are like EHR for equipment, and when eqp comes in for service/repair, they look at the maximum number of things that could be done at that time - saves outage, costs, accidents #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson #JACR Yep. https://t.co/ieCtjIrGmW |
| MEQAPI @meqapi @pfanderson iro your post on community level health workers, take a look at the Shasthya Shebika model https://t.co/PRSXRLdG97 #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @mitraddoc @Suz6Cho @mloxton @JCBroderMD @JACRJournal @cjeverett @sethmhardy @RichDuszak Our biggest problem in getting this rolling in dental education was locating community-based partners, finding appropriate incentives to attract partners, managing standard of education for the students #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson @mitraddoc @Suz6Cho @mloxton @JCBroderMD @JACRJournal @cjeverett @sethmhardy @RichDuszak Not just attract partners - meant to say "retain" #jacr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @meqapi: @pfanderson iro your post on community level health workers, take a look at the Shasthya Shebika model https://t.co/PRSXRLdG97 #JACR |
| Matthew Loxton is also on Mastodon @mloxton @pfanderson @JCBroderMD Complex issue - so on one hand, stats show many docs are woefully behind technology and standards of practice, and much of the variance is harmful. otoh, corporate cookbooks often engineered for efficiency and profit, not patient outcomes, & no cookbook replaces doc/pt #JACR |
| Jennifer Broder, MD @JCBroderMD Many thanks to @JACR for hosting this critical conversation and to @mloxton for his usual stellar moderating! And much gratitude to everyone for your contributions, really appreciated your thoughts. #JACR https://t.co/iYYIRK33Ok |
| PF Anderson @pfanderson@disabled.social @pfanderson @meqapi Thank you! Community health workers are absolutely essential in global health https://t.co/35MOkpaAJU Big part of plans for UN Sustainable Development Goals https://t.co/yfDtuhJpKT #equity #jacr |
| Matthew Loxton is also on Mastodon @mloxton @JCBroderMD @jacr aww, thanks doc! #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @mloxton: @pfanderson @JCBroderMD Complex issue - so on one hand, stats show many docs are woefully behind technology and standards of practice, and much of the variance is harmful. otoh, corporate cookbooks often engineered for efficiency and profit, not patient outcomes, & no cookbook replaces doc/pt #JACR |
| Matthew Loxton is also on Mastodon @mloxton RT @pfanderson: @meqapi Thank you! Community health workers are absolutely essential in global health https://t.co/35MOkpaAJU Big part of plans for UN Sustainable Development Goals https://t.co/yfDtuhJpKT #equity #jacr |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @JCBroderMD Agree. Also, throwing out the cookbook can be great for really super-expert clinician, but the cookbook protects the patients from docs who are generalists, not specialists, or not super expert at the particular presentation. 6 of 1... #jacr |
| Society of Breast Imaging @BreastImaging RT @RadiologyACR: T1 Women who live in rural areas are less likely to be screened for #breastcancer with #mammography than those in metropolitan areas. All women should have access to screening mammography beginning at age 40, regardless of where they live #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @HawkImaging: As the saying goes “none of us is as smart as all of us” (Blanchard) great discussion and actionable solutions come only from a diversity of prospectives and ideas #JACR |
| Brett Hansen @RadiologyAlly @jaredph @mloxton @JCBroderMD Shoutout to my little bro who’s graduating from Johns Hopkins in population health #jacr |
| Matthew Loxton is also on Mastodon @mloxton @DrCSWilliam @pfanderson @JCBroderMD Right! Which is a great example of a process engineered to prioritize something other than patient outcomes, and which probably results in reduced pt satisfaction and worse pt outcomes #JACR |
 | Mitva Patel @mitvamd RT @RadiologyACR: T1 Women who live in rural areas are less likely to be screened for #breastcancer with #mammography than those in metropolitan areas. All women should have access to screening mammography beginning at age 40, regardless of where they live #JACR |
| Matthew Loxton is also on Mastodon @mloxton @pfanderson @JCBroderMD In QM, there saying goes "variation is the enemy of quality", but this hinges on having the right goals. If the goal isn't improved pt outcomes, reducing variation is a waste from the pt perspective! #JACR |
#JACR content from Twitter.