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Showing posts from December, 2019

Integrating Social Care into Health Care: Podcast with Kirsten Bibbins-Domingo

In this weeks podcast we talk with Kirsten Bibbins-Domingo, general internist, Professor of Medicine and Epi/Biostats at UCSF, and chair of a National Academies of Sciences task force on Integrating Social Care into the Delivery of Health Care.  See Kirsten's JAMA paper summary here , and the full report here . This podcast spans the gamut from the individual clinician's responsibility to be aware of the social needs of their patients and impacts on health (think homeless person with no place to store their insulin), and adjustment to meet these needs (such as keeping on oral medications), to larger health policy issues including the need to integrate health and social policy. This was a fun podcast, as you'll hear.  This is a topic that lends itself well to discussion.  Eric really pushes this issue: to what extent are meeting the our patient's needs for housing, transportation, and food a health issue?  Are these issues that a doctor should care about, and why

Do Nurses Die Differently: A Podcast with Julie Bynum

On this weeks podcast we talk to Julie Bynum on the question "Do Nurses Die Differently?" based on her recent publication in JAGS titled " Serious Illness and End-of-Life Treatments for Nurses Compared with the General Population ." Julie is a Professor of Geriatric and Palliative Medicine at the University of Michigan, and Geriatric Center Research Scientist at the Institute of Gerontology, as well as a deputy editor at the Journal of the American Geriatrics Society. Overall, Julie's study found small differences in end of life care as seen in the chart below for both dementia and CHF:   One can think of these numbers as so small of a difference that there really isn't a difference.   With that said, my favorite part of this interview is Julie's take on this difference, which is that while the difference is small, there is a difference ("There is a signal!").  This means "I know it can be different, because it is different."