Prioritising dermatology to reduce pressure on healthcare services Chronic skin conditions, particularly CHE, remain some of the most underestimated, yet pervasive, challenges affecting people across Europe.

#dermatology #BurdenofSkinDiseases #NHS #healthpolicy #ChronicHandEczema #CHE #psoriasis #atopicdermatitis #globalprevalencerate #Beyondtheskin #AllergyUK #LEOPharma #healthinequality #carepathways #dermatologyframework #NHS10YearHealthPlan #NHS10yearplan #medicaldermatologylandscape
zurl.co/htdYM

Closing the Loop: Why a Test Alone Isn’t Enough - Hurdle We often talk about diagnostics as the gateway to precision medicine. But what happens before and after the test? In […]

We talk about diagnostics as gateways to precision medicine—but what happens before and after the test?

Dr Tom Stubbs, PhD from Hurdle explores why closing the loop matters.

📖 hurdle.bio/blog/closing...

#PrecisionMedicine #Diagnostics #CarePathways #Biotech

Day 2 of the #MLTC From Research to Reality conference kicks off the #carepathways session with the #ADMISSION project from @nihrnewcastlebrc.bsky.social @newcastleuni.bsky.social with transforming understanding of MLTCs in a hospital setting. Looking forward to the day ahead!

HealthPathways lives in the blurry zone between the two. An innovative platform, process, and community that enables spreading and scaling a broad range of iterative local improvements.

#carepathways

Networks are essential for disseminating tacit knowledge; nevertheless, localised care pathways “lower the water line” by capturing practical local knowledge that wouldn't otherwise be documented. Efficient, enduring, and equitable.

#carepathways #knowledgedissemination https://t.co/7luCF3LxtW

The future of evidence-based medicine according to @GuyattGH includes localised recommendations. This is where care pathways come in.

#carepathways #evidencebasedmedicine https://twitter.com/GuyattGH/status/1851610003968553274

Scope of clinical practice should be constrained by skill and experience, but not by access to knowledge. Care pathways democratise local clinical knowledge.

#carepathways #scopeofpractice

Localised care pathways don’t just define processes of care, they establish enduring relationships between the care providers who contribute to pathway development. Change happens at the speed of trust. Local ownership leads to pathway adoption.

#carepathways #integratedcare

A basic metric of success for care pathways: saving patient’s (and clinician’s) time. #carepathways #savingpatienttime

Care pathways are best to use simple, clear language, but must also be attuned to the shared expertise and terminology of the clinicians using them. It’s a fine balance. Some TLAs need explanation, some don’t… #carepathways #plainlanguage #targetaudience

Community HealthPathways by ABUHB

For those who don’t know what @1HealthPathways is, here’s a quick video introduction from Wales: https://vimeo.com/930220118

#carepathways #healthpathways

Care pathways that are locally-relevant and useful to clinicians are a great way to get evidence and policy rapidly into frontline practice. Clinicians are not resistant to change, so long as it fits their workflow and delivers better care.

#carepathways #knowledgetranslation

Care pathways must always leave room for good clinical judgement.

#carepathways #clinicaljudgement

Engaging clinicians in developing localised care pathways establishes relationships, ownership, and trust. Taking shortcuts is tempting, but unlikely to deliver the same outcomes. The process is as important as the product.

#carepathways

The concepts of kaizen and wabi-sabi are highly relevant to care pathways. Care pathways fail when we aim for perfection.

#carepathways twitter.com/Igor_Buinevici/status/18...

Getting standardization right The rise of evidence-based medicine (EBM)[1][1] during the past few decades has inspired primary care clinicians to consider the role of standardization in their practices. We have seen the proliferation of protocols and guidelines to manage an increasing variety of conditions and illnesses. While

Nuanced discussion of standardisation in health care by @ep_qc @DrRuthHeisey @cynthiarw29 et al: https://doi.org/10.46747/cfp.6705323

Procedural standards must be localised and non-binding, leaving room for clinical judgement and shared decision making.

#carepathways #warrantedvariation

Local best practice may differ from global best practice, for practical reasons. Effective care pathways recognise warranted local variation.

#bestpractice #carepathways #warrantedvariation

Clinical encounters in the post-guidelines era Glyn Elwyn and colleagues highlight the potential benefits of fast and frugal knowledge tools Jan is a 42-year-old plumber, originally from Poland. He tells his family doctor that he’s had low back pain, going down the back of his leg and making it painful to walk. He takes drugs for psoriasis and high blood pressure. He smokes five cigarettes a day (down from 20 a year ago). He went through a long period of depression after his first child was stillborn three years ago and still has days when he feels very low. He and his wife are keen to have another child but she has not become pregnant. Amanda has been Jan’s family doctor for many years. She works full time, typically seeing 30 patients a day and doing much of the administration. She went on a one week update course recently, in which specialists presented the latest evidence on 15 clinical topics. She sees the occasional pharmaceutical representative and skims the abstracts in two journals regularly. She is a member of an online social media (Facebook) group where she shares ideas and (with consent) fragments of real patient cases with her peers. She joins this group twice a day and finds it a source of usable knowledge and support. The various guidelines relevant to Jan’s acute and chronic conditions exceed 500 pages.1 2 3 4 5 6 7 Amanda does not consult any of these guidelines. An experienced practitioner using knowledge that is primarily intuitive and applied through heuristics (rules of thumb),8 she asks Jan a few questions about his back pain and examines him. While doing so, she notices that his psoriasis is quiescent and also checks his blood pressure. She offers him non-steroidal anti-inflammatory drugs and asks him to return in a few days …

An old favourite: Clinical encounters in the post-guidelines era by @glynelwyn, Siestse Wieringa, @trishgreenhalgh. The HealthPathways Community is all about mindlines and bricolage: https://doi.org/10.1136/bmj.i3200

#carepathways #mindlines

Health policy is delivered nationally but health care is delivered locally. Localised care pathways can bridge the gap, informing both sides. #carepathways #implementationgap

Care pathways are the procedural memory of learning health systems.

#carepathways #learninghealthsystems