cross-sector collaboration

The Checklist Itself Doesn’t Matter

Anyone who understands systems will know immediately that optimizing parts is not a good route to system excellence.…We connect the engine of a Ferrari, the brakes of a Porsche, the suspension of a BMW, the body of a Volvo. What we get, of course, is nothing close to a great car; we get a pile of very expensive junk.” – Chapter 8.

I just finished reading Atul Gawande’s The Checklist Manifesto, which was first published in 2009 and spent some well-deserved time on the New York Times Bestseller List. Written by an attending general surgeon at Brigham & Women’s Hospital in Boston, this book tells the admittedly “unsexy” story of how a simple tool such as a checklist can improve the quality and consistency of outcomes in a wide range of fields: aviation, building construction, venture capital, and (even) medicine. All of these fields are complex systems – involving many moving pieces and players, and an inherent unpredictability of conditions, materials, personnel, and complications. In addition, these arenas assume a certain level of skill and require a high standard of consistency and safety, but errors and complications still plague us. We have reached a point in many fields where the problem isn’t ignorance (we do understand a lot about the world around us) but rather ineptitude (we fail to apply the knowledge that we have consistently and correctly). A checklist can help us improve our “eptitude.”

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Think and do: How to change the world

One of the questions that I am often asked is why I chose to study public health in addition to my medical training. The answer is simple: I believe that the therapeutic relationship can and should exist outside the four walls of the doctor’s office. While medicine and therefore physicians will always be necessary to cure disease, I see problems in the world that must be solved on a structural level — from the environments in which we live and work that promote unhealthy behavior, to the very real disparities in access to and quality of care.

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Holistic Prevention for Alzheimer’s: The Time is Now

Source: Care Point Acive

A newly released study demonstrates that approximately one third of Alzheimer’s cases worldwide are attributable to seven modifiable risk factors: depression, physical inactivity, diabetes, midlife hypertension, midlife obesity, smoking, and low educational attainment. The largest proportion of cases was attributed to physical inactivity, which affects more than half of all Americans. Depression, which affects approximately 14.8 million Americans, accounted for approximately one in ten cases of Alzheimer’s disease globally.

These findings highlight the urgent need for more investment in prevention – and specifically in a holistic approach to health promotion, which includes mental health. (more…)

Addressing the Global Obesity Epidemic: Collaboration is Key

As part of the Global Burden of Disease Study 2013, the Institute for Health Metrics and Evaluation conducted a systematic analysis of obesity rates from 1980-2013, showing a consistent upward trend worldwide. Underscoring the costs and health impacts of the obesity pandemic, the C3 Obesity policymaker survey 2014 provides data from 11 countries and indicates increasing awareness by policymakers about obesity.

These reports highlight an opportunity to focus efforts both in and outside government in order to support the World Health Organization’s goal of 25% relative reduction in the risk of premature mortality from non-communicable diseases (NCDs) by 2025. (more…)