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Road map to better health outcomes

  • Improvements in healthcare outcomes warrant small changes. [Previous post].
  • Those best placed to know where and how to make those adjustments will change the future.
  • The most effective changes will trigger behaviours that we are already motivated and easily able to assimilate in practice.
  • The best interventions are those in which all concerned are rewarded in some way.

Such interventions:
1. Build on something the target is already doing. Anything that adds to workload or requires practitioners or indeed patients to do something significantly different in the course of going about their business is a waste of effort [example].
2. Need very few people to adopt them.  Ideas that require an orchestrated change in patient and or their general practitioner and or the specialist will disappoint [example].
3. Must be anchored by something that already occurs in practice. Practitioners routinely reach the point where they must agree or disagree with the patient and then do something.  An intervention that is anchored at that point is more likely to be assimilated in practice [example].
4. Can be incorporated into the habits or rituals of the target. Doctors vaccinate patients and patients regularly use their phones. Ideas that combine such aspects are likely to succeed [example].
5. Provide something the target wants. Interventions that are at odds with the target’s ideas, concerns or expectations are unlikely to succeed [example]. Interventions that speak to the target’s desires can be highly effective [example].


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  1. […] In a previous post I explained why  tests can be harmful with respect to the limited positive predictive value of tests in general practice. We need simple and effective interventions that reduce the prospect of patients being tested but which are designed in the context of general practice. I suggested a road map. […]

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