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What is unique about the practice of palliativecare for people experiencing homelessness? We discuss the principles of harm reduction, social determinants of health, and trauma informedcare. What we hear is that it is more trauma informed in many contexts to have people first language. On bias and trauma as you.
We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. Eric: We just did a podcast on creating palliativecare consults. Were these two resources already there? Was this the same?
So the reason why our palliativecare team had those coping skills, which we often traditionally think is more on the purview of a psychologist, is just because of Mass General being a general hospital, palliativecare grew up with a very close and collaborative relationship with psychiatry and psychology.
Liz: Yeah, palliativecare teams is exactly one of those institutional factors. Well, it’s not an institutional factor, but institutions can either support having more palliativecare teams, better palliativecareresources, being palliativecare friendly or being less so.
I think those are the things that you’d have to check the box on at this point to really go far in value-based care. I have heard a lot of ACO people being very frustrated that they’re like, “We have this palliativecare program but there’s a three month waiting list. What’s the point?
So quality of life was, if we want to talk about just the as good as the more intensive model, but we used significantly fewer palliativecareresources. So basically, to achieve the same quality of life benefit as the intensive arm patients saw palliativecare, significantly fewer. Eric 31:38 Half is less, right?
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