The Intern At Work: Internal Medicine
Oct 24, 2026 · 52 min · 11 segments
Send us Fan Mail Teaching Wisely: Leveraging Education to Reduce Low Value Care on General Medical Wards. Tune in to listen to Dr. William…
And so now we're going to talk a little bit about the state of low-value care in Canada to begin.
So low value care, very simplistically, is when a health service, which is either a test, treatment, or procedure, where the harms or costs associated with this outweigh any potential benefits.
When we talk about high value care, high value care is sort of the aspiration to reduce low value care such that the care being provided is high valued, there's very good quality for very minimal cost.
And we talk about costs, there are lots of different costs that are involved in healthcare.
So does anybody know who this striking fella is? All right, so obviously none of you follow provincial, Ontario provincial politics.
And so obviously a significant cost to healthcare is financial cost associated with doing so.
So health care as an industry emits around 5% of the world's global greenhouse gas emissions.
As an industry, it emits more greenhouse gases than the aviation industry.
And so whenever you are doing test treatments or procedures, you also are contributing to global greenhouse gas emissions.
And then last, obviously, are the harms that come to patients from side effects of these medications, like the patient that I mentioned earlier.
And when we talk about quality of care, where the benefits to patients, we obviously refer to the Institute of Health for the IHI's six domains of quality, where quality care is considered to be effective care, it's considered to be patient-centered care, it's considered to be timely, safe, efficient, and equitable.
And so when we are talking about low value care, again, it's when these harms significantly outweigh the benefits.
And resource stewardship is this whole movement where we're trying to flip the equation where the benefits significantly outweigh the harms.
So where you practice, this would just be a great opportunity for you to just input into the Slido to see some examples of low-value care where you practice are.
And so now we're going to talk a little bit about the state of low-value care in Canada to begin.
So low value care, very simplistically, is when a health service, which is either a test, treatment, or procedure, where the harms or costs associated with this outweigh any potential benefits.
When we talk about high value care, high value care is sort of the aspiration to reduce low value care such that the care being provided is high valued, there's very good quality for very minimal cost.
And we talk about costs, there are lots of different costs that are involved in healthcare.
So does anybody know who this striking fella is? All right, so obviously none of you follow provincial, Ontario provincial politics.
And so obviously a significant cost to healthcare is financial cost associated with doing so.
So health care as an industry emits around 5% of the world's global greenhouse gas emissions.
As an industry, it emits more greenhouse gases than the aviation industry.
And so whenever you are doing test treatments or procedures, you also are contributing to global greenhouse gas emissions.
And then last, obviously, are the harms that come to patients from side effects of these medications, like the patient that I mentioned earlier.
And when we talk about quality of care, where the benefits to patients, we obviously refer to the Institute of Health for the IHI's six domains of quality, where quality care is considered to be effective care, it's considered to be patient-centered care, it's considered to be timely, safe, efficient, and equitable.
And so when we are talking about low value care, again, it's when these harms significantly outweigh the benefits.
And resource stewardship is this whole movement where we're trying to flip the equation where the benefits significantly outweigh the harms.
So where you practice, this would just be a great opportunity for you to just input into the Slido to see some examples of low-value care where you practice are.
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