Rebecca Sudore
speaker
816 appearances
5 recordings
1 series
first heard May 2017
last heard Mar 2022
Rebecca Sudore’s voice in public audio — every appearance, attributed to the second.
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Appearances
Stakeholders that haven't been engaged.
I mean, I think both of those studies, like you're saying, it was sort of a fidelity issue.
Um and anybody who's done pragmatic research will tell you that it's incredibly hard.
for those reasons.
I
Oh, it means that basically um people are following the the research protocol or they're doing what they're supposed to be doing.
So for example, in um you know Tom Gill's study, that means that all of these I can't remember there were a lot of sites, like thirty sites or something.
that each of those sites would be rolling out the intervention exactly the way that they're supposed to be doing it.
And I think the one thing that I have learned in doing the um you know pragmatic trial that we're doing
Um and just seeing where things have been positive or things that have worked in healthcare systems that if you do not have buy in.
And that you don't have champions that are gonna take this on and do it in the right way.
Um, and if you don't have incentives at the leadership role to have it, you know, to have it work, it just won't go.
So what do I mean by that?
I you know, I would say advanced care planning and maybe fall prevention, maybe very similar to advanced care planning in the sense that like when you think about advanced care planning, nobody owns it.
So advanced care planning isn't a service line like geriatrics or palliative care, where you have multidisciplinary people who get paid for and reimbursed for doing things.
Advanced care planning is sort of this thing.
And I can tell you research actually that's been done, including, I don't know if you've ever had Anno here on your um
podcast.
She was here at UCSF.
She's a nephrologist at University of Washington.
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