Scott Halpern

speaker

451 appearances 3 recordings 1 series first heard Sep 2021 last heard Feb 2024

Scott Halpern’s voice in public audio — every appearance, attributed to the second.

Trend

recordings per month · last 12 months

No recordings in the last 12 months.Older appearances are listed below; set an alert to hear about the next one.

Appearances

newest first · ▶ plays the moment

GeriPal - A Geriatrics and Palliative Medicine Podcast · RCT of Default Inpatient PC Consults: Kate Courtright & Scott Halpern · 2 Feb 2024 podcast

We're making it easier to do the thing we thought that they ought to be doing.

You know and a little

Yes.

So I think it's fair to say that it was no harder to cancel the consult than it would be to order a consult under normal conditions.

Yeah.

So we're just flipping the switch from what happens absent that same level of effort.

Well, at the time that we did the study, and I think it's still true today, um, maybe with one exception being dementia, um, but in in general, at the time we did the study, nearly all, if not all, palliative care studies had been done in cancer or andor heart failure.

Um, so we wanted to expand the evidence base.

So we picked three diseases that consensus criteria at the time had recommended uh inpatient palliative care consultation for patients with dementia, COPD, and end stage renal disease who also meet these certain other criteria, like they have to, it's not all comers with those diseases, it's people who are particularly sick.

Nailed it.

Uh yeah, exactly.

So wanted to assess like, do these people benefit?

The other thing though is

We never would have gotten this past go uh with a health system if we included everyone, right? 'Cause then think about what the response of the palliative care teams would be.

Oh, we've got to now we're getting defaulted to see everyone with cancer and everyone with heart failure and all these other groups.

Like, no way, not sustainable.

And related to that, when we designed the study, we said it was going to be everyone forty-five and older, but we did a a pilot year.

And when we f counted the numbers, that was tot uh all the palliative care teams were like, uh uh.

Whoa, whoa.

Showing 61–80 of 451 · page 4 of 23