#patientpref is a live 1-hour tweet chat that takes place on the first Wednesday of each month at 12:00 PM Eastern Time. During the chat, members from Dartmouth's Preference Laboratory, along with other guests, facilitate discussion on topics such as shared decision making, user-centered design, informed choice, preference-sensitive care, and patient empowerment. Hosted by @patientpref.
To participate, follow the #patientpref conversation on Twitter and be sure to include the #patientpref hashtag in all of your tweets so others can react and respond. Please tweet or DM @patientpref with any questions or comments, requests for topics, and suggestions for facilitators.
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Please join us Wednesday, May 3, 2017, at 12:00 PM ET
This month we welcome guest host Lisa Matthews, MD (@lisamattmd) for a discussion on how socioeconomic status affects patient choice in long-acting reversible contraception (LARC) decisions. LARCs are the most effective form of contraception; however access is not as straightforward as you might think. This conversation is about how all women can get access.
Lisa grew up in Pasadena, CA and attended medical school in Washington, DC. After 28 years in OB-GYN practice, Lisa made the transition from health care to population health. She’s particularly interested in family planning issues and quality improvement.
While in practice, she kept noticing “bad stuff” was happening frequently, but someone would get blamed for it and nothing ever seemed to fix the system of delivering care to women and babies. She found that the Medicaid system where she practiced was limited and many women had no prenatal care or access to contraception, which didn’t seem fair or even make sense medically. For example, Connecticut in the 1990s mandated HIV tests on low-risk, commercially insured patients twice in every pregnancy, while undocumented immigrants from Haiti (at that time, a very high-risk group for HIV) couldn’t get prenatal care and would come in to deliver with no screening or ability to treat HIV in labor. Lisa moved to Massachusetts, where women were treated more humanely, but the system still continued to churn out bad outcomes.In 2014 she decided to stop treating patients one-on-one, go back to school, and learn how to work on fixing the SYSTEM rather than individual patients, which remains a work in progress. She hopes to complete the MPH program at Dartmouth in June and works part-time work for a family planning organization in Massachusetts.
Glyn Elwyn, MD, PhD: @glynelwyn is a tenured professor and physician-researcher at The Dartmouth Institute for Health Policy and Clinical Practice. After reading the humanities he qualified in medicine in the United Kingdom. He completed his doctorate with Professor Richard Grol in the Netherlands.