Realistic Medicine is not about failing to offer treatments. It is about supporting people using healthcare services, and their families, to feel empowered to discuss their treatment. That’s why changing our style to sharing decisions with our patients is one of our priorities. A move away from the "Doctor knows best" approach to shared decision making between the professional and patient will require more meaningful discussions about the treatment options available as well as their risks and benefits.
Building a more personalised approach to care, in partnership with people through shared decision making, is perhaps the most important aim of Realistic Medicine. We must create a more open and trusting atmosphere that facilitates more meaningful conversations between people and their healthcare professionals that help people make informed choices about their treatment and care options, based on what matters most to them.
Healthcare professionals are the stewards of healthcare resources. We know that overuse of investigation and treatment can result in harm to patients. By seeking out and eliminating harm and waste, we can provide healthcare that people really value.
Tackling unwarranted variation is essential to improving outcomes derived from healthcare across Scotland. Unwarranted variation is variation in healthcare that cannot be explained by need, or by explicit patient or population preferences. We need to ensure the prevention of harm and waste from overuse and overtreatment, freeing up resources currently used without benefit to clinical outcomes in order to address under-provision of care.
Realistic Medicine is not about failing to offer treatments. It is about supporting people using healthcare services, and their families, to feel empowered to discuss their treatment.
To practise Realistic Medicine, we must embrace the best international evidence, employ sound clinical judgment and support empowerment by listening to what matters most to patients. We need to make more effective use of knowledge and skills across the multi-professional knowledge base, and foster the conditions to support innovation in care delivery.
September 4, 2019
What does Realistic Medicine mean for my organisation? Dr Alex Stirling explains what Realistic Medicine really means for NHS National Services Scotland (NSS). Speaking as NSS’s Clinical Lead for Realistic Medicine Dr Stirling explained: “As a Consultant in public health I’m used to looking at different areas and topics from a holistic point of view….Read more
August 2, 2019
REALISTIC MEDICINE CONFERENCE 2019 – MAKING IT PERSONAL Booking for the Realistic Medicine Conference 2019 is now open! Please follow the link below to book your space. https://www.eventbrite.co.uk/e/realistic-medicine-making-it-personal-tickets-66202201567 Please note that the programme is subject to change, and full delegate packs will be available on arrival. We hope to see you there!Read more