Medicine and Science from The BMJ

Googling depression

In the USA, when googling "depression" patients will be presented with a link to the PHQ-9 screening test.
Google has developed this in collaboration with the National Alliance on Mental Illness - and Ken Duckworth, the alliance's medical director, debates the merits of this approach with Simon Gilbody, from the Department of Health Sciences at the University of York.
Also joining this podcast is David Gilbert, mental health services user and director of InHealth Associates, who argues that it's only through patient involvement that real improvements to mental health can be obtained.
Read the debate and commentary:
http://www.bmj.com/content/358/bmj.j4144
http://www.bmj.com/content/358/bmj.j4207

Nigel Crisp - The NHS isn’t just a cost to society, it’s a benefit

If you google "The NHS" you'll see screaming headlines from the Daily Mail about cost and waste - debate in parliament is about how much of our GDP we should be spending - and each year, hospital trusts go cap in hand to ask for more funding.
Against this backdrop, a new analysis, and a first in a series, published on bmj.com, looks at what it takes to have sustainable healthcare - and cruically, talks about this from the point of view of benefit, not cost.
I'm Duncan Jarvies, and I'm Navjoyt Ladher, and today we've come to the House of Lords to speak to Baron Nigel Crisp - cross-bench peer, former NHS trust executive, and health system guru.

The World Bank - creating a market in pandemic risk

The world bank was set up in 1944. In the aftermath of the second world war, the institution was there to give loans to countries rebuilding after the conflict. Their first loan went to France - but with stipulations about repayment that set a tone for future funds.
A new series, authored by Devi Sridhar, and her team from the University of Edinburgh, and published on bmj.com, looks at where the World Bank has come. The series is , and the articles will cover;
Why the World Bank matters to global health
The World Bank’s turn to Universal health coverage
How the Bank’s trust funds are being used to fund specific projects - and why it’s hard to know what those are
The Global Financing Facility - grants and loans supplied together,
and finally, creating a market out of pandemic risk
In this final interview, Felix Stein a postdoctoral research fellow at the University of Edinburgh describes the bank's move to create a market for pandemic insurance.
Read the full analysis:
http://www.bmj.com/content/358/bmj.j3397

The World Bank - the Global Financing Facility

The world bank was set up in 1944. In the aftermath of the second world war, the institution was there to give loans to countries rebuilding after the conflict. Their first loan went to France - but with stipulations about repayment that set a tone for future funds.
A new series, authored by Devi Sridhar, and her team from the University of Edinburgh, and published on bmj.com, looks at where the World Bank has come. The series is , and the articles will cover;
Why the World Bank matters to global health
The World Bank’s turn to Universal health coverage
How the Bank’s trust funds are being used to fund specific projects - and why it’s hard to know what those are
The Global Financing Facility - grants and loans supplied together,
and finally, creating a market out of pandemic risk
In this fourth interview, Genevie Fernandes a PhD student at the University of Edinburgh discusses a new model of combing grants and loans in the Global Financing Facility.
Read the full analysis:
http://www.bmj.com/content/358/bmj.j3395

The World Bank - trust funds

The world bank was set up in 1944. In the aftermath of the second world war, the institution was there to give loans to countries rebuilding after the conflict. Their first loan went to France - but with stipulations about repayment that set a tone for future funds.
A new series, authored by Devi Sridhar, and her team from the University of Edinburgh, and published on bmj.com, looks at where the World Bank has come. The series is , and the articles will cover;
Why the World Bank matters to global health
The World Bank’s turn to Universal health coverage
How the Bank’s trust funds are being used to fund specific projects - and why it’s hard to know what those are
The Global Financing Facility - grants and loans supplied together,
and finally, creating a market out of pandemic risk
In this third interview, Janelle Winters a PhD student at the University of Edinburgh explains what the bank's trust funds are, and why it can be hard to tell what they're funding.
Read the full analysis:
http://www.bmj.com/content/358/bmj.j3394

The World Bank - Universal Healthcare

The world bank was set up in 1944. In the aftermath of the second world war, the institution was there to give loans to countries rebuilding after the conflict. Their first loan went to France - but with stipulations about repayment that set a tone for future funds.
A new series, authored by Devi Sridhar, and her team from the University of Edinburgh, and published on bmj.com, looks at where the World Bank has come. The series is , and the articles will cover;
Why the World Bank matters to global health
The World Bank’s turn to Universal health coverage
How the Bank’s trust funds are being used to fund specific projects - and why it’s hard to know what those are
The Global Financing Facility - grants and loans supplied together,
and finally, creating a market out of pandemic risk
In this second interview, Marlee Tichenor, postdoctoral research fellow at the University of Edinburgh explains why the bank has embraced universal healthcare.
Read the full analysis:
http://www.bmj.com/content/358/bmj.j3347

The World Bank - why it matters for global health

The world bank was set up in 1944. In the aftermath of the second world war, the institution was there to give loans to countries rebuilding after the conflict. Their first loan went to France - but with stipulations about repayment that set a tone for future funds.
A new series, authored by Devi Sridhar, and her team from the University of Edinburgh, and published on bmj.com, looks at where the World Bank has come. The series is , and the articles will cover;
Why the World Bank matters to global health
The World Bank’s turn to Universal health coverage
How the Bank’s trust funds are being used to fund specific projects - and why it’s hard to know what those are
The Global Financing Facility - grants and loans supplied together,
and finally, creating a market out of pandemic risk
In this first interview, Devi Sridhar, professor of global health at the University of Edinburgh explains why the bank matters for global health.
Read the full analysis:
http://www.bmj.com/content/358/bmj.j3339

Preventing Overdiagnosis 2017 - from theory to practice

In our last podcast from Preventing Overdiagnosis 2017, we convened an impromptu roundtable of clinicians who are attending the conference to see how some of the big themes that were discussed at the conference are going to impact their everyday practice.
Joining us were;
Jessica Otte - Family physician from Canada
David Warriner - Cardiologist from the UK.
Jack O’Sullivan - Junior doctor from Australia
Imran Sajid - GP from the UK
To read more, have a look at our Too much medicine campaign - bmj.com/too-much-medicine.

Preventing Overdiagnosis 2017 - Citizen juries

This week we’re at the over diagnosis conference in Quebec Canada, Preventing overdiangosis is a forum to discuss the harms associated with using uncertain methods to look for disease in apparently healthy people - and is part of the BMJ’s too much medicine campaign.
One of the ways in which the public’s attitudes and wishes around health is measured are citizen or community juries - set up in a similar way to a criminal jury - with an information gathering, and a deliberation phase - recently one of these citizen juries discussed, whether abortion should be allowed in Ireland (they decided “yes”).
We're joined by Rae Thomas, from Bond University and Chris Degeling, from the University of Sydney, who have both been using citizen juries to look at over diagnosis.

Preventing Overdiagnosis 2017 - Vinay Prasad

The Preventing overdiagnosis conference covers how physicians, researchers and patients can implement solutions to the problems of over diagnosis and overuse in healthcare.
If you’re a doctor on twitter, you’ve probably come across our guest - Vinay Prasad, assistant prof. of medicine at Oregon Health and Science University, and author of the book Ending Medical Reversal.