Mapping Healthcare

Today we’re in a place where everybody knows your name, but also where the nearest specialist may be a three hour drive away. In a city, your physician is someone you may see a couple of times a year. In a rural area you see them in the grocery store or at the Friday night football game. This creates a whole new level of social connection. John Brennan tells us about his experience providing primary care to people in County Kilkenny, Ireland. Join us as we explore the rugged landscape of rural healthcare and hear why this lifeline that depends heavily on committed primary care physicians, is becoming increasingly fragile.

About 40% of nurses say they plan to leave nursing in the next five years because of unmanageable stress, workload, and understaffing. There are scales to measure the health of a workplace that look at staffing, leadership support, nurse-physician relationships, participation in hospital affairs, and the quality of care delivered. Sabelile Tenza tells us about her research on the relationship between nurses' practice environments and the quality and safety of healthcare. Hear how we can create clinical environments where nurses don’t just survive their 12-hour shifts, but where they are empowered to thrive.

Ever wish you could skip noisy hospitals and heal in your own bed? We explore Hospital at Home, a game-changing model that brings acute care—from IV meds to 24/7 monitoring—directly to your living room. We trace how this 1990s pilot became a global trend, accelerated by the COVID-19 pandemic and new government payment models. Michael Montalto shares how Hospital at Home prevents unnecessary hospital admissions and emergency department visits and reduces healthcare costs in Australia. We also weigh the downsides, such as caregiver stress and lack of integration with primary care.

How much of our inner world is shaped by the world around us? And does depression in Oslo feel the same as depression in Oklahoma City? The language we use to talk about our pain and even the pain itself can be deeply cultural. For a long time the approach to mental health was to stick on a label and treat the symptoms. That's evolving from a one-size-fits-all approach to viewing mental health through a cultural lens. Ingunn Marie Engebretsen tells us how culture shapes how we perceive and express symptoms, our willingness to seek help, stigma around mental health, and family and community support.