TEDxOslo
Christer Mjåset: 4 questions you should always ask your doctor
Christer Mjåset: Empat hal yang seharusnya Anda tanyakan pada dokter
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"Dokter, apakah ini benar-benar diperlukan?" Berdasarkan statistik yang mengejutkan tentang perawatan yang berlebihan, ahli bedah saraf Christer Mjåset menjelaskan pentingnya pertanyaan-pertanyaan sederhana dalam konteks perawatan medis dan pembedahan -- dan menjelaskan bagaimana pasien dapat berdiskusi dengan dokter agar mendapatkan perawatan yang dibutuhkannya.
Christer Mjåset - Neurosurgeon
Christer Mjåset, M.D. is a neurosurgeon, author, columnist and lecturer who currently works as a Harkness fellow in Health Care Policy and Practice at Harvard T.H. Chan School of Public Health in Boston studying value-based health care models. Full bio
Christer Mjåset, M.D. is a neurosurgeon, author, columnist and lecturer who currently works as a Harkness fellow in Health Care Policy and Practice at Harvard T.H. Chan School of Public Health in Boston studying value-based health care models. Full bio
Double-click the English transcript below to play the video.
00:12
I am a neurosurgeon,
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Saya adalah ahli bedah saraf,
00:15
and I'm here to tell you today
that people like me need your help.
that people like me need your help.
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dan saya di sini ingin bilang bahwa
orang seperti saya perlu bantuan Anda.
orang seperti saya perlu bantuan Anda.
00:20
And in a few moments, I will tell you how.
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Saya akan beritahu bagaimana.
00:22
But first, let me start off by telling you
about a patient of mine.
about a patient of mine.
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Tetapi pertama-tama, biarkan saya
bercerita tentang pasien saya.
bercerita tentang pasien saya.
00:26
This was a woman in her 50s,
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Dia adalah wanita berusia 50-an,
00:28
she was in generally good shape,
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dia dalam kondisi yang baik,
00:31
but she had been in and out
of hospital a few times
of hospital a few times
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tetapi dia beberapa kali keluar masuk
rumah sakit
rumah sakit
00:33
due to curative breast cancer treatment.
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karena perawatan kanker payudara.
00:37
Now she had gotten a prolapse
from a cervical disc,
from a cervical disc,
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Dia sekarang terkena prolaps
karena sakit di bagian leher
karena sakit di bagian leher
00:40
giving her radiating pain of a tense kind,
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mengakibatkan sakit yang menyebar
00:44
out into the right arm.
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hingga ke lengan kanannya.
00:47
Looking at her MRI
before the consultation,
before the consultation,
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Melihat MRI-nya sebelum konsultasi,
00:49
I decided to suggest an operation.
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saya menyarankannya
melakukan operasi.
melakukan operasi.
00:52
Now, neck operations like these
are standardized, and they're quick.
are standardized, and they're quick.
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Sekarang, operasi leher telah
standardisasi dan cepat,
standardisasi dan cepat,
00:57
But they carry a certain risk.
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tetapi dengan risiko tertentu.
00:58
You make an incision right here,
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Anda membuat sebuah irisan di sini,
01:01
and you dissect carefully
past the trachea,
past the trachea,
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dan Anda membedah secara hati-hati
melewati trakea,
melewati trakea,
01:03
the esophagus,
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bagian esofagus,
01:05
and you try not to cut
into the internal carotid artery.
into the internal carotid artery.
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dan Anda berusaha tidak memotong
bagian dalam arteri karotis
bagian dalam arteri karotis
01:08
(Laughter)
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(Tertawa)
01:09
Then you bring in the microscope,
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kemudian ambil mikroskop,
01:12
and you carefully remove
the disc and the prolapse
the disc and the prolapse
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dan keluarga disk
dan prolaps dengan teliti
dan prolaps dengan teliti
01:14
in the nerve root canal,
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di akar saraf,
tanpa merusak bagian cord dan
akar saraf
akar saraf
01:15
without damaging the cord
and the nerve root
and the nerve root
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01:17
lying only millimeters underneath.
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yang terletak hanya
beberapa milimeter di bawah.
beberapa milimeter di bawah.
01:20
The worst case scenario
is the damage to the cord,
is the damage to the cord,
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Kasus terburuk adalah kerusakan cord,
01:23
which can result in paralysis
from the neck down.
from the neck down.
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yang menyebabkan kelumpuhan dari leher
ke bawah.
ke bawah.
01:28
Explaining this to the patient,
she fell silent.
she fell silent.
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Penjelasan ini membuat pasien terdiam.
01:31
And after a few moments,
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Setelah beberapa saat,
01:32
she uttered a few very decisive words
for me and for her.
for me and for her.
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dia memberikan pertanyaan penting
bagi saya dan dia
bagi saya dan dia
01:37
"Doctor, is this really necessary?"
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"Dokter, apakah ini
benar-benar diperlukan?"
benar-benar diperlukan?"
01:41
(Laughter)
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(Tertawa)
01:44
And you know what I realized,
right there and then?
right there and then?
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Anda tahu apa yang saya pikirkan
saat itu?
saat itu?
01:47
It was not.
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Itu tidak perlu.
01:49
In fact, when I get patients
like this woman,
like this woman,
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Bahkan, ketika saya mendapat
pasien seperti wanita ini,
pasien seperti wanita ini,
01:52
I tend to advise not to operate.
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saya cenderung menyarankan
tidak melakukan operasi.
tidak melakukan operasi.
01:55
So what made me do it this time?
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Apa yang membuat saya
melakukannya saat itu?
melakukannya saat itu?
01:59
Well, you see,
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Oke. Anda tahu,
02:00
this prolapse was so delicate,
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prolaps itu sangat lembut.
02:03
I could practically see myself
pulling it out of the nerve root canal
pulling it out of the nerve root canal
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Saya sudah membayangkan
akan menariknya keluar dari akar saraf
akan menariknya keluar dari akar saraf
02:06
before she entered the consultation room.
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sebelum dia masuk ruang konsultasi.
02:09
I have to admit it,
I wanted to operate on her.
I wanted to operate on her.
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Saya akui
saya ingin melakukan operasi padanya.
saya ingin melakukan operasi padanya.
02:13
I'd love to operate on her.
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Saya senang mengoperasinya.
02:15
Operating, after all,
is the most fun part of my job.
is the most fun part of my job.
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Operasi, pada dasarnya, adalah
bagian menyenangkan dalam pekerjaan saya.
bagian menyenangkan dalam pekerjaan saya.
02:18
(Laughter)
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(Tertawa)
02:22
I think you can relate to this feeling.
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Saya rasa Anda paham.
02:24
My architect neighbor says
he loves to just sit and draw
he loves to just sit and draw
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Tetangga saya, seorang arsitek, berkata
bahwa dia suka duduk dan menggambar
bahwa dia suka duduk dan menggambar
02:28
and design houses.
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dan mendesain rumah.
02:30
He'd rather do that all day
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Dia lebih suka itu
02:31
than talk to the client
paying for the house
paying for the house
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daripada berbicara dengan klien
yang membeli rumah,
yang membeli rumah,
02:35
that might even give him
restrictions on what to do.
restrictions on what to do.
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yang mungkin membatasi
apa yang dilakukannya.
apa yang dilakukannya.
02:39
But like every architect,
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Seperti halnya arsitek,
02:40
every surgeon needs
to look their patient in the eye
to look their patient in the eye
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setiap dokter bedah perlu
terbuka dengan pasiennya.
terbuka dengan pasiennya.
02:43
and together with the patient,
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Bersama dengan pasien,
02:44
they need to decide on what is best
for the person having the operation.
for the person having the operation.
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mereka menentukan yang terbaik
untuk orang yang melakukan operasi.
untuk orang yang melakukan operasi.
02:50
And that might sound easy.
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Kedengarannya mudah.
02:51
But let's look at some statistics.
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Tetapi mari lihat catatan statistik.
02:56
The tonsils are the two lumps
in the back of your throat.
in the back of your throat.
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Amandel adalah 2 benjolan
di belakang leher.
di belakang leher.
02:59
They can be removed surgically,
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Amandel dapat dihilangkan
dengan operasi,
dengan operasi,
03:01
and that's called a tonsillectomy.
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yang disebut tonsilektomi.
03:03
This chart shows the operation rate
of tonsillectomies in Norway
of tonsillectomies in Norway
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Grafik ini menunjukkan rating
operasi tonsilektomi di Norwegia
operasi tonsilektomi di Norwegia
03:07
in different regions.
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di beberapa daerah.
03:09
What might strike you
is that there is twice the chance
is that there is twice the chance
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Yang mungkin mengejutkan Anda
adalah bahwa ada dua kali kemungkinan
adalah bahwa ada dua kali kemungkinan
03:13
that your kid --
because this is for children --
because this is for children --
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bahwa anak --
karena operasi ini untuk anak --
karena operasi ini untuk anak --
03:16
will get a tonsillectomy in Finnmark
than in Trondheim.
than in Trondheim.
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melakukan tonsilektomi di Finnmark
daripada di Trondheim.
daripada di Trondheim.
03:20
The indications
in both regions are the same.
in both regions are the same.
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Indikasi di dua daerah tersebut sama.
03:24
There should be
no difference, but there is.
no difference, but there is.
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Harusnya tidak ada perbedaan, tetapi ada.
03:26
Here's another chart.
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Ini grafik lainnya.
03:28
The meniscus helps stabilize the knee
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Meniskus dapat menstabilkan lutut
03:30
and can be torn or fragmented acutely,
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dan dapat sobek atau terpotong parah.
03:32
topically during sports like soccer.
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terutama pada olahraga sepak bola
03:35
What you see here is the operation rate
for this condition.
for this condition.
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Apa yang terlihat disini adalah rating
operasi pada kondisi ini.
operasi pada kondisi ini.
03:39
And you see that the operation
rate in Møre og Romsdal
rate in Møre og Romsdal
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Dan Anda melihat rating operasi
di Møre og Romsdal
di Møre og Romsdal
03:43
is five times the operation
rate in Stavanger.
rate in Stavanger.
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5 kali rating operasi di Stavanger.
03:47
Five times.
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5 kali.
03:49
How can this be?
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Mengapa bisa begini?
03:50
Did the soccer players in Møre og Romsdal
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Apakah pemain bola di Møre og Romsdal
03:52
play more dirty
than elsewhere in the country?
than elsewhere in the country?
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bermain lebih kasar
dibanding daerah lain?
dibanding daerah lain?
03:54
(Laughter)
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(Tertawa)
03:56
Probably not.
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Mungkin tidak.
03:59
I added some information now.
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Saya menambahkan beberapa informasi.
04:01
What you see now
is the procedures performed
is the procedures performed
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Ini adalah tahap-tahap yang dilakukan
04:03
in public hospitals, in light blue,
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di rumah sakit umum, berwarna biru muda
04:05
the ones in private clinics
are light green.
are light green.
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klinik swasta warna hijau muda.
04:08
There is a lot of activity
in the private clinics
in the private clinics
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Banyak aktivitas di klinik swasta
04:11
in Møre og Romsdal, isn't there?
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di Møre og Romsdal, bukan begitu?
04:14
What does this indicate?
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Apa artinya?
04:15
A possible economic motivation
to treat the patients.
to treat the patients.
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Potensi motivasi ekonomi
untuk merawat pasien
untuk merawat pasien
04:20
And there's more.
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dan ada banyak lagi.
04:23
Recent research has shown
that the difference of treatment effect
that the difference of treatment effect
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Riset baru-baru ini menunjukkan
perbedaan efek perawatan
perbedaan efek perawatan
04:27
between regular physical therapy
and operations for the knee --
and operations for the knee --
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antara terapi fisik reguler
dan operasi lutut --
dan operasi lutut --
04:30
there is no difference.
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tidak ada perbedaan.
04:32
Meaning that most
of the procedures performed
of the procedures performed
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Berarti, sebagian besar
prosedur yang terlihat
prosedur yang terlihat
04:36
on the chart I've just shown
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di grafik yang saya tunjukkan
04:38
could have been avoided,
even in Stavanger.
even in Stavanger.
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dapat dihindari bahkan di Stavenger.
04:41
So what am I trying to tell you here?
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Jadi, apa yang saya
coba ceritakan di sini?
coba ceritakan di sini?
04:44
Even though most indications
for treatments in the world
for treatments in the world
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Meskipun sebagian besar
indikasi perawatan di dunia
indikasi perawatan di dunia
04:49
are standardized,
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terstandar,
04:50
there is a lot of unnecessary variation
of treatment decisions,
of treatment decisions,
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ada banyak keputusan
untuk perawatan yang tidak penting,
untuk perawatan yang tidak penting,
04:54
especially in the Western world.
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terutama di dunia bagian barat.
04:57
Some people are not getting
the treatment that they need,
the treatment that they need,
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Beberapa orang tidak mendapatkan
perawatan yang mereka butuhkan
perawatan yang mereka butuhkan
05:01
but an even greater portion of you
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tetapi sebagian besar dari Anda
05:04
are being overtreated.
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dirawat secara berlebihan.
05:08
"Doctor, is this really necessary?"
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"Dokter, apakah ini diperlukan?"
05:11
I've only heard that question
once in my career.
once in my career.
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Saya hanya mendengar pertanyaan ini
sekali sepanjang karier.
sekali sepanjang karier.
05:14
My colleagues say they never heard
these words from a patient.
these words from a patient.
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Teman kuliah saya berkata mereka
belum mendengar ucapan ini dari pasien
belum mendengar ucapan ini dari pasien
05:19
And to turn it the other way around,
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dan sebaliknya,
05:21
how often do you think
you'll get a "no" from a doctor
you'll get a "no" from a doctor
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seberapa sering Anda dengar
"tidak" dari dokter
"tidak" dari dokter
05:23
if you ask such a question?
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Jika Anda bertanya seperti itu?
05:26
Researchers have investigated this,
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Peneliti telah menginvestigasi ini,
05:28
and they come up
with about the same "no" rate
with about the same "no" rate
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mereka rata-rata menjawab "tidak"
05:30
wherever they go.
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ke manapun mereka pergi.
05:32
And that is 30 percent.
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Dan ini 30%.
05:33
Meaning, three out of 10 times,
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Berarti, 3 dari 10 kali
05:37
your doctor prescribes
or suggests something
or suggests something
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dokter Anda menyarankan sesuatu
05:41
that is completely unnecessary.
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yang sangat tidak diperlukan.
05:46
And you know what they claim
the reason for this is?
the reason for this is?
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Dan tahukah Anda alasan mereka?
05:50
Patient pressure.
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tekanan dari pasien.
05:52
In other words, you.
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Dengan kata lain, Anda.
05:54
You want something to be done.
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Anda ingin sesuatu dilakukan.
05:58
A friend of mine came to me
for medical advice.
for medical advice.
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Teman saya datang meminta saran medis.
06:01
This is a sporty guy,
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Dia suka olahraga.
06:02
he does a lot of cross-country skiing
in the winter time,
in the winter time,
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Dia melakukan olahraga ski lintas negara
di musim dingin,
di musim dingin,
06:05
he runs in the summer time.
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berlari pada musim panas.
06:07
And this time, he'd gotten a bad back ache
whenever he went jogging.
whenever he went jogging.
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Sekarang, dia mengalami sakit
punggung parah ketika dia joging
punggung parah ketika dia joging
06:11
So much that he had to stop doing it.
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yang memaksanya untuk berhenti.
06:15
I did an examination,
I questioned him thoroughly,
I questioned him thoroughly,
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Saya melakukan pemeriksaan,
dan bertanya secara detail,
dan bertanya secara detail,
06:18
and what I found out is
that he probably had a degenerated disc
that he probably had a degenerated disc
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apa yang saya temukan,
ia mengalami degenerasi disk
ia mengalami degenerasi disk
06:21
in the lower part of his spine.
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di bagian bawah tulang belakangnya.
06:24
Whenever it got strained, it hurt.
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Ketika digunakan merenggang, terasa sakit.
06:28
He'd already taken up
swimming instead of jogging,
swimming instead of jogging,
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Dia berenang sebagai pengganti joging
06:30
there was really nothing to do,
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tidak ada yang bisa dilakukan.
06:32
so I told him, "You need
to be more selective
to be more selective
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Saya berkata "Kamu perlu lebih
selektif
selektif
06:34
when it comes to training.
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ketika melakukan latihan.
06:35
Some activities are good for you,
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Beberapa aktivitas baik untuknya
06:37
some are not."
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beberapa tidak."
06:39
His reply was,
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Jawabannya adalah
06:41
"I want an MRI of my back."
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"Aku ingin MRI punggungku."
06:45
"Why do you want an MRI?"
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"Mengapa kamu ingin MRI?"
06:48
"I can get it for free
through my insurance at work."
through my insurance at work."
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"Aku mendapatkan ini secara gratis
lewat asuransi kerja."
lewat asuransi kerja."
06:51
"Come on," I said --
he was also, after all, my friend.
he was also, after all, my friend.
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"Ayolah," saya jawab --
Dia teman saya
Dia teman saya
06:54
"That's not the real reason."
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"Itu bukan alasan."
06:56
"Well, I think it's going to be good
to see how bad it looks back there."
to see how bad it looks back there."
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"Aku rasa sebaiknya aku cek
seberapa buruk sakitnya"
seberapa buruk sakitnya"
07:03
"When did you start interpreting
MRI scans?" I said.
MRI scans?" I said.
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"Sejak kapan kamu bisa membaca
MRI?" jawab saya.
MRI?" jawab saya.
07:06
(Laughter)
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(Tertawa)
07:08
"Trust me on this.
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"Percayalah.
07:10
You're not going to need the scan."
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Kamu tidak membutuhkan scan ini."
07:12
"Well," he said,
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"Oke" katanya
07:14
and after a while, he continued,
"It could be cancer."
"It could be cancer."
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setelah beberapa saat, dia berkata,
"ini akan menjadi kanker"
"ini akan menjadi kanker"
07:17
(Laughter)
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(Tertawa)
07:20
He got the scan, obviously.
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Dia melakukan scan, tentunya.
07:22
And through his insurance at work,
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Karena asuransi kerjanya,
07:24
he got to see one
of my colleagues at work,
of my colleagues at work,
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dia bertemu salah satu rekan kerja saya
07:26
telling him about the degenerated disc,
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yang mengatakan bahwa degenerasi disk
07:28
that there was nothing to do,
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tidak perlu tindakan apapun
07:30
and that he should keep on swimming
and quit the jogging.
and quit the jogging.
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dan dia sebaiknya meneruskan berenang
dan berhenti melakukan joging.
dan berhenti melakukan joging.
07:36
After a while,
I met him again and he said,
I met him again and he said,
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Lalu, dia menemui saya dan berkata,
07:38
"At least now I know what this is."
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"setidaknya saya tahu penyakit apa ini."
07:40
But let me ask you a question.
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Saya ingin bertanya.
07:42
What if all of you in this room
with the same symptoms had an MRI?
with the same symptoms had an MRI?
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Bagaimana jika Anda semua dengan
gejala yang sama harus melakukan MRI?
gejala yang sama harus melakukan MRI?
07:46
And what if all the people in Norway
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dan bagaimana jika semua orang di Norwegia
07:49
had an MRI due to occasional back pain?
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melakukan MRI karena sakit
tulang belakang sesaat?
tulang belakang sesaat?
07:54
The waiting list for an MRI
would quadruple, maybe even more.
would quadruple, maybe even more.
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Antrean untuk MRI naik
4 kali lipat, bahkan bisa lebih.
4 kali lipat, bahkan bisa lebih.
07:58
And you would all take
the spot on that list
the spot on that list
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Dan Anda akan mengambil alih jatah
08:00
from someone who really had cancer.
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untuk mereka yang terkena
kanker sungguhan.
kanker sungguhan.
08:03
So a good doctor sometimes says no,
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Jadi, dokter yang baik terkadang
berkata "tidak"
berkata "tidak"
08:07
but the sensible patient
also turns down, sometimes,
also turns down, sometimes,
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tetapi pasien yang bijaksana
juga menolak, kadang-kadang
juga menolak, kadang-kadang
08:11
an opportunity
to get diagnosed or treated.
to get diagnosed or treated.
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sebuah kesempatan
untuk didiagnosa atau dirawat.
untuk didiagnosa atau dirawat.
08:16
"Doctor, is this really necessary?"
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"Dokter, apakah ini diperlukan?"
08:20
I know this can be
a difficult question to ask.
a difficult question to ask.
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Saya tahu susah sekali
untuk bertanya seperti itu.
untuk bertanya seperti itu.
08:24
In fact, if you go back 50 years,
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Bahkan, jika Anda hidup 50 tahun lalu,
08:26
this was even considered rude.
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pertanyaan ini terdengar tidak sopan.
08:28
(Laughter)
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(Tertawa)
08:29
If the doctor had decided
what to do with you,
what to do with you,
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Jika dokter telah memutuskan
suatu tindakan,
suatu tindakan,
08:32
that's what you did.
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itulah yang Anda lakukan.
08:35
A colleague of mine,
now a general practitioner,
now a general practitioner,
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Rekan saya yang saat ini
seorang praktisi umum
seorang praktisi umum
08:37
was sent away to a tuberculosis
sanatorium as a little girl,
sanatorium as a little girl,
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masuk ke sanatorium TBC
saat masih kecil
saat masih kecil
08:42
for six months.
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selama 6 bulan,
08:43
It was a terrible trauma for her.
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yang membuatnya trauma.
08:45
She later found out, as a grown-up,
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Setelah dewasa, akhirnya dia tahu,
08:48
that her tests on tuberculosis
had been negative all along.
had been negative all along.
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bahwa semua tesnya menunjukkan negatif.
08:52
The doctor had sent her away
on nothing but wrong suspicion.
on nothing but wrong suspicion.
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Dokternya telah beranggapan salah
tentangnya.
tentangnya.
08:56
No one had dared or even considered
confronting him about it.
confronting him about it.
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Tidak ada yang berani
menentangnya akan hal itu,
menentangnya akan hal itu,
09:01
Not even her parents.
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bahkan orang tuanya.
09:03
Today, the Norwegian health minister
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Hari ini, Menteri kesehatan Norwegia
09:06
talks about the patient
health care service.
health care service.
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berbicara tentang
pelayanan kesehatan pasien.
pelayanan kesehatan pasien.
09:10
The patient is supposed to get advice
from the doctor about what to do.
from the doctor about what to do.
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Para pasien sebaiknya diberi nasehat
dari dokter akan tindakan yang dilakukan.
dari dokter akan tindakan yang dilakukan.
09:16
This is great progress.
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Ini adalah progres yang besar.
09:18
But it also puts more
responsibility on you.
responsibility on you.
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Tetapi tanggung jawab sepenuhnya
ada pada diri Anda
ada pada diri Anda
09:21
You need to get in the front seat
with your doctor
with your doctor
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Anda harus menghadap pada dokter Anda
09:24
and start sharing
decisions on where to go.
decisions on where to go.
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dan mulai berdiskusi.
09:27
So, the next time
you're in a doctor's office,
you're in a doctor's office,
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Jadi, lain kali
ketika Anda di ruang dokter,
ketika Anda di ruang dokter,
09:31
I want you to ask,
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saya ingin Anda bertanya,
09:32
"Doctor, is this really necessary?"
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"Dokter, apakah ini
benar-benar diperlukan?"
benar-benar diperlukan?"
09:36
And in my female patient's case,
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Dan dalam kasus pasien perempuan saya,
09:38
the answer would be no,
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jawabannya adalah "tidak"
09:40
but an operation could also be justified.
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tetapi operasipun dibenarkan.
09:44
"So doctors, what are the risks
attached to this operation?"
attached to this operation?"
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"Jadi, apa risiko dari operasi ini?"
09:49
Well, five to ten percent of patients
will have worsening of pain symptoms.
will have worsening of pain symptoms.
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Jadi, 5 hingga 10 persen pasien akan
memperparah gejala penyakitnya.
memperparah gejala penyakitnya.
09:55
One to two percent of patients
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1 hingga 2 persen pasien
09:57
will have an infection in the wound
or even a rehemorrhage
or even a rehemorrhage
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akan mengalami infeksi pada luka
bahkan pendarahan
bahkan pendarahan
10:00
that might end up in a re-operation.
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yang pada akhirnya
melakukan operasi ulang.
melakukan operasi ulang.
10:04
0.5 percent of patients
also experience permanent hoarseness
also experience permanent hoarseness
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0,5 persen pasien
mengalami suara serak permanen
mengalami suara serak permanen
10:07
and a few, but still a few,
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dan sedikit dari mereka
10:09
will experience reduced function
in the arms or even legs.
in the arms or even legs.
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akan mengalami disfungsi
di lengan bahkan kaki.
di lengan bahkan kaki.
10:15
"Doctor, are there other options?"
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"Dokter, ada pilihan lain?"
10:18
Yes, rest and physical therapy
over some time
over some time
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Ada. Istirahat dan terapi fisik
untuk beberapa saat
untuk beberapa saat
10:21
might get you perfectly well.
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mungkin menjadikanmu lebih baik.
10:25
"And what happens if I don't do anything?"
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"dan apa yang terjadi jika tidak
ada tindakan apapun?
ada tindakan apapun?
10:27
It's not recommended,
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Tidak direkomendasikan,
10:29
but even then, there's a slight chance
that you will get well.
that you will get well.
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tapi ada sedikit peluang untuk sembuh.
10:33
Four questions.
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Empat pertanyaan.
10:34
Simple questions.
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Pertanyaan sederhana.
10:36
Consider them your new toolbox to help us.
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Jadikan itu alat Anda
untuk membantu kami
untuk membantu kami
10:40
Is this really necessary?
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Apakah ini diperlukan?
10:42
What are the risks?
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Apa risikonya?
10:44
Are there other options?
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Apakah ada pilihan lainnya?
10:45
And what happens if I don't do anything?
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Bagaimana jika tidak
dilakukan tindakan apapun?
dilakukan tindakan apapun?
10:49
Ask them when your doctor
wants to send you to an MRI,
wants to send you to an MRI,
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Bertanyalah kepada mereka ketika dokter
mengirim Anda ke ruangan MRI,
mengirim Anda ke ruangan MRI,
10:53
when he prescribes antibiotics
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ketika memberikan resep antibiotik,
10:55
or suggests an operation.
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atau menyarankan operasi.
10:58
What we know from research
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Yang kita tahu dari riset adalah
11:00
is that one out of five
of you, 20 percent,
of you, 20 percent,
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1 dari 5 atau 20 persen dari Anda
11:03
will change your opinion on what to do.
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akan mengubah opini Anda
tentang apa yang dilakukan.
tentang apa yang dilakukan.
11:06
And by doing that, you will
not only have made your life
not only have made your life
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Dengan begitu, Anda
tidak hanya akan memudahkan hidup Anda
tidak hanya akan memudahkan hidup Anda
11:09
a whole lot easier,
and probably even better,
and probably even better,
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dan mungkin lebih baik,
11:13
but the whole health care sector
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tetapi juga semua bidang kesehatan
11:15
will have benefited from your decision.
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akan mendapat manfaat dari keputusan Anda.
11:19
Thank you.
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Terima kasih.
11:20
(Applause)
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(Tepuk Tangan)
ABOUT THE SPEAKER
Christer Mjåset - NeurosurgeonChrister Mjåset, M.D. is a neurosurgeon, author, columnist and lecturer who currently works as a Harkness fellow in Health Care Policy and Practice at Harvard T.H. Chan School of Public Health in Boston studying value-based health care models.
Why you should listen
Christer Mjåset, M.D. holds a position as a researcher at the Oslo University Hospital analyzing data from The Norwegian Spine Registry and as a lecturer at the Department of Health Management and Economics, University of Oslo, where he teaches in a leadership program for young physicians. Mjåset was president of the Norwegian Junior Doctors 2015-2019 and the Vice President of the Norwegian Medical Association 2017-2019. This work led him to be involved with the international Choosing Wisely campaign which seeks to advance a national dialogue avoiding unnecessary medical tests, treatments and procedures. From 2017-2019 he was responsible for implementing the campaign in Norway
Mjåset is a published author of five fictional books and several short stories. He won the Oslo City Cultural Scholarship for writers in 2006. He got his medical degree and bachelor’s degree in literature and philosophy at University of Oslo, both in 2000.
Christer Mjåset | Speaker | TED.com