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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    Atul Gawande‏Verified account @Atul_Gawande 5 Jan 2013

    Familiar problem. Evidence that eating/behaving differently helps is resisted by culture. I ask, what to do? Force em, they say! I'm dubious

    1:19 AM - 5 Jan 2013
    • 14 Retweets
    • 6 Likes
    • Jackie Broadbent Jon Guy Judy Reidt-Parker LMSA West The Honourable Grand Archmaester Benji. Robyn Mike Moore, DO Is this real life?🍩 Erik Pupo
    24 replies 14 retweets 6 likes
      1. Erin Little #insulin4all‏ @teetertother 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Peer-based approach is the only thing I've seen be effective on the ground. Forcing anyone won't work. Ever.

        0 replies 1 retweet 0 likes
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      1. Mike Moore, DO‏ @MikeMooreDO 7 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande I'm skeptical as well. Change must be organic.

        0 replies 0 retweets 0 likes
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      1. DavisLiuMD‏ @davisliumd 6 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande where are the positive deviants? Agree often expert ideas often not as good as home grown solutions!

        0 replies 0 retweets 0 likes
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      1. Richard Scoville‏ @rpscoville 6 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Nudge? I recall that the brits have an agency for testing 'choice architectures' - http://www.cabinetoffice.gov.uk/behavioural-insights-team …

        0 replies 0 retweets 0 likes
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      1. Dr Suraindra Rajadurai‏ @SurainR 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande much like with technology products, early adopters are often better persuaders than outside promoters.

        0 replies 0 retweets 0 likes
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      1. Is this real life? 🍩‏ @sensen2011 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande during my internship in India, I saw a 10 yo slowly die of SSPE because his parents distrusted vaccines as a govt plot

        0 replies 0 retweets 0 likes
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      1. Jay Desai‏ @jdesai01 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande focus interventions on children. Less entrenched in status quo, willing to adopt new, they can then influence parents/elders

        0 replies 0 retweets 0 likes
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      1. Alisa Bonsignore‏ @clearwriter 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Forcing never works with change. Persuade early adopters, then encourage peer recommendation?

        0 replies 0 retweets 0 likes
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      1. Baron Von iLLY-p, O.B.E.‏ @illy_p 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Reminds me of your book "Better" and the Tufts professors concept of Positive Deviance.

        0 replies 0 retweets 0 likes
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      1. Nicki Armstrong‏ @ArmstrongGNP 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Are you familiar with @BRAC 's work on #breastfeeding and introduction of appropriate solids in #Bangladesh? Similar challenge

        0 replies 0 retweets 0 likes
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      1. अक्षय बिडला‏ @astute_a 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande look to polio vaccine campaign where we had similar challenges. get celebrities to promote healthy behaviour.

        0 replies 0 retweets 0 likes
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      1. amar lungare‏ @amarlungare 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Attaching another reason usually coerces them into it. for ex. kids go to schools because they get mid-day meal there.

        0 replies 0 retweets 0 likes
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      1. Michelle‏ @ldnmi 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Good example of changing behaviour of India's poorest in @rosegeorge3's book on sanitation, The Big Necessity.

        0 replies 0 retweets 0 likes
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      1. Antacara Frontiers‏ @changingview 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Understand the source of the resistance. Usually it's fear.

        1 reply 0 retweets 0 likes
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      1. paul jackman‏ @paulfitter 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande but we cant get the evidence it all been covered up but my in my heart and they not getting the hand on it

        0 replies 0 retweets 0 likes
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      1. Lu‏ @SparkHealthNow 5 Jan 2013
        Replying to @Atul_Gawande

        With reason,@Atul_Gawande. "Habit is habit, & not to be flung out of the window by any man, but coaxed downstairs a step at a time.” - Twain

        0 replies 0 retweets 0 likes
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      1. Nsansa‏ @nsansatweets 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Perhaps help them uncover for themselves the desire and levers for change...

        0 replies 0 retweets 0 likes
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      1. Tanja van Kempen‏ @mevrouwtjeT 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande “@medskep: Top 10 Mistakes in Behavior Change http://buff.ly/tvGitz ”

        0 replies 0 retweets 0 likes
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