{"id":5637,"date":"2026-07-18T22:49:20","date_gmt":"2026-07-18T22:49:20","guid":{"rendered":"https:\/\/homecares.net\/?p=5637"},"modified":"2026-07-18T22:49:20","modified_gmt":"2026-07-18T22:49:20","slug":"the-hospice-and-palliative-care-community-finds-a-new-digital-home-on-bluesky-2","status":"publish","type":"post","link":"https:\/\/homecares.net\/?p=5637","title":{"rendered":"The Hospice and Palliative Care Community Finds a New Digital Home on Bluesky"},"content":{"rendered":"<p>The landscape of online professional communities, particularly within specialized fields like hospice and palliative medicine, is in constant flux. For years, platforms like Twitter served as a central hub for professionals to connect, share information, and engage in discourse. However, a significant shift is underway, with many professionals, including prominent figures in the hospice and palliative care (HAPC) community, migrating to newer, text-based platforms. This article explores the reasons behind this migration, the emergence of Bluesky as a favored alternative, and the implications for the future of online professional networking in this critical medical specialty.<\/p>\n<p><strong>A Shifting Digital Landscape: From Twitter&#8217;s Heyday to Present Discontent<\/strong><\/p>\n<p>Christian Sinclair, MD, FAAHPM, a respected palliative care physician and editor-in-chief of Pallimed, a leading online resource for hospice and palliative medicine, articulated a sentiment shared by many in his field: a growing disillusionment with the direction of Twitter. In a recent post, Sinclair openly stated his personal departure from the platform, citing &quot;multiple reasons&quot; that rendered it no longer a &quot;good site.&quot; This personal decision reflects a broader trend, as numerous professionals have expressed similar concerns regarding content moderation, algorithmic changes, and a perceived decline in the quality of discourse on Twitter.<\/p>\n<p>Sinclair&#8217;s earlier advocacy for Twitter in February 2009, as documented on Pallimed, highlights how the platform once served as a valuable tool for community building and information dissemination. At its zenith, Twitter facilitated rapid communication, allowed for the sharing of research findings, and fostered a sense of camaraderie among HAPC professionals. The ability to engage in real-time discussions, follow key opinion leaders, and access timely updates on conferences and policy changes made it an indispensable asset. However, the platform&#8217;s evolution, particularly in recent years, has eroded these benefits for many users.<\/p>\n<p><strong>Bluesky Emerges as a Promising Alternative<\/strong><\/p>\n<p>In the wake of dissatisfaction with established platforms, a new contender, Bluesky, has captured the attention of the HAPC community. Described by Sinclair as a &quot;text-based microblogging platform,&quot; Bluesky is being heralded as a refreshing and collegial online space. Its appeal lies in its perceived simplicity, its focus on text-based communication, and a more curated environment that fosters genuine interaction.<\/p>\n<p>Sinclair, who has been an active user of Bluesky for 18 months, notes a significant surge in activity and quality of content on the platform in recent times. This growth is not confined to the HAPC community alone; it extends to a broader medical professional contingent migrating from Twitter, alongside newsmakers, entertainers, academic journals, and medical societies. This influx suggests a widespread recognition of Bluesky&#8217;s potential as a viable alternative for professional networking and information exchange.<\/p>\n<p><strong>Key Features Driving Bluesky Adoption<\/strong><\/p>\n<p>Several key features contribute to Bluesky&#8217;s growing popularity within the HAPC sector:<\/p>\n<ul>\n<li><strong>Focus on Community and Collegiality:<\/strong> Users frequently describe Bluesky as &quot;fun, light, and collegial,&quot; fostering an environment where professionals feel comfortable engaging and collaborating. This atmosphere is particularly valuable in a field that often deals with sensitive and emotionally charged topics, where supportive professional networks are crucial.<\/li>\n<li><strong>Absence of Advertisements (Currently):<\/strong> The current ad-free nature of Bluesky is a significant draw for users seeking an uncluttered and focused online experience. This contrasts sharply with platforms increasingly dominated by commercial interests, which can detract from professional content and user engagement.<\/li>\n<li><strong>Robust Discovery Tools:<\/strong> Bluesky offers features designed to help users find content and individuals relevant to their interests. This is essential for navigating the growing volume of information and connecting with like-minded professionals.<\/li>\n<li><strong>Enhanced User Protection:<\/strong> The platform incorporates tools aimed at protecting users from harassment and unwanted content, contributing to a safer and more productive online environment. This is a critical consideration for professionals in any field, but particularly for those in healthcare who may be subject to public scrutiny.<\/li>\n<li><strong>Community-Driven Starter Packs:<\/strong> A unique feature of Bluesky is the ability for users to create and share &quot;starter packs&quot; \u2013 curated lists of accounts to follow within specific communities. Sinclair has developed a &quot;Hospice and Palliative Care People starter pack&quot; containing over 120 individuals dedicated to palliative care. Similarly, Catherine Walshe, editor of <em>Palliative Medicine<\/em>, has created another valuable HAPC starter pack. These initiatives streamline the onboarding process for new users and facilitate immediate community integration.<\/li>\n<li><strong>Potential for Early 2010s Twitter Vibe:<\/strong> For those who recall the early days of Twitter, characterized by strong community bonds and genuine interaction, Bluesky offers a similar experience. This nostalgic appeal, combined with the platform&#8217;s current trajectory, is attracting users seeking to recapture that sense of digital camaraderie.<\/li>\n<\/ul>\n<p><strong>The Decline of Other Platforms<\/strong><\/p>\n<figure class=\"article-inline-figure\"><img decoding=\"async\" src=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEijRieS2ebp6ym5cHUEkJnlY2zwgoyDiM0AnexW4x4bRdaJ1C2lSwSeEyTX9D0oC6tpNVuithLUgypqHZ_663YbJDHd8BJ7P9BWKEvNqXEWgaO4MiKPNgODQUy4D-7M_NWvtMnzGiEmg6Rw30BDzyK8GZCuXJGTXxsRBQfnyETMXjj27a8Gmbjo0g\/w1200-h630-p-k-no-nu\/bafkreiffwbceyz723v6nukqtasixpdokahcm35su3fgs6vtlh6niog2pby.jpg\" alt=\"Twitter is Dead. Long live Bluesky!\" class=\"article-inline-img\" loading=\"lazy\" \/><\/figure>\n<p>Sinclair&#8217;s analysis also touches upon the shortcomings of other potential alternatives, further solidifying Bluesky&#8217;s position:<\/p>\n<ul>\n<li><strong>Threads:<\/strong> While initially promising, Threads is criticized for a &quot;broken algorithm&quot; and a heavy emphasis on brands, making it less appealing for niche professional communities.<\/li>\n<li><strong>TikTok and Instagram:<\/strong> These platforms are primarily visual and video-centric, not aligning with the needs of professionals who primarily engage through text-based discussions and information sharing.<\/li>\n<li><strong>Facebook:<\/strong> Perceived as &quot;tired&quot; and less conducive to professional networking, Facebook has lost its appeal for many seeking dynamic online communities.<\/li>\n<\/ul>\n<p>This comparative assessment underscores the specific niche that Bluesky appears poised to fill for the HAPC community and potentially other professional groups.<\/p>\n<p><strong>Timeline of the Digital Migration<\/strong><\/p>\n<p>The migration from Twitter to alternative platforms is not a singular event but rather a gradual process that has gained momentum.<\/p>\n<ul>\n<li><strong>Early 2009:<\/strong> Christian Sinclair advocates for Twitter as a valuable tool for the HAPC community on Pallimed.<\/li>\n<li><strong>Mid-2010s:<\/strong> Twitter experiences peak engagement for professional communities, facilitating rapid information sharing and networking.<\/li>\n<li><strong>Late 2010s &#8211; Early 2020s:<\/strong> Increasing concerns arise regarding Twitter&#8217;s evolving policies, algorithmic changes, and the quality of discourse.<\/li>\n<li><strong>2021-2023:<\/strong> A growing number of professionals begin to explore and migrate to alternative platforms, including emerging decentralized social media initiatives.<\/li>\n<li><strong>Early 2023:<\/strong> Bluesky, initially in beta, begins to attract attention from various professional groups.<\/li>\n<li><strong>Mid-2023 &#8211; Present:<\/strong> Bluesky experiences a significant surge in user adoption, with a notable influx of medical professionals, including those from the HAPC community, driven by dissatisfaction with Twitter. Sinclair himself joins Bluesky approximately 18 months prior to his recent post and notes a substantial uptick in HAPC activity on the platform in the past weekend.<\/li>\n<\/ul>\n<p><strong>Implications for the Hospice and Palliative Care Community<\/strong><\/p>\n<p>The migration to Bluesky carries significant implications for the future of professional engagement in hospice and palliative care:<\/p>\n<ul>\n<li><strong>Enhanced Collaboration and Knowledge Sharing:<\/strong> A concentrated and engaged community on Bluesky can lead to more robust discussions, collaborative projects, and faster dissemination of best practices and research findings. This is particularly vital in a field that is continuously evolving and requires up-to-date knowledge.<\/li>\n<li><strong>Strengthened Professional Networks:<\/strong> The collegial atmosphere of Bluesky can foster stronger professional relationships, mentorship opportunities, and a greater sense of support among HAPC providers who often face challenging work environments.<\/li>\n<li><strong>Increased Visibility for the Field:<\/strong> A unified online presence can amplify the voice of the HAPC community, raising awareness about its importance, advocating for policy changes, and educating the public.<\/li>\n<li><strong>Potential for Future Innovations:<\/strong> As the community coalesces on Bluesky, there is potential for the development of new tools and initiatives tailored to the specific needs of HAPC professionals. Sinclair&#8217;s hosting of weekly #hapc chats (formerly #hpm chats) on Wednesday evenings is an example of such community-driven engagement.<\/li>\n<li><strong>Dissemination of Information about Key Events:<\/strong> Bluesky is being utilized as a platform for disseminating information about crucial events, such as the upcoming Annual Assembly #HAPC25 in Denver, further centralizing important announcements and discussions.<\/li>\n<\/ul>\n<p><strong>Looking Ahead: The Future of Online Professional Discourse<\/strong><\/p>\n<p>The shift from established social media giants to newer, more specialized platforms reflects a broader trend in how professionals seek to connect and communicate online. For the hospice and palliative care community, the move to Bluesky appears to be driven by a desire for a more focused, less commercialized, and genuinely collegial digital space. As Sinclair&#8217;s initiative to host weekly chats and share starter packs demonstrates, the community is actively shaping its presence on this new platform.<\/p>\n<p>The long-term success of Bluesky will depend on its ability to maintain its current trajectory, continue to foster a positive user experience, and adapt to the evolving needs of its growing community. For Pallimed and its readership, this digital migration may also signal a renewed opportunity to re-engage with the platform and its vital contributions to the field of hospice and palliative medicine. The question of whether &quot;we are back&quot; in terms of online community engagement might well be answered by the continued growth and vibrancy of platforms like Bluesky.<\/p>\n<hr \/>\n<p><em>Christian Sinclair, MD, FAAHPM, is a palliative care physician at the University of Kansas Health System and editor-in-chief of Pallimed. He has been an active advocate for the use of social media in professional medical communities.<\/em><\/p>\n<!-- RatingBintangAjaib -->","protected":false},"excerpt":{"rendered":"<p>The landscape of online professional communities, particularly within specialized fields like hospice and palliative medicine, is in constant flux. For years, platforms like Twitter served as a central hub for professionals to connect, share information, and engage in discourse. However, a significant shift is underway, with many professionals, including prominent figures in the hospice and &hellip;<\/p>\n","protected":false},"author":1,"featured_media":5636,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[90],"tags":[98,20,94,67,160,93,38,66,325,92,105,91],"newstopic":[],"class_list":["post-5637","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-palliative-hospice-care","tag-bluesky","tag-care","tag-comfort-care","tag-community","tag-digital","tag-end-of-life","tag-finds","tag-home","tag-hospice","tag-hospice-care","tag-palliative","tag-palliative-care"],"_links":{"self":[{"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/posts\/5637","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5637"}],"version-history":[{"count":0,"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/posts\/5637\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/media\/5636"}],"wp:attachment":[{"href":"https:\/\/homecares.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5637"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5637"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5637"},{"taxonomy":"newstopic","embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=%2Fwp%2Fv2%2Fnewstopic&post=5637"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}