18 03, 2020

From shops and chains to networks: rethinking value creation for complex healthcare

2020-03-18T10:50:59+00:00

This week’s blog is brought to you by: Dr Joe McManners Full reference and title from the journal: Fjeldstad, Ø. D., Johnson, J. K., Margolis, P. A., Seid, M., Höglund, P., & Batalden, P. B. (Accepted/In press). Networked health care: Rethinking value creation in learning health care systems. Learning Health Systems, [e10212]. Click here for the link to the paper Authors conclusion Attempts to “install” the value chain widely in health care systems have, however, been frustrating. As a result, well-meaning leaders seeking better value have resorted to programs of cost reduction, rather than service redesign. Professionals have not been very happy or willing participants. The work of health care service invites an expanded model of value creation, one that [...]

From shops and chains to networks: rethinking value creation for complex healthcare2020-03-18T10:50:59+00:00
12 03, 2020

How does participating in a deliberative citizens panel on healthcare priority setting influence the views of participants?

2020-03-12T12:57:08+00:00

This week’s blog is brought to you by: Professor Sir Muir Gray, Founding Director Reckers-Droog V et al (2020) et al./Health Policy 124143–151 https://doi.org/10.1016/j.healthpol.2019.11.011 The paper’s bottom line, text from the paper chosen by 3VH Conclusions Our study showed that participants’ views partly remained stable over the course of the panel, specifically regarding equal access to healthcare, prioritisation based on patients’ needs, and the importance of the size and type of treatment benefits.  Notable changes after deliberation concerned the increased support for prioritisation, consideration of costs, and relevance of a cost-effectiveness criterion in allocation decisions.  Considering the increasing interest in deliberative methods among policy makers in healthcare and the limited and empirical evidence concerning the effect of deliberative [...]

How does participating in a deliberative citizens panel on healthcare priority setting influence the views of participants?2020-03-12T12:57:08+00:00
6 03, 2020

Health Care Hotspotting — A Randomized, Controlled Trial

2020-03-06T12:19:59+00:00

This week’s blog is brought to you by: Professor Sir Muir Gray, Founding Director Full reference and title from the journal: Health Care Hotspotting — A Randomized, Controlled Trial, Finkelstein, A. et al (2020), N Engl J Med 2020;382:152-62. DOI: 10.1056/NEJMsa1906848 Authors conclusion Background There is widespread interest in programs aiming to reduce spending and improve health care quality among “superutilizers,” patients with very high use of health care services. The “hotspotting” program created by the Camden Coalition of Healthcare Providers (hereafter, the Coalition) has received national attention as a promising superutilizer intervention and has been expanded to cities around the country. In the months after hospital discharge, a team of nurses, social workers, and community health workers [...]

Health Care Hotspotting — A Randomized, Controlled Trial2020-03-06T12:19:59+00:00