Allocative Value

20 02, 2020

Paddling against the stream- dealing with the ‘prevention paradox’

2020-02-20T14:58:17+00:00

Paper of the Week: 20th February 2020 This week’s blog is brought to you by: Dr Joe McManners Full reference and title from the journal: Paddling against the stream- dealing with the ‘prevention paradox’, link to paper: click here Authors conclusion ACOs faced significant difficulties in integrating social services with medical care. First, the ACOs were frequently “flying blind,” lacking data on both their patients’ social needs and the capabilities of potential community partners. Additionally, partnerships between ACOs and community-based organizations were critical but were only in the early stages of development. Innovation was constrained by ACOs’ difficulties in determining how best to approach return on investment, given shorter funding cycles and longer time horizons to see returns [...]

Paddling against the stream- dealing with the ‘prevention paradox’2020-02-20T14:58:17+00:00
13 01, 2020

‘Scan because you can’, and ‘boys and toys’. Answering the question of why we persist with low value care.

2020-01-13T15:21:19+00:00

Paper of the Week: 13th January 2020 This week’s blog is brought to you by: Dr Joe McManners Full reference and title from the journal: Biases distorting priority setting: BjørnHofmann Health Policy, Volume 124, Issue 1. January 2020. Pages 52-60. Link to paper click here Authors conclusion: Despite vast challenges and extensive efforts, the outcomes of practical priority setting are scarcely documented. Why is this so? This is the key question of this study. That is, why are the outcomes of priority setting so poorly documented, e.g. in reducing low-value care, when the principles, regulations, and tools for priority setting are fairly well developed? The author looks briefly at some rational explanations for the discrepancy between theoretical efforts [...]

‘Scan because you can’, and ‘boys and toys’. Answering the question of why we persist with low value care.2020-01-13T15:21:19+00:00
2 12, 2019

Resources the same size as the annual GDP of Holland are wasted every year in the US health system, but there are solutions.

2019-12-10T15:17:12+00:00

Paper of the Week: 2nd December 2019 This week’s blog is brought to you by: Dr Joe McManners Full reference and title from the journal: Waste in the US Health Care System; Estimated Costs and Potential for Savings William H. Shrank, MD, MSHS1; Teresa L. Rogstad, MPH1; Natasha Parekh, MD, MS2 JAMA. 2019;322(15):1501-1509. https://jamanetwork.com/journals/jama/article-abstract/2752664 Authors conclusion: In this review, based on 6 previously identified domains of health care waste, the authors estimate the cost of waste in the US health care system to between $760 billion to $935 billion, this is approximately 25% of total US health care spending. The projected potential savings from interventions that reduce waste, (excluding savings from administrative complexity), range from $191 billion to $282 billion, representing a potential 25% reduction in the [...]

Resources the same size as the annual GDP of Holland are wasted every year in the US health system, but there are solutions.2019-12-10T15:17:12+00:00