culture Archives - Page 2 of 2

8 08, 2019

Thursday 8th August 2019 Paper of the Week: What is fair in healthcare

ruth brice2019-08-08T13:29:03+00:00

This week's paper of the week is brought to you by Dr Tim Wilson, Managing Director Full reference and title from the journal: Chamberlain, C., Owen-Smith, A., MacKichan, F., Donovan, J. L., & Hollingworth, W. (2019). “What’s fair to an individual is not always fair to a population”: a qualitative study of patients and their health professionals using the Cancer Drugs Fund. Health Policy, 123(8), 706–712. WEB LINK TO PAPER Authors conclusion While patients and oncologists appreciated the drugs available through the Cancer Drugs Fund, most expressed concern about its fairness. Competing participant views about the added value of the end of life is challenging for resource allocation. 3V bottom line Fairness in healthcare needs us to [...]

Thursday 8th August 2019 Paper of the Week: What is fair in healthcareruth brice2019-08-08T13:29:03+00:00

2 08, 2019

Paper of the Week 2nd August: Lessons on paying for value from the US health policy laboratory

ruth brice2019-08-02T06:20:37+00:00

This week's blog is brought to you by Dr Tim Wilson, 3V Managing Director. Full reference: Health Care Spending, Utilization, and Quality 8 Years into Global Payment Song, Z., Ji, Y., Safran, D. G., & Chernew, M. E. (2019). Health Care Spending, Utilization, and Quality 8 Years into Global Payment. New England Journal of Medicine, 381(3), 252–263. Web Link to Paper Authors conclusion: During the first 8 years after its introduction the Alternative Quality Contract of Blue Cross Blue Shield (BCBS) of Massachusetts, a population-based payment model, was associated with slower growth in medical spending on claims, resulting in savings that over time began to exceed incentive payments. Unadjusted measures of quality under this model were higher than [...]

Paper of the Week 2nd August: Lessons on paying for value from the US health policy laboratoryruth brice2019-08-02T06:20:37+00:00

10 05, 2019

Paper of the Week: 10th May 2019: Better payment systems can support, but not replace, culture change

ruth brice2019-05-10T08:24:07+00:00

Full reference: Maryland’s Experiment With Capitated Payments For Rural Hospitals: Large Reductions In Hospital-Based Care. Jesse M. Pines, Sonal Vats, Mark S. Zocchi, Bernard Black. (2019) HEALTH AFFAIRS . Vol. 38, NO. 4 Link to Paper This week’s blog is brought to you by: Dr Tim Wilson, Managing Director Authors conclusion Inpatient admissions and outpatient services fell sharply at [study] hospitals, increasingly so over the period that [capitated payment] was in effect. Emergency department (ED) admission rates declined 12 percent, direct (non-ED) admissions fell 23 percent, ambulatory surgery center visits fell 45 percent, and outpatient clinic visits and services fell 40 percent. However, for residents of [capitated payment] counties, visits to all Maryland hospitals fell by lesser amounts and Medicare spending increased, [...]

Paper of the Week: 10th May 2019: Better payment systems can support, but not replace, culture changeruth brice2019-05-10T08:24:07+00:00

17 10, 2018

Paper of the week 17.10.18: Trying to convince people to poo in toilets – what the NHS needs to learn

ruth brice2018-10-17T11:45:26+00:00

Reference: Rural Sanitation in India: The Poo Party This weeks paper of the week is brought to you by Dr Anant Jani, 3V Executive Director. Bottom line “Transforming the behavioral norms of rural populations is a particularly challenging task, and it will only work if rural communities change from within…much depends on the extent to which civil society takes up the call, and whether and how the government pitches in to sensitize and support the fight….The other half of the challenge is uprooting deep-seated beliefs and taboos…Success will require long-term campaigns to spread awareness, the development of regionally contextualized innovations, focus-group discussions, and women’s empowerment.” Implications for value improvement Getting people to change is not easy. Habits, beliefs and [...]

Paper of the week 17.10.18: Trying to convince people to poo in toilets – what the NHS needs to learnruth brice2018-10-17T11:45:26+00:00