effectiveness Archives - Page 2 of 2

21 03, 2019

Paper of the Week 21.03.2019: Bilateral versus Single Internal-Thoracic-Artery Grafts at 10 Years

ruth brice2019-03-21T16:17:14+00:00

This week’s paper of the week is brought to you by Professor Sir Muir Gray, 3V's Founding Director. Bottom line, chosen by Muir from the paper Among patients who were scheduled for CABG and had been randomly assigned to undergo bilateral or single internal-thoracic-artery grafting, there was no significant between-group difference in the rate of death from any cause at 10 years in the intention-to-treat analysis. The conclusion is This study shows that in the case of CABG more in healthcare is often no better. Once again Avedis Donabedian’s illustration about optimality has been demonstrated. Implications for value improvement This is another example of the principle first described by Avedis Donabedian and expressed through his diagrammatic representation [...]

Paper of the Week 21.03.2019: Bilateral versus Single Internal-Thoracic-Artery Grafts at 10 Yearsruth brice2019-03-21T16:17:14+00:00

2 01, 2019

Paper of the week 02.01.19: Evidence and values in the NHS

ruth brice2019-01-02T14:14:45+00:00

Reference: Evidence and values in the NHS: choosing treatments and interventions well. Margaret McCartney and Sam Finnikin. Br J Gen Pract 2019; 69 (678): 4-5 This week’s paper of the week is brought to you by Professor Sir Muir Gray, 3V Executive Director. Bottom line (chosen from the paper) But there is a concern that ‘value’ as currently practised may mean monetary cost coming first, and may be used to describe the values of a balanced accounting sheet rather than the personal values of an individual patient. Higher-quality care may happen to be less expensive, but cost should not be the sole arbiter. Yet the opportunity cost of doctors having to explain why CCGs are no longer funding prescriptions for ‘self-limiting’ conditions, rather than doing [...]

Paper of the week 02.01.19: Evidence and values in the NHSruth brice2019-01-02T14:14:45+00:00

10 10, 2018

Paper of the week 10.10.18: Paying for Cures: Perspectives on Solutions to the “Affordability Issue”

ruth brice2018-10-10T13:48:23+00:00

Reference: Paying for Cures: Perspectives on Solutions to the “Affordability Issue” Karlsberg Schaffer K et aljournal This weeks paper of the week is brought to you by Professor Sir Muir Gray, 3V Executive Director. Bottom line ‘We conclude that there is a mismatch between the enthusiasm in the academic literature for developing new approaches and the scepticism of payers that they can work or are necessary. For the foreseeable future, affordability pressures will continue to be handled by aggressive price bargaining, high co-pays (in systems in which this is possible), and restricting access to subgroups of patients. Of the mechanisms we explored, outcomes-based payments were of most interest to payers, but the costs associated with operating such schemes, [...]

Paper of the week 10.10.18: Paying for Cures: Perspectives on Solutions to the “Affordability Issue”ruth brice2018-10-10T13:48:23+00:00