GlossaryPod – Value & Values
ruth brice2021-03-15T14:40:36+00:00
15
03, 2021
18
01, 2021
BookPod – Diffusion of Innovation by Rogers
ruth brice2021-01-18T17:50:22+00:00Book: Diffusion of Innovations Author: Everett M. Rogers Teaser: Everett Rogers had it all worked out decades before the internet came along. The digital medium has changed some of the rules but the game is the same, and this book described the rules of the game in 1995. Tag: Networks
12
03, 2020
How does participating in a deliberative citizens panel on healthcare priority setting influence the views of participants?
ruth brice2020-03-12T12:57:08+00:00This 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 [...]
6
03, 2020
Health Care Hotspotting — A Randomized, Controlled Trial
ruth brice2020-03-06T12:19:59+00:00This 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 [...]
5
02, 2020
Rising to the challenge of multimorbidity
ruth brice2020-02-05T11:55:30+00:00Paper of the Week: 5th February 2020 This week’s blog is brought to you by: Professor Sir Muir Gray Full reference and title from the journal: Whitty C.J.M.et al 2020, BMJ 2020;368:l6964 doi: 10.1136/bmj.l6964 (Published 6 January 2020) Link to paper: https://www.bmj.com/content/bmj/368/bmj.l6964.full.pdf The paper’s bottom line “Cluster medicine the shift includes moving from thinking about multimorbidityas a random assortment of individual conditions to recognising it as a series of largely predictable clusters of disease in the same person….Continued increases in healthy longevity depend on this different model. Clustering of diseases, and how we might better tackle management of coexisting physical and mental health problems, should be embedded into medical training and continuous” 3vh bottom line The Third Dimension [...]
30
01, 2020
The 21st Century is the century of networks: are clinical networks the future way to organize healthcare?
ruth brice2020-01-30T11:11:23+00:00Paper of the Week: 30th January 2020 This week’s blog is brought to you by: Dr Joe McManners Full reference and title from the journal: Managing the performance of general practitioners and specialists referral networks: A system for evaluating the heart failure pathway. SabinaNutiaFrancescaFerréaChiaraSeghieriaElisaForesiaTherese A.Stukelb Health Policy Volume 124, Issue 1, January 2020, Pages 44-51 Web link to paper https://www.sciencedirect.com/science/article/pii/S0168851019302581 Authors conclusion The aim of this paper is to identify and evaluate the performance of naturally occurring networks of GP's and hospital-based specialists providing care for congestive heart failure (CHF) patients in Tuscany, Italy. They demonstrate the existence of informal links between GP's and hospitals based on patterns of patient flow. An integrated approach to evaluation and performance management that [...]
6
01, 2020
Papers of the decade in JAMA
ruth brice2020-01-07T09:42:10+00:00Paper of the Week: 6th January 2020 This week’s blog is brought to you by: Professor Sir Muir Gray and Dr Joe McManners These articles have been selected by our editors as the most important published by JAMA between 2010 and 2019. Click below to read them for free. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) Mervyn Singer, MD, FRCP; Clifford S. Deutschman, MD, MS; Christopher Warren Seymour, MD, MSc; et alManu 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8) Paul A. James, MD; Suzanne Oparil, MD; Barry L. Carter, PharmD; et al Antibiotic Therapy vs Appendectomy [...]
28
10, 2019
Paper of the Week: 28th October 2019 – We need to talk about value
ruth brice2019-10-28T10:56:11+00:00This week’s blog is brought to you by: Dr Tim Wilson Full reference and title from the journal: Can patient centred care plus shared decision making equal lower costs? Gemma Venhuizen, BMJ 2019;367:l5900 Link to paper: https://doi.org/10.1136/bmj.l5900 Authors conclusion: “At Bernhoven, 70% of patients referred for eye care are seen by an optometrist instead of an ophthalmologist. In that way, a consultation costs €40 (£36; $44) instead of €225, and waiting lists have decreased.” (sic) 3V bottom line: The result from this paper are encouraging, but language matters. Especially when talking about value-based healthcare. So instead of focusing on lower costs, the author should have talked about “resources being freed up from lower value care for higher value”. [...]
10
09, 2019
Paper of the Week: 10th September 2019 – At last, value measured by the opportunity cost of an intervention
ruth brice2019-09-10T09:43:21+00:00This week’s blog is brought to you by: Professor Sir Muir Gray Full reference and title from the journal: Uterus at a price: Disability insurance and hysterectomy Fan E. (et al) Journal of Health Economics 66 (2019) 1-17 Link to Paper: https://www.sciencedirect.com/science/article/abs/pii/S0167629618308142?dgcid=rss_sd_all Authors conclusion: Taiwanese Labor, Government Employee, and Farmer Insurance programs provide 5 to 6 months of salary to enrollees who undergo hysterectomies or oophorectomies before their 45th birthday. These programs create incentives for more and earlier treatments, …..Induced hysterectomies increase benefit payments and surgical costs, at about the cost of a mammogram and 5 pap smears per enrollee. 3V bottom line: Expressing value in terms of other things that could be one with the same amount [...]
22
07, 2019
Paper of the Week – 22nd July 2019: The 7 Habits of Highly Effective Cost-of-Care Conversations
ruth brice2019-07-22T06:46:10+00:00This weeks blog is brought to you by: Professor Sir Muir Gray, Founding Director. Authors conclusion Cost-conversation practice certainly will not make us perfect, given the logistical and informational barriers that exist. However, it will move us closer to the kind of patient-centered care that characterizes the ideals of our profession. Text from the paper chosen by 3VH (this may, or may not be the ‘conclusion’) Out-of-pocket expenditures have increased rapidly in the United States over the past decade. In 2018, 29% of people with private insurance were enrolled in high-deductible health plans, compared with just 4% in 2006. Out-of-pocket costs are high for many publicly insured people, too. Medicare beneficiaries with cancer who do not [...]