Value-based Care
Study: Effects of Medicare’s Bundled Payment
20 Sep, 2018 | 19:42h | UTCAssociation of Hospital Participation in a Medicare Bundled Payment Program With Volume and Case Mix of Lower Extremity Joint Replacement Episodes – JAMA (link to abstract – $ for full-text)
Commentaries: Can Paying for a Health Problem as a Whole, Not Piece by Piece, Save Medicare Money? – The New York Times (10 articles per month are free) AND Medicare’s Bundled Payment Program–Does it Change Hospital Volume or Case Mix? – MedicalResearch.com (free) AND One of Obamacare’s big experiments to lower costs is working surprisingly well – VOX (free)
Perspective: What 21st Century Health Care Should Learn from 20th Century Business
14 Sep, 2018 | 02:28h | UTCWhat 21st Century Health Care Should Learn from 20th Century Business – NEJM Catalyst (free)
It’s Hard for Doctors to Unlearn Things. That’s Costly for All of Us
14 Sep, 2018 | 01:44h | UTCIt’s Hard for Doctors to Unlearn Things. That’s Costly for All of Us – The New York Times (10 articles per month are free) (via @CaulfieldTim)
Viewpoint: Aligning Patient and Physician Incentives
14 Sep, 2018 | 01:33h | UTCAligning Patient and Physician Incentives – JAMA (free for a limited period)
Perspective: New Questions About the $3B/year Robotic Surgery Business
2 Sep, 2018 | 02:21h | UTCNew questions about the $3B/year robotic surgery business – HealthNewsReview (free)
Perspective: Embracing Technology to Save Primary Care
2 Sep, 2018 | 01:47h | UTCEmbracing Technology to Save Primary Care – NEJM Catalyst (free)
Meta-Analysis: Effectiveness of Interventions for Managing Multiple High-Burden Chronic Diseases in Older Adults
31 Aug, 2018 | 03:01h | UTCCommentaries: Care coordination improves health of older patients with multiple chronic diseases – CMAJ, via EurekAlert (free) AND Seniors healthier when medical care is coordinated – Reuters (free)
Related: Ten Recommendations: Designing a High-Performing Health Care System for Patients with Complex Needs (free Guidance and related perspectives) AND Multimorbidity: A Priority for Global Health Research (free research and commentaries)
Guideline: Management of Hip and Knee Osteoarthritis
31 Aug, 2018 | 02:31h | UTCNews Release: Updated osteoarthritis guideline designed to reduce unnecessary imaging and surgery (free)
Commentary: Australia hopes to reduce unnecessary imaging, surgery with updated osteoarthritis guidelines – Health Imaging (free)
““The Guideline for the management of knee and hip osteoarthritis,” offer up exercise and weight loss as a first line defense, and warn against costly treatments using glucosamine, opioids and arthroscopic surgery, said David Hunter, co-chair of the RACGP group responsible for the update.” (from Health Imaging)
Randomized Trial: Telemedicine in Heart Failure Patients
31 Aug, 2018 | 02:04h | UTCEfficacy of telemedical interventional management in patients with heart failure (TIM-HF2): a randomised, controlled, parallel-group, unmasked trial – The Lancet (link to abstract – $ for full-text)
Commentaries: Telemedicine in Heart Failure Patients (TIM-HF2) – American College of Cardiology (free) AND ESC: Telemonitoring of HF Cuts Admissions, Mortality MedPage Today (free registration required)
Perspective: Using a New EHR System to Increase Patient Engagement, Improve Efficiency, and Decrease Cost
31 Aug, 2018 | 01:49h | UTC“Another solution might be to capitalize on patients’ vested interest in their own health care by actively engaging them in the entry of their own medical history information into the EHR.”
Perspective: The Community Health Worker Boom
31 Aug, 2018 | 01:50h | UTCThe Community Health Worker Boom – NEJM Catalyst (free)
“The key question is not whether community health workers are effective, but how we can make them as effective as possible.”
Podcast: Things We Do For No Reason
23 Aug, 2018 | 23:44h | UTC#109: Things We Do For No Reason: A High Value Episode – The Curbsiders (free audio and summary)
Related Series: Choosing Wisely: Things We Do For No Reason – Journal of Hospital Medicine (some free articles)
Cohort Study: Assessment of the Safety of Discharging Select Patients Directly Home From the ICU
23 Aug, 2018 | 23:01h | UTCAssessment of the Safety of Discharging Select Patients Directly Home From the Intensive Care Unit: A Multicenter Population-Based Cohort Study – JAMA Internal Medicine (free for a limited period)
Invited Commentary: The Complexity and Challenges of Intensive Care Unit Admissions and Discharges: Similarities With All Hospitalized Patients – JAMA Internal Medicine (free for a limited period)
Too Much Medicine: A Small Medical Conference with a Big Impact
23 Aug, 2018 | 22:31h | UTCToo Much Medicine: A small medical conference with a big impact – HealthNewsReview (free)
Review: Overdiagnosis in Primary Care
17 Aug, 2018 | 02:10h | UTCState of the Art Review: Overdiagnosis in primary care: framing the problem and finding solutions – The BMJ (free for two weeks)
Choosing Wisely: Twenty Low-Value Practices in Family Medicine
17 Aug, 2018 | 01:48h | UTCAmerican Academy of Family Physicians: Twenty Things Physicians and Patients Should Question (free)
Commentary: Choosing Wisely: New Practices to Avoid in Family Medicine – NEJM Journal Watch (free)
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Perspective: How Disruptive Innovation by Business and Technology Firms Could Improve Population Health
16 Aug, 2018 | 23:25h | UTCHow Disruptive Innovation by Business and Technology Firms Could Improve Population Health – JAMA (free for a limited period)
Perspective: Managing De-implementation in General Practice
16 Aug, 2018 | 23:11h | UTCManaging de-implementation in general practice – Royal Australian College of General Practitioners (free)
Study: Medications that Reduce Emergency Hospital Admissions
27 Jul, 2018 | 01:15h | UTCMedications that reduce emergency hospital admissions: an overview of systematic reviews and prioritisation of treatments – BMC Medicine (free) (via @OxPrimaryCare)
Commentary: The eleven best medications for reducing pressure on emergency care services – University of Oxford (free)
Choosing Wisely: Section on Nephrology and the American Society of Pediatric Nephrology
26 Jul, 2018 | 20:22h | UTCChoosing Wisely: American Academy of Pediatrics – Section on Nephrology and the American Society of Pediatric Nephrology: Five Things Physicians and Patients Should Question (free)
AAP News Release: Choosing Wisely Offers Advice on Appropriate Nephrology Testing in Children (free)
Commentary: AAP offers guidance on pediatric nephrology tests, procedures – Univadis (free registration required)
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Perspective: A Fear of Lawsuits Really Does Seem to Result in Extra Medical Tests
26 Jul, 2018 | 18:39h | UTCA Fear of Lawsuits Really Does Seem to Result in Extra Medical Tests – The New York Times (10 articles per month are free)
“Doctors are known for complaining about how the malpractice system adds costs. But it has been hard to prove, until now.”
Study: Clinician Engagement Regarding Financial Toxicity After Diagnosis of Cancer
26 Jul, 2018 | 17:39h | UTCUnmet Need for Clinician Engagement Regarding Financial Toxicity After Diagnosis of Breast Cancer – Cancer (link to abstract – $ for full-text)
Commentaries: Greater efforts are needed to address ‘financial toxicity’ of cancer treatment – eCancer News (free) AND Doctors don’t always recognize ‘financial toxicity’ of cancer – Reuters (free)
Related: The high price of anticancer drugs: origins, implications, barriers, solutions (free commentaries)
Direct Primary Care: One Step Forward, Two Steps Back
13 Jul, 2018 | 01:44h | UTCDirect Primary Care: One Step Forward, Two Steps Back – JAMA (free for a limited period)
Commentary: NHS Wields the Axe on 17 ‘Unnecessary Procedures’
13 Jul, 2018 | 01:28h | UTCNHS wields the axe on 17 ‘unnecessary procedures’ – The Guardian (free)
Cluster Randomized Trial: Management of Multimorbidity Using a Patient-Centered Care Model
6 Jul, 2018 | 03:23h | UTCCommentaries: Patient-centred care for multimorbidity: an end in itself? – The Lancet (free) AND Results of the largest ever multimorbidity trial in primary care challenge current thinking -NIHR News (free)
Related: Designing a High-Performing Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers (series of free articles on the topic) AND Multimorbidity: A Priority for Global Health Research (free report and commentaries)
“In the largest ever trial of an intervention to treat people with multiple long-term conditions (multimorbidity) in primary care, NIHR-researchers found that the patient-centred approach taken improved patients’ experience of their care but did not improve their health-related quality of life. This is a challenge to current thinking on which UK and international guidelines are based”. (from NIHR News)