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Value-based Care

Effect of early palliative care on end-of-life health care costs: a population-based, propensity score–matched cohort study.

18 Aug, 2021 | 08:30h | UTC

Effect of Early Palliative Care on End-of-Life Health Care Costs: A Population-Based, Propensity Score–Matched Cohort Study – JCO Oncology Practice

 

Commentary on Twitter

 


Perspective: The high stakes of outsourcing in health care.

17 Aug, 2021 | 08:38h | UTC

The High Stakes of Outsourcing in Health Care – Mayo Clinic Proceedings

 


Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries.

12 Aug, 2021 | 08:42h | UTC

Adverse Events and Hospital-Acquired Conditions Associated With Potential Low-Value Care in Medicare Beneficiaries – JAMA Health Forum

Commentary: Hospital overuse linked to thousands of adverse events each year – Lown Institute

 

Commentary on Twitter (thread – click for more)

 


RCT: Decompression alone is non-inferior to decompression with fusion in patients with degenerative lumbar spondylolisthesis.

6 Aug, 2021 | 09:54h | UTC

Decompression with or without Fusion in Degenerative Lumbar Spondylolisthesis – New England Journal of Medicine

Commentary: Decompression Noninferior for Degenerative Spondylolisthesis – HealthDay

 


Viewpoint: Aligning payments, services, and quality in primary care.

6 Aug, 2021 | 09:08h | UTC

Aligning Payments, Services, and Quality in Primary Care – JAMA (free for a limited period)

 


Value-based radiology: what is the ESR doing, and what should we do in the future?

30 Jul, 2021 | 11:33h | UTC

Value-based radiology: what is the ESR doing, and what should we do in the future? – Insights into Imaging

 


What’s new in intensive care: environmental sustainability.

30 Jul, 2021 | 11:32h | UTC

What’s new in intensive care: environmental sustainability – Intensive Care Medicine

 


Amazon and Google are finally tackling one of healthcare’s biggest problems: unstructured health data.

28 Jul, 2021 | 09:50h | UTC

Amazon And Google Are Finally Tackling One Of Healthcare’s Biggest Problems: Unstructured Health Data – Forbes

 


Pediatric telehealth in the COVID-19 pandemic era and beyond.

7 Jul, 2021 | 08:56h | UTC

Pediatric Telehealth in the COVID-19 Pandemic Era and Beyond – Pediatrics

 


RCT: An antibiotic-prescribing feedback to high-volume primary care physicians led to significant reductions in total and prolonged-duration antibiotic prescriptions, as well as drug costs.

7 Jul, 2021 | 08:47h | UTC

Effect of Antibiotic-Prescribing Feedback to High-Volume Primary Care Physicians on Number of Antibiotic Prescriptions: A Randomized Clinical Trial – JAMA Internal Medicine (free for a limited period)

Commentary: Studies highlight impact of clinician feedback on antibiotic prescribing – CIDRAP

 

Commentary on Twitter (thread – click for more)

 


Choosing Wisely for COVID-19: ten evidence-based recommendations for patients and physicians.

6 Jul, 2021 | 10:21h | UTC

Choosing Wisely for COVID-19: ten evidence-based recommendations for patients and physicians – Nature Medicine

 


Systematic review: the evidence behind robot-assisted abdominopelvic surgery – “there is currently no clear advantage with existing robotic platforms, which are costly and increase operative duration”.

29 Jun, 2021 | 09:55h | UTC

The Evidence Behind Robot-Assisted Abdominopelvic Surgery: A Systematic Review – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentary: Robotic Platforms Not Superior for Abdominopelvic Surgery – HealthDay

 


Perspective | Is one vaccine dose enough if you’ve had COVID? What the science says.

28 Jun, 2021 | 09:52h | UTC

Is one vaccine dose enough if you’ve had COVID? What the science says – Nature

Related: Another study shows a single dose of an mRNA vaccine has maximal effects in those with past infection.

 

Commentary on Twitter

 


Putting people first in managing their health: new WHO guideline on self-care interventions – “Whether it’s for their experience of pregnancy and childbirth; managing fertility intentions, preventing sexually transmitted infections; enjoying better sexual health of themselves or their partner, or self-monitoring their blood pressure, access to quality self-care interventions can help meet people’s many health needs and rights”.

28 Jun, 2021 | 09:40h | UTC

News release: Putting people first in managing their health: new WHO guideline on self-care interventions – World Health Organization

See guidance: WHO consolidated guideline on self-care interventions for health

 

Commentary on Twitter (thread – click for more)

 


M-A: Effectiveness of telerehabilitation in physical therapist practice.

10 Jun, 2021 | 09:29h | UTC

Effectiveness of Telerehabilitation in Physical Therapist Practice: An Umbrella and Mapping Review With Meta–Meta-Analysis – Physical Therapy & Rehabilitation Journal

 


M-A: Hospital-at-home interventions for patients with chronic disease who present to the emergency department – similar mortality risk, lower risk for readmission, lower depression and anxiety scores, and a lower risk for long-term care admission vs. in-hospital stay.

9 Jun, 2021 | 08:20h | UTC

Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis – JAMA Network Open

Invited commentary: Hospitalization at Home for Patients With Acute Exacerbation of Chronic Disease—Further Evidence to Inform Practice – JAMA Network Open

Related: Pandemic Boosts an Old Idea—Bringing Acute Care to the Patient AND Randomized trial: Admission Avoidance Hospital at Home + Geriatric Assessment led to similar outcomes compared to hospital admission for older persons AND Most COVID-19 patients receiving home-based hospital care did not require escalation to traditional hospital setting – Approximately 1 in 5 were admitted within 14 days. Higher oxygen saturation was associated with decreased odds of transfer, whereas higher comorbidity burden was associated with increased risk.

 


Viewpoint | A national goal to advance health equity through value-based payment.

6 Jun, 2021 | 23:39h | UTC

A National Goal to Advance Health Equity Through Value-Based Payment – JAMA

Related: Report: Implementing high-quality primary care – “pay for primary care teams to care for people, not physicians to deliver services”.

 


Doctors tell how to make the most of your telehealth visits.

3 Jun, 2021 | 10:39h | UTC

Doctors Tell How to Make the Most of Your Telehealth Visits – Kaiser Health News

 


Providing more low-value care does not lead to higher patient experience ratings – “New study challenges the assumption that offering patients more tests and procedures will lead to higher patient experience ratings”.

31 May, 2021 | 08:11h | UTC

Providing more low-value care doesn’t lead to higher patient experience ratings – University of Chicago Medical Center

Original Study: Association of Low-Value Care Exposure With Health Care Experience Ratings Among Patient Panels – JAMA Internal Medicine

 

Commentary on Twitter

 


Using resources wisely in the COVID-19 pandemic: an international list of Choosing Wisely recommendations.

24 May, 2021 | 08:36h | UTC

Using resources wisely in the COVID-19 pandemic: an international list of Choosing Wisely recommendations – Journal of Evidence-Based Healthcare

 


Systematic review: Paying for performance to improve the delivery of health interventions in low‐ and middle‐income countries.

19 May, 2021 | 08:19h | UTC

Paying for performance to improve the delivery of health interventions in low‐ and middle‐income countries – Cochrane Library

Summary: Paying for performance to improve the delivery of health interventions in LMICs

 


Report: Implementing high-quality primary care – “pay for primary care teams to care for people, not physicians to deliver services”.

17 May, 2021 | 08:11h | UTC

Implementing High-Quality Primary Care: A Report From the National Academies of Sciences, Engineering, and Medicine – JAMA

Original report: Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care – National Academies of Sciences, Engineering, and Medicine

 


Study: More nurses lead to fewer patient deaths & readmissions, shorter hospital stays, and savings

13 May, 2021 | 05:55h | UTC

News release: More nurses lead to fewer patient deaths & readmissions, shorter hospital stays, and savings – The Lancet

Original study: Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals (free registration required)

 

Commentary on Twitter

 


Most COVID-19 patients receiving home-based hospital care did not require escalation to traditional hospital setting – Approximately 1 in 5 were admitted within 14 days. Higher oxygen saturation was associated with decreased odds of transfer, whereas higher comorbidity burden was associated with increased risk.

12 May, 2021 | 08:50h | UTC

Most COVID-19 patients receiving home-based hospital care did not require escalation to traditional hospital setting – American College of Physicians

Original study: Factors Associated With Risk for Care Escalation Among Patients With COVID-19 Receiving Home-Based Hospital Care – Annals of Internal Medicine

Related: Pandemic Boosts an Old Idea—Bringing Acute Care to the Patient

 


RCT: An internet-delivered cognitive behavioral therapy (CBT) program followed by in-person CBT if necessary is noninferior to in-person CBT for the treatment of obsessive-compulsive disorder symptoms in children and adolescents.

12 May, 2021 | 08:39h | UTC

Effect of an Internet-Delivered Stepped-Care Program vs In-Person Cognitive Behavioral Therapy on Obsessive-Compulsive Disorder Symptoms in Children and Adolescents: A Randomized Clinical Trial – JAMA (free for a limited period)

Editorial: Digital Interventions for Adults With Symptoms of Depression and Children and Adolescents With Symptoms of Obsessive-Compulsive Disorder

News release: Online CBT effective against OCD symptoms in the young – Karolinska Institutet

 


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