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
Commentary on Twitter
⚕️@oncoalert:
Ultimately you refer to #palliativeCare because it's what's best for patients. For symptom control, decreased anxiety/depression, & for essential #goalsofcare conversations.The fact that early #pallonc care is cost-saving?
Even better. #hpmhttps://t.co/xVkD2FoP17 pic.twitter.com/drhPxHMCSO— Fumiko Ladd Chino, MD (@fumikochino) August 17, 2021
Perspective: The high stakes of outsourcing in health care.
17 Aug, 2021 | 08:38h | UTCThe 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 | UTCCommentary: Hospital overuse linked to thousands of adverse events each year – Lown Institute
Commentary on Twitter (thread – click for more)
Research by @kelsey_chalmers @AElshaug @DrVikasSaini @ShannonBrownlee shows that spinal fusion overuse is associated with >1000 more adverse events for Medicare beneficiaries each year.https://t.co/L83CDNqFiC
— Lown Institute (@lowninstitute) July 27, 2021
RCT: Decompression alone is non-inferior to decompression with fusion in patients with degenerative lumbar spondylolisthesis.
6 Aug, 2021 | 09:54h | UTCCommentary: Decompression Noninferior for Degenerative Spondylolisthesis – HealthDay
Viewpoint: Aligning payments, services, and quality in primary care.
6 Aug, 2021 | 09:08h | UTCAligning 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
What’s new in intensive care: environmental sustainability.
30 Jul, 2021 | 11:32h | UTCWhat’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
Pediatric telehealth in the COVID-19 pandemic era and beyond.
7 Jul, 2021 | 08:56h | UTCPediatric 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 | UTCEffect 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)
We conducted a randomized controlled trial of providing antibiotic prescribing feedback to high volume primary care physicians in Ontario, ?? https://t.co/zmF2tvJ5n5
— Kevin Schwartz (@DrKevinSchwartz) July 6, 2021
Choosing Wisely for COVID-19: ten evidence-based recommendations for patients and physicians.
6 Jul, 2021 | 10:21h | UTC
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 | UTCThe 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 | UTCIs one vaccine dose enough if you’ve had COVID? What the science says – Nature
Commentary on Twitter
One vaccine dose for prior covid: @ElieDolgin reviews the recent data @Nature https://t.co/amJ4RcGtuW
Vaccination cards/proof should be modified here to equate prior covid as the 1st dose and not force people to get an unnecessary 2nd dose— Eric Topol (@EricTopol) June 27, 2021
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 | UTCNews 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)
To celebrate #SelfCare Month WHO is releasing new guidelines on Self-Care Interventions for Health.
This new ? recognizes how people can actively take decisions for their own health and the health of their ♥️ ones. https://t.co/xzditNF4NI
— World Health Organization (WHO) (@WHO) June 25, 2021
M-A: Effectiveness of telerehabilitation in physical therapist practice.
10 Jun, 2021 | 09:29h | UTC
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 | UTCInvited 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 | UTCA National Goal to Advance Health Equity Through Value-Based Payment – JAMA
Doctors tell how to make the most of your telehealth visits.
3 Jun, 2021 | 10:39h | UTCDoctors 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 | UTCOriginal Study: Association of Low-Value Care Exposure With Health Care Experience Ratings Among Patient Panels – JAMA Internal Medicine
Commentary on Twitter
New work led by @sanghavi_prachi w/ @A_Schwa & Alan Zaslavsky
We asked do PCPs w/ more wasteful practice patterns get better patient ratings?
Answer is no. No they don't
This should allay overblown concerns about pt experience measures leading us to satisfy patients to death https://t.co/cosXvLA6Ql
— Michael McWilliams (@JMichaelMcW) May 28, 2021
Using resources wisely in the COVID-19 pandemic: an international list of Choosing Wisely recommendations.
24 May, 2021 | 08:36h | UTC
Systematic review: Paying for performance to improve the delivery of health interventions in low‐ and middle‐income countries.
19 May, 2021 | 08:19h | UTCSummary: 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 | UTCOriginal 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 | UTCNews 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
NEW—More nurses lead to fewer patient deaths and readmissions, shorter hospital stays, and cost-savings for hospitals, suggests study of recent Australian state policy to introduce a minimum ratio of one nurse to four patients for day shifts. Read https://t.co/zTZNt8viPU. pic.twitter.com/B812I0P6N2
— The Lancet (@TheLancet) May 12, 2021
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 | UTCOriginal 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 | UTCEffect 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)
News release: Online CBT effective against OCD symptoms in the young – Karolinska Institutet