Value-Based Care
Choosing Wisely Africa: Ten low-value or harmful practices that should be avoided in cancer care
7 Aug, 2020 | 03:06h | UTC
Study estimates the prevention costs for the next pandemic to be just 2% of Covid-19 economic damage
29 Jul, 2020 | 09:46h | UTCEcology and economics for pandemic prevention – Science
Commentaries: Cost of preventing next pandemic ‘equal to just 2% of Covid-19 economic damage’ – The Guardian AND Report: Cost Of Preventing The Next Pandemic Will Be Just 2% Of Covid-19’s Economic Damage [Infographic] – Forbes AND 3 ways to prevent the next pandemic with nature, according to science – Conservation International
Covid-19: an opportunity to reduce unnecessary healthcare
16 Jul, 2020 | 08:29h | UTCCovid-19: an opportunity to reduce unnecessary healthcare – The BMJ
Commentary: ED volume recoveries are sluggish. That might not be a bad thing – Health Leaders
Related Commentary on Twitter
The tragedy of the pandemic has paradoxically produced an opportunity to tackle the increasingly recognised challenge of “too much medicine," argue @raymoynihan @minnajohansson1 @amaybee @EddyLang1 @SDM_ULAVALhttps://t.co/A5T2RSg6B6
— The BMJ (@bmj_latest) July 14, 2020
In a New Hospital Ranking, Doing Good Counts Nearly as Much as Doing Well
8 Jul, 2020 | 00:58h | UTCIn a new hospital ranking, doing good counts nearly as much as doing well – STAT
Lown Institute Hospital Index: Hospitals Serve Individuals AND Communities
See also: Introducing the Best Hospitals for America – Washington Monthly
Related Commentary on Twitter
Why won't you find elite hospitals like the Mayo Clinic or Mass General at the top of the #LownHospitalsIndex?
Because many hospitals achieving the best patient outcomes aren't doing as much as they could to promote health equity and avoid overuse. https://t.co/MRSGkfya5I
— Lown Institute (@lowninstitute) July 7, 2020
Study: Palliative Care in Terminal Non-cancer Illnesses Linked to Reduction in the Rate of Emergency Department Visits, Hospital Admissions, and Intensive Care Unit Admissions
7 Jul, 2020 | 08:45h | UTC
Opinion: Covid-19 Pandemic—An Opportunity to Reduce and Eliminate Low-Value Practices in Oncology?
3 Jul, 2020 | 08:26h | UTCCovid-19 Pandemic—An Opportunity to Reduce and Eliminate Low-Value Practices in Oncology? – JAMA Oncology (free for a limited period)
Meta-Analysis: Digital Mammography Does Not Improve Outcomes in Population Screening when Compared to Film Mammography
1 Jul, 2020 | 07:37h | UTCCommentaries: Digital breast cancer detection technology does not improve outcomes – Oxford University Press USA AND How Beneficial Is Digital Mammography? – MedicalResearch.com AND Meta-Analysis: Digital Mammography No Better Than Film – MedPage Today (free registration required)
Opinion: Fee for Service is a Terrible Way to Pay for Health Care. Try a Subscription Model Instead
16 Jun, 2020 | 07:50h | UTCFee for service is a terrible way to pay for health care. Try a subscription model instead – STAT
Study: Low-value Testing Increases Downstream Utilization of Resources and May Cost Healthcare Billions
10 Jun, 2020 | 04:39h | UTCRelated Commentary: Are All Those Routine Tests Really Needed? – Physician’s Weekly
Original Study: Association of Low-Value Testing With Subsequent Health Care Use and Clinical Outcomes Among Low-risk Primary Care Outpatients Undergoing an Annual Health Examination – JAMA Internal Medicine (free for a limited period)
Related Commentary on Twitter
New study in @JAMAInternalMed by @zach_bouck, @sacha_bhatia & colleagues suggests potentially unnecessary tests around annual health exam are associated with downstream specialist visits, diagnostic tests, and procedures https://t.co/gZqc7oizP7 pic.twitter.com/fKPwki5cp8
— ChoosingWiselyCanada (@ChooseWiselyCA) June 9, 2020
Perspective: Early Health Technology Assessment for a COVID-19 Vaccine
9 Jun, 2020 | 04:52h | UTCEarly Health Technology Assessment for a COVID-19 Vaccine – Center for Global Development
Evidence Review: Extended Use or Re-use of Single-use Surgical Masks and Filtering Facepiece Respirators
8 Jun, 2020 | 04:33h | UTC
Medicines with One Seller and Many Buyers: Strategies to Increase the Power of the Payer
29 May, 2020 | 03:00h | UTCMedicines with one seller and many buyers: strategies to increase the power of the payer – The BMJ
The Challenge of Implementing “Less is More” Medicine: A European Perspective
27 May, 2020 | 02:14h | UTC
Perspective: In Pandemic, Many Seeing Upsides to Telemedicine
26 May, 2020 | 09:52h | UTCPart I: In pandemic, many seeing upsides to telemedicine – CIDRAP
Part II: COVID-19 reveals telehealth barriers, solutions – CIDRAP
Choosing Wisely in the COVID-19 Era: Preventing Harm to Healthcare Workers
22 May, 2020 | 04:58h | UTC
Virtual Care: New Models of Caring for Our Patients and Workforce
14 May, 2020 | 09:58h | UTCVirtual care: new models of caring for our patients and workforce – The Lancet Digital Health
Coronavirus Test Shortages Trigger a New Strategy: Group Screening
14 May, 2020 | 09:53h | UTCCoronavirus Test Shortages Trigger a New Strategy: Group Screening – Scientific American
Related: Pooling of Samples for Testing for SARS-CoV-2 in Asymptomatic People (studies and commentaries) AND Sample Pooling as a Strategy to Detect Community Transmission of SARS-CoV-2 – JAMA Network
Randomized Trial: Enhanced Recovery After Surgery at Cesarean Delivery to Reduce Postoperative Length of Stay
14 May, 2020 | 02:29h | UTCRelated Study (just published): A Randomized Controlled Trial of Enhanced Recovery After Surgery Versus Standard of Care Recovery for Emergency Cesarean Deliveries at Mbarara Hospital, Uganda – Anesthesia & Analgesia
See also: Enhanced Recovery After Surgery (ERAS) Guidelines for Perioperative Care in Cesarean Delivery (guidelines on the subject)
[Abstract Only] Study: No Increased Risk of Infections with Resterilized and Reused Pacemakers or Defibrillators
11 May, 2020 | 00:21h | UTCInfections Associated with Resterilized Pacemakers and Defibrillators – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Infections With Resterilized Pacemakers and Defibrillators – American College of Cardiology AND No increased risk of infection with recycled pacemakers and defibrillators – Cardiovascular Business
Confronting the COVID-19 Surgery Crisis: Time for Transformational Change
7 May, 2020 | 09:11h | UTCCommentary: Transforming surgery in the aftermath of COVID-19 – Canadian Medical Association Journal
Pooling of Samples for Testing for SARS-CoV-2 in Asymptomatic People
30 Apr, 2020 | 04:25h | UTCPooling of samples for testing for SARS-CoV-2 in asymptomatic people – The Lancet Infectious Diseases AND Commentary: Virologists show that sample pooling can massively increase coronavirus testing capacity – Saarland University
Related Preprint Study: Smart Pooled sample Testing for COVID-19: A Possible Solution for Sparsity of Test Kits – medRxiv AND Commentary: ‘Smart sample pooling’ for COVID-19 could solve test kit shortage problem – News Medical
Low-cost, Easy-to-build Non-Invasive Pressure Support Ventilator for Under-resourced Regions: Open Source Hardware Description, Performance and Feasibility Testing
23 Apr, 2020 | 09:26h | UTC
NIH Study Validates Decontamination Methods for Re-use of N95 Respirators
16 Apr, 2020 | 02:50h | UTCNews Release: NIH study validates decontamination methods for re-use of N95 respirators – NIH News Releases
Original Study: [Preprint] Assessment of N95 respirator decontamination and re-use for SARS-CoV-2 – medRxiv
FDA Issues Emergency Use Authorization to Decontaminate Millions of N95 Respirators
15 Apr, 2020 | 03:38h | UTCCommentary: FDA clears N95 decontamination process that could clean up to 4 million masks per day – Tech Crunch
Implementation Guide: Triage of Scarce Critical Care Resources in COVID-19
15 Apr, 2020 | 03:23h | UTC