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Value-based Care

Viewpoint: Surgical overtreatment and shared decision-making—the limits of choice. – “Payment models further incentivize surgical intervention. Fee-for-service payment plans reward surgeons for operating, not for ensuring that surgery is right for a patient”.

17 Oct, 2021 | 21:17h | UTC

Surgical Overtreatment and Shared Decision-making—The Limits of Choice – JAMA Surgery (free for a limited period)

 

Commentary on Twitter

 


Choosing Wisely: Seven things physicians and residents/patients should question in long term care.

7 Oct, 2021 | 10:31h | UTC

Seven Things Physicians and Residents/Patients Should Question – Canadian Society for Long Term Care Medicine

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

 


New analysis shows use and predictors of low-value care in health systems – “Patients at health systems with smaller shares of primary care physicians and without teaching hospitals were more likely to receive low-value services”.

28 Sep, 2021 | 09:08h | UTC

News release: New analysis shows use and predictors of low-value care in health systems nationwide – Brigham and Women’s Hospital

Original study: Low-Value Care at the Actionable Level of Individual Health Systems – JAMA Internal Medicine

Author interview: Low-Value Care at the Actionable Level of Individual Health Systems

 

Commentary on Twitter

 


Cochrane Special Collection | De-implementation of low-value health care: resource prioritization in the COVID-19 pandemic era.

23 Sep, 2021 | 10:13h | UTC

De-implementation of low-value health care: resource prioritization in the COVID-19 pandemic era – Cochrane Library

Editorial: Making wise choices about low‐value health care in the COVID‐19 pandemic – Cochrane Library

Commentary: Choosing health care wisely when resources are scarce – Evidently Cochrane

 

Commentaries on Twitter

 


Systematic review: Interventions to Reduce Hospital Length of Stay in High-risk Populations.

21 Sep, 2021 | 08:58h | UTC

Interventions to Reduce Hospital Length of Stay in High-risk Populations: A Systematic Review – JAMA Network Open

 


Choosing Wisely: Five things clinicians and patients should question in rural medicine.

19 Sep, 2021 | 23:26h | UTC

Choosing Wisely Canada: Rural medicine list of recommendations – Canadian Journal of Rural Medicine

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

 


M-A: The clinical efficacy and safety of enhanced recovery after surgery for cesarean section.

26 Aug, 2021 | 08:28h | UTC

The Clinical Efficacy and Safety of Enhanced Recovery After Surgery for Cesarean Section: A Systematic Review and Meta-Analysis of Randomized Controlled Trials and Observational Studies – Frontiers in Medicine

Related:

Pre-post study: Improved outcomes with an enhanced recovery approach to cesarean delivery

Randomized Trial: Enhanced Recovery After Surgery at Cesarean Delivery to Reduce Postoperative Length of Stay

Enhanced Recovery After Surgery (ERAS) Guidelines for Perioperative Care in Cesarean Delivery

Enhanced Recovery After Surgery (ERAS) Society Guidelines


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

 


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