Value-Based Care | Links Medicus Free Medical News & Perspectives

2021 ACC Expert Consensus: Same-day discharge after percutaneous coronary intervention

13 Jan, 2021 | 02:05h | UTC

2021 ACC Expert Consensus Decision Pathway on Same-Day Discharge After Percutaneous Coronary Intervention: A Report of the American College of Cardiology Solution Set Oversight Committee – Journal of the American College of Cardiology

Commentaries: 2021 ACC Expert Decision Pathway on Same-Day Discharge After PCI – American College of Cardiology AND Checklist for Same-Day Discharge PCI Stresses Buy-In, and a Plan – TCTMD AND Same-Day Discharge After PCI: ACC Expert Consensus Decision Pathway – Cardiology Advisor AND Ticking all the right boxes for same-day discharge PCI – MDedge Cardiology

Case series: Safety of same‐day discharge after uncomplicated, minimalist transcatheter aortic valve replacement in the COVID‐19 era

13 Jan, 2021 | 02:03h | UTC

Safety of same‐day discharge after uncomplicated, minimalist transcatheter aortic valve replacement in the COVID‐19 era – Catheterization & Cardiovascular Interventions

Commentary: Pandemic Prompts Closer Look at Same-Day Discharge After TAVI – TCTMD

Commentary on Twitter

With dwindling hospital capacity from #COVID19, study of safety of same‐day discharge after #TAVR @emoryhealthcare available via @CCIJournal. SDD after uncomplicated #TAVR in selected patients may open beds & prevent unnecessary CV morbidity. https://t.co/fuTdVUrFu5

— Chandan Devireddy MD MBA (@drdevireddy) December 31, 2020

Five things clinicians and patients should question in Pediatric Cardiology

3 Nov, 2020 | 02:59h | UTC

American Academy of Pediatrics – Section on Cardiology and Cardiac Surgery: Five Things Physicians and Patients Should Question – Choosing Wisely

Commentary: Choosing Wisely: Practices to Question in Pediatric Cardiology – NEJM Journal Watch

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

Perspective: Reinventing pediatrics through video care first

3 Nov, 2020 | 02:57h | UTC

Reinventing Pediatrics Through Video Care First – JAMA Pediatrics (free for a limited period)

Deimplementation in Pediatrics: Past, Present, and Future

3 Nov, 2020 | 02:56h | UTC

Deimplementation in Pediatrics: Past, Present, and Future – JAMA Pediatrics (free for a limited period)

Can covid-19 help us deal with the pandemic of defensive medicine?

2 Nov, 2020 | 02:28h | UTC

Can covid-19 help us deal with the pandemic of defensive medicine? – The BMJ Opinion

Randomized trial: Validation of an enhanced recovery after surgery protocol in gynecologic surgery

29 Oct, 2020 | 09:07h | UTC

Validation of an enhanced recovery after surgery protocol in gynecologic surgery: an Italian randomized study – American Journal of Obstetrics & Gynecology

Commentary on Twitter

Validation of an enhanced recovery after surgery protocol in gynecologic surgery: an Italian randomized study- https://t.co/VRZ1LKzEvJ pic.twitter.com/2G1InEcIEZ

— AJOG (@AJOG_thegray) October 27, 2020

Video consultations in primary and specialist care during the covid-19 pandemic and beyond

21 Oct, 2020 | 09:30h | UTC

Video consultations in primary and specialist care during the covid-19 pandemic and beyond – The BMJ

[Abstract Only] Study: Excess days in acute care provide a more comprehensive picture of hospital performance compared to 30-day readmission rates

21 Oct, 2020 | 09:04h | UTC

Evaluation of Hospital Performance Using the Excess Days in Acute Care Measure in the Hospital Readmissions Reduction Program – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: Excess Days in Acute Care Provide More Comprehensive Picture of Hospital Performance Compared to 30-day Readmission Rates – AboutHealthTransparency.org AND EDAC: A ’More Comprehensive Picture of Hospital Use’ – Physician’s Weekly

Five things clinicians and patients should question in public health

15 Oct, 2020 | 09:05h | UTC

Five Things Clinicians and Patients Should Question – Choosing Wisely Canada

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

Meta-analysis: Association of receipt of palliative care interventions with health care use, quality of life, and symptom burden among adults with chronic noncancer illness

14 Oct, 2020 | 09:18h | UTC

Association of Receipt of Palliative Care Interventions With Health Care Use, Quality of Life, and Symptom Burden Among Adults With Chronic Noncancer Illness: A Systematic Review and Meta-analysis – JAMA

Editorial: Palliative Care for Patients With Noncancer Illnesses

Commentary on Twitter

In this meta-analysis of RCTs of patients with primarily noncancer illness (mostly heart failure) palliative care was associated w less acute health care use & lower symptom burden, with no difference in quality of life https://t.co/ZtH6w48vz4 @kieranlquinn

— JAMA (@JAMA_current) October 13, 2020

Updated Choosing Wisely Canada recommendations: Tests and treatments to question in obstetrics and gynecology

7 Oct, 2020 | 09:02h | UTC

Twelve things clinicians and patients should question in obstetrics and gynecology – Society of Obstetricians and Gynaecologists of Canada

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

Commentary on Twitter

Today, @SOGCorg releases 3 new #choosingwisely recs (#10-12) of tests and treatments to question in #obstetrics & #gynaecology

See the new recs: https://t.co/vFSmJcqY0y pic.twitter.com/luNgGedz2n

— ChoosingWiselyCanada (@ChooseWiselyCA) October 5, 2020

De-adopting low-value care: Evidence, eminence, and economics

4 Oct, 2020 | 23:20h | UTC

De-adopting Low-Value Care: Evidence, Eminence, and Economics – JAMA (free for a limited period)

Author Interview: De-Adopting Low-Value Care—Evidence, Eminence, and Economics

Commentary on Twitter

Evidence alone is NOT sufficient for many healthcare professionals to abandon low-value treatments that provide little or no benefit to patients.

Often it's only when their financial reimbursement is reduced or stopped that their use declines quickly. https://t.co/YiggZyqUMp

— The Sp⚽️rts Physio (@AdamMeakins) October 3, 2020

Systematic review: The effectiveness and cost‐effectiveness of hospital‐based specialist palliative care for adults with advanced illness and their caregivers

1 Oct, 2020 | 08:58h | UTC

The effectiveness and cost‐effectiveness of hospital‐based specialist palliative care for adults with advanced illness and their caregivers – Cochrane Library

Summary: Effectiveness and cost-effectiveness of hospital-based specialist palliative care (HSPC) for adults with advanced illness and their unpaid caregivers – Cochrane Library

Commentary: Hospital-based specialist palliative care may slightly improve patient experience and increase their chances of dying at home – King’s College London

Commentary on Twitter

Cochrane review on hospital-based specialist palliative care. Findings: Improved HR-QoL and patient satisfaction, reduced symptom burden and depression, and increased chances of patients dying in their preferred place. @SBajwah @cochranecollab https://t.co/wjhGp0gcbs

— Olaf Geerse (@OlafGeerse) September 30, 2020

WHO publishes pricing policy guideline to improve affordable access to medicines

30 Sep, 2020 | 09:33h | UTC

News release: WHO publishes pricing policy guideline to improve affordable access to medicines – World Health Organization

Original Guideline: WHO guideline on country pharmaceutical pricing policies – World Health Organization

Commentary on Twitter

The 🆕 guideline covers 🔟 pricing policy approaches, incl.:
✔️ External & internal reference pricing
✔️ Value-based pricing
✔️ Promoting price transparency
✔️ Tendering & negotiation
✔️ Pooled procurement
✔️ Cost-plus pricing
…and more

👉 https://t.co/XYqUYStolJ pic.twitter.com/T7vDMUmfBK

— World Health Organization (WHO) (@WHO) September 29, 2020

Perspective: The incompatibility of patient-centered care with fee-for-service payment

29 Sep, 2020 | 09:57h | UTC

The Incompatibility of Patient-Centered Care With Fee-for-Service Payment – JAMA Internal Medicine

Commentary on Twitter

Deeply moving, beautiful, insightful article. The US health care system MUST change the way we pay. That's the only way we will improve health, give the right care, and restore the centrality of care-giving.https://t.co/5cc59glIMm

— Dr. Tom Frieden (@DrTomFrieden) September 28, 2020

Sophisticated purchasing of pharmaceuticals: Learning from other countries

29 Sep, 2020 | 09:55h | UTC

Sophisticated Purchasing of Pharmaceuticals: Learning From Other Countries – JAMA

Related: Drug Reimbursement Regulation in 6 Peer Countries – JAMA Internal Medicine (free for a limited period)

Commentary on Twitter

#Governments can do Cost-effective purchasing of #pharmaceuticals if they do unified purchases and leverage on solid #health technology assessment entities. #Knowledge and #synergy are key!#HTA #healthcare #healthcaresystems #healthcaremanagement https://t.co/16GmUCCqSZ

— Vanessa Campo-Ruiz, MD PhD (@VCSTX) September 28, 2020

Editorial: Two remedies for inappropriate percutaneous coronary intervention—closing the gap between evidence and practice

22 Sep, 2020 | 09:28h | UTC

Editorial: Two Remedies for Inappropriate Percutaneous Coronary Intervention—Closing the Gap Between Evidence and Practice (free for a limited period)

Original Studies: Potential Association of the ISCHEMIA Trial With the Appropriate Use Criteria Ratings for Percutaneous Coronary Intervention in Stable Ischemic Heart Disease – JAMA Internal Medicine (free for a limited period) AND US False Claims Act Investigations of Unnecessary Percutaneous Coronary Interventions – JAMA Internal Medicine (free for a limited period)

Interview: Percutaneous Coronary Intervention (PCI) For Stable Coronary Artery Disease – Reducing Inappropriate Use

Not necessary. 5 policy ideas for limiting low-value care in Canada

18 Sep, 2020 | 09:23h | UTC

Not Necessary. Policy Ideas for Limiting Low-Value Care in Canada – Choosing Wisely Canada

Commentary on Twitter

#ChoosingWisely🇨🇦 has released 5 policy ideas to address in the short, medium, and long-term to limit low-value care in Canada during the pandemic and beyond.

Read now: https://t.co/fSTAe2ZvFM

— ChoosingWiselyCanada (@ChooseWiselyCA) September 17, 2020

Less is more: Identifying recommendations for stopping or scaling back unnecessary routine services in primary care

15 Sep, 2020 | 08:44h | UTC

Identifying Recommendations for Stopping or Scaling Back Unnecessary Routine Services in Primary Care – JAMA Internal Medicine

Commentaries: A Solution for Guideline Overkill—More Guidelines or Shared Understanding? – JAMA Internal Medicine AND Doctors Get Plenty of Advice on Starting Treatment. This Could Help Them Know When to Stop – University of Michigan

Commentary on Twitter

When should we stop or scale back medical treatments and tests? A new study describes a systematic, transparent, and reproducible approach for identifying valid de-intensification recommendations for primary care to improve care for patients https://t.co/qtSCOAJAz2

— JAMA Internal Medicine (@JAMAInternalMed) September 14, 2020