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 | UTCSurgical Overtreatment and Shared Decision-making—The Limits of Choice – JAMA Surgery (free for a limited period)
Commentary on Twitter
“Adjusting payment models to mitigate financial incentives..to overtreat is a start. However..greater focus should be given to the myriad other causes of overtreatment,” such as triggers of care cascades, write Clapp, Schwarze & @LeeAFleisher. https://t.co/f4mPsnxyVB
— Ben Harder #BlackLivesMatter (@benharder) October 14, 2021
Choosing Wisely: Seven things physicians and residents/patients should question in long term care.
7 Oct, 2021 | 10:31h | UTCSee 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 | UTCNews 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
New study measures and reports use of 41 low-value care services + composite measure for 556 health systems across US. More low-value care in systems w ↓ PCPs, w/o major teaching hospital, HQ'ed in South+West, in areas w ↑ healthcare spending https://t.co/0qdkflxwWF
— JAMA Internal Medicine (@JAMAInternalMed) September 27, 2021
Cochrane Special Collection | De-implementation of low-value health care: resource prioritization in the COVID-19 pandemic era.
23 Sep, 2021 | 10:13h | UTCEditorial: 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
📰Our new editorial @cochranecollab: Making wise choices about low‐value health care in the COVID‐19 pandemic👉https://t.co/qABVg7emRi
Linked Special Collection on low-value care: https://t.co/fstV8P8OQS#FreeAccess pic.twitter.com/h9KZGUm2kp
— Juan Franco 🏳️🌈 (@juan_francomd) September 22, 2021
Sadly, some medical interventions are in use despite evidence against them. With @Cochrane_SH, we have published a Special Collection of Cochrane reviews of Low Value Care interventions and described the issue in an Editorial. We cannot afford wasted HC. https://t.co/PXUhaMZud2
— Karsten Juhl Jørgensen (@KarstenJuhl) September 22, 2021
Systematic review: Interventions to Reduce Hospital Length of Stay in High-risk Populations.
21 Sep, 2021 | 08:58h | UTC
Choosing Wisely: Five things clinicians and patients should question in rural medicine.
19 Sep, 2021 | 23:26h | UTCChoosing 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 | UTCRelated:
Pre-post study: Improved outcomes with an enhanced recovery approach to cesarean delivery
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
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