Value-based Care
Cluster Randomized Trial: Management of Multimorbidity Using a Patient-Centered Care Model
6 Jul, 2018 | 03:23h | UTCCommentaries: Patient-centred care for multimorbidity: an end in itself? – The Lancet (free) AND Results of the largest ever multimorbidity trial in primary care challenge current thinking -NIHR News (free)
Related: Designing a High-Performing Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers (series of free articles on the topic) AND Multimorbidity: A Priority for Global Health Research (free report and commentaries)
“In the largest ever trial of an intervention to treat people with multiple long-term conditions (multimorbidity) in primary care, NIHR-researchers found that the patient-centred approach taken improved patients’ experience of their care but did not improve their health-related quality of life. This is a challenge to current thinking on which UK and international guidelines are based”. (from NIHR News)
Case-Control Study: Hospital-at-Home Care Program Associated with Improved Outcomes and Patient Experiences
29 Jun, 2018 | 02:32h | UTCAssociation of a Bundled Hospital-at-Home and 30-Day Postacute Transitional Care Program With Clinical Outcomes and Patient Experiences – JAMA Internal Medicine (free for a limited period)
Editorial: Hospital-at-Home Care Programs—Is the Hospital of the Future at Home? (free for a limited period)
Author Interview: Association of a Bundled Hospital-at-Home Program With Clinical Outcomes and Patient Experiences (free)
Commentaries: Hospital-at-Home Bundled Program Associated With Better Clinical Outcomes, Patient Experiences – AJMC (free) AND Clinical outcomes and patient experiences vastly improved with hospital at home – The Mont Sinai Hospital (free) AND Hospital-at-Home Care a Potential Alternative to Inpatient Care – Physician’s First Watch (free)
Randomized Trial: Robot-Assisted Radical Cystectomy No Better Than Open Radical Cystectomy in Patients with Bladder Cancer
29 Jun, 2018 | 02:18h | UTCRobot-assisted radical cystectomy versus open radical cystectomy in patients with bladder cancer (RAZOR): an open-label, randomised, phase 3, non-inferiority trial – The Lancet (link to abstract – $ for full-text)
Commentaries: Robotic, Open Cystectomy Offer Comparable Bladder Cancer Outcomes – Renal & Urology News (free) AND RAZOR study: No differences in robotic vs open surgery for bladder cancer – Coloproctology News (free) AND Robotic surgery is no better than traditional surgery, bladder cancer study finds – The Washington Post (free)
Review: Addressing Overuse of Health Services in Health Systems
22 Jun, 2018 | 02:13h | UTC
Editorial: Helping Patients Choose Wisely
18 Jun, 2018 | 23:20h | UTCHelping patients choose wisely – The BMJ (free)
Related: The Choosing Wisely initiative was launched 5 years ago, and now has over 490 recommendations from 18 countries (free)
See complete lists from: Choosing Wisely U.S., Choosing Wisely UK, Choosing Wisely Australia AND Choosing Wisely Canada
“One of the main barriers to tackling the problem of overuse is that doctors are concerned patients will find it difficult to accept fewer interventions. However, informed patients often opt for less intervention, not more.” (via @bmj_latest see Tweet)
Randomized Trial: Impact of Intensive Care Management on High-Risk Patients’ Costs and Utilization
18 Jun, 2018 | 11:23h | UTCImpact of Primary Care Intensive Management on High-Risk Veterans’ Costs and Utilization: A Randomized Quality Improvement Trial – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Intensive care management for high-risk VA patients didn’t affect overall costs – ACP Hospitalist (free) AND Intensive management for sicker patients increases outpatient care but not costs – 2 Minute Medicine (free)
WONCA Position Paper on Overdiagnosis and Action to be Taken
15 Jun, 2018 | 02:09h | UTCPosition Paper on Overdiagnosis and Action to be Taken – Wonca (free PDF) (via @RasoiniR)
Related: Overdiagnosis across medical disciplines: a scoping review – BMJ Open (free) Overdiagnosis: what it is and what it isn’t – BMJ Evidence Based Medicine (free) AND Too much medical care: bad for you, bad for health care systems – STAT News (free)
Perspective: Can Low-Intensity Care Solve High Health Care Costs?
15 Jun, 2018 | 01:12h | UTCCan Low-Intensity Care Solve High Health Care Costs? – The New York Times (10 articles per month are free)
Perspective: Do Most Hospitals Benefit from Directly Employing Physicians?
6 Jun, 2018 | 21:37h | UTCDo Most Hospitals Benefit from Directly Employing Physicians? – Harvard Business Review (free)
Perspective: The Adverse Impact of the Physician-Hero
6 Jun, 2018 | 21:38h | UTCThe Adverse Impact of the Physician-Hero – NEJM Catalyst (free)
Perspective: Five Ways Hospitals Can Reduce their Environmental Footprint
29 May, 2018 | 17:51h | UTCFive ways hospitals can reduce their environmental footprint – The Conversation (free)
Perspective: Reimagining the Future of Electronic Health Records
28 May, 2018 | 13:40h | UTC
Perspective: QALYs in 2018—Advantages and Concerns
28 May, 2018 | 12:48h | UTCQALYs in 2018—Advantages and Concerns – JAMA (free for a limited period)
Studies: More vs Less Frequent Follow-up Testing and Colorectal Cancer Outcomes
23 May, 2018 | 12:31h | UTCEffect of More vs Less Frequent Follow-up Testing on Overall and Colorectal Cancer–Specific Mortality in Patients With Stage II or III Colorectal Cancer: The COLOFOL Randomized Clinical Trial – JAMA (free for a limited period)
Related Study: Association Between Intensity of Posttreatment Surveillance Testing and Detection of Recurrence in Patients With Colorectal Cancer (free for a limited period)
Commentaries: Surveillance intensity not associated with earlier detection of recurrence or improved survival in colorectal cancer – MedicalXpress (free) AND CRC: No Increase in Survival with Stepped-Up Surveillance – MedPage Today (free registration required) AND CRC recurrence surveillance studies: No benefit to high-intensity strategy – Oncology Practice (free)
Retrospective Cohort: More Patients Choosing Active Surveillance for Low-Risk Prostate Cancer
23 May, 2018 | 12:17h | UTCUse of Conservative Management for Low-Risk Prostate Cancer in the Veterans Affairs Integrated Health Care System From 2005-2015 – JAMA (free for a limited period)
Commentaries: VA health care successfully reduces ‘rush to treatment’ rates for low-risk prostate cancer – eCancer News (free) AND Watching but not treating cancer can be hard. Sometimes it’s the right approach – The Washington Post (a few articles per month are free)
Perspective: Trying to Put a Value on the Doctor-Patient Relationship
21 May, 2018 | 13:09h | UTCTrying to Put a Value on the Doctor-Patient Relationship – The New York Times (10 articles per month are free)
“In its push for profits, the U.S. health care system has made it difficult for patients to get personal attention from doctors. But what if hands-on medicine actually saves money — and lives?”
Randomized Trial: Shortening Adjuvant Trastuzumab to 6 Months in Selected Patients with Breast Cancer
18 May, 2018 | 02:44h | UTCASCO 2018: Shortening Adjuvant Trastuzumab to 6 Months in Patients With HER2-Positive Early Breast Cancer Is Effective and Reduces Cardiac Toxicities – The ASCO Post (free)
Commentaries: Test of Herceptin Finds Briefer Treatment Can Work, With Fewer Side Effects – NPR (free) AND Shorter drug treatment OK for many breast cancer patients – Associated Press (free) AND For Women With Early Breast Cancer, Herceptin Treatment Can Be Much Shorter – The New York Times (10 articles per month are free)
““For women with early-stage breast cancer who needed the drug Herceptin, 6 months of treatment were as good as 12, a major study found. Less risk of side effects, less cost, less time “being a patient.”” (via @NYTHealth see Tweet)
Perspective: The Burnout Crisis in American Medicine
16 May, 2018 | 01:08h | UTCThe Burnout Crisis in American Medicine – The Atlantic (free)
Related: Why Physician Burnout Is Endemic, and How Health Care Must Respond – NEJM Catalyst (free) AND Counting the costs: U.S. hospitals feeling the pain of physician burnout – Reuters (free) AND Panic, chronic anxiety and burnout: doctors at breaking point – The Guardian (free) AND To Care Is Human — Collectively Confronting the Clinician-Burnout Crisis – New England Journal of Medicine (free) AND Beyond Burnout — Redesigning Care to Restore Meaning and Sanity for Physicians – New England Journal of Medicine (free)
Meta-Analysis: Effect of Post-discharge Virtual Wards on Outcomes in Heart Failure and Non-heart Failure Populations
10 May, 2018 | 17:52h | UTCCommentary: Hospital-to-home transitional care reduces deaths, readmissions for heart failure – Cardiovascular Business (free)
Perspective: Opportunities for Risk-Taking Primary Care Providers
9 May, 2018 | 16:23h | UTCOpportunities for Risk-Taking Primary Care Providers – NEJM Catalyst (free)
Systematic Review: Factors Determining the Success and Failure of eHealth Interventions
9 May, 2018 | 16:14h | UTC
Meta-Analysis: Economics of Palliative Care for Hospitalized Adults With Serious Illness
3 May, 2018 | 20:32h | UTCEconomics of Palliative Care for Hospitalized Adults With Serious Illness: A Meta-analysis – JAMA Internal Medicine (free for a limited period)
Commentaries: Study: Palliative Care Reduces Hospital Stay, Cost of Sickest Patients – U.S. News (free) AND Prompt Palliative Care Saves Money, Especially in Sickest Patients – MedPage Today (free registration required)
Cohort Study: Preventability of Early Versus Late Hospital Readmissions
3 May, 2018 | 19:54h | UTCPreventability of Early Versus Late Hospital Readmissions in a National Cohort of General Medicine Patients – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Hospital care quality more likely a factor in early versus late readmissions – ACP Hospitalist (free) AND Hospital readmissions occurring within 7 days post-discharge may be more preventable than later readmissions – 2 Minute Medicine (free)
Viewpoint: Value-Based Pricing for Drugs
3 May, 2018 | 19:32h | UTCValue-Based Pricing for Drugs: Theme and Variations – JAMA (free for a limited period)
Perspective: How to Accelerate the Adoption of Digital Health Technology
3 May, 2018 | 18:47h | UTCHow to Accelerate the Adoption of Digital Health Technology – Harvard Business Review (a few articles per month are free)