Value-based Care
Editorial | Top-down and bottom-up approaches to low-value care
15 Feb, 2023 | 16:08h | UTCTop-down and bottom-up approaches to low-value care = BMJ Quality & Safety
Original Study: Evaluation of the NHS England evidence-based interventions programme: a difference-in-difference analysis – BMJ Quality & Safety
Commentary on Twitter
In this editorial, @andreapatey & @christinesoong discuss combining top-down ⬇️ and bottom-up ⬆️ approaches to effectively de-implement and reduce low-value care. https://t.co/mYJHkkJpSk
— BMJ Quality & Safety (@BMJ_Qual_Saf) February 10, 2023
SR | Cost measurement in value-based healthcare
15 Feb, 2023 | 15:46h | UTCCost measurement in value-based healthcare: a systematic review – BMJ Open
SR | Which interventions decrease ED attendances or hospital admissions from long-term care facilities?
6 Feb, 2023 | 13:04h | UTC
Commentary from the author on Twitter (thread – click for more)
? FIRST PUBLICATION: Which interventions are effective at decreasing or increasing emergency department attendances or hospital admissions from long-term care facilities? A systematic review. #generalpractice #gp #research https://t.co/p53a3RnPyc
— Ben Searle (@bsearle92) February 3, 2023
Choosing Wisely | Five things physicians and patients should question in general internal medicine
2 Feb, 2023 | 15:08h | UTCSociety of General Internal Medicine: Five Things Physicians and Patients Should Question
Commentary: Patients don’t need to be ‘checked for everything’ – Northwestern University
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Review | Choosing Wisely in pediatric healthcare
2 Feb, 2023 | 15:07h | UTCChoosing Wisely in pediatric healthcare: A narrative review – Frontiers in Pediatrics
Related:
Choosing Wisely: Nine pediatric otolaryngology recommendations.
Choosing Wisely in Pediatric Hospital Medicine: 5 New Recommendations to Improve Value.
Five things clinicians and patients should question in Pediatric Cardiology
Choosing Wisely in Pediatric Hematology: Five Things Physicians and Patients Should Question
Choosing Wisely in Pediatric Surgery: Five Things Physicians and Patients Should Question
New Choosing Wisely List: American Academy of Pediatrics – Section on Rheumatology
Choosing Wisely: Committee on Infectious Diseases and the Pediatric Infectious Diseases Society
Choosing Wisely: Section on Nephrology and the American Society of Pediatric Nephrology
New Choosing Wisely Lists in Pediatrics: Things Physicians and Patients Should Question
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
M-A | Effectiveness of outpatient geriatric rehabilitation after inpatient geriatric rehabilitation or hospitalization
15 Jan, 2023 | 19:48h | UTC
Choosing Wisely | Five things physicians and patients should question in the practice of pediatric emergency medicine.
5 Dec, 2022 | 00:22h | UTCSee complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Opinion | Minimizing administrative harm: a key step to improving health care.
29 Nov, 2022 | 14:21h | UTCMinimizing administrative harm: a key step to improving health care – STAT
Strategies for de-implementation of low-value care—a scoping review.
1 Nov, 2022 | 12:12h | UTCStrategies for de-implementation of low-value care—a scoping review – Implementation Science
Cohort Study | A collaborative home-based palliative care intervention for patients with heart failure reduced the risk of dying in the hospital.
13 Oct, 2022 | 13:37h | UTCCommentary: Home-Based Palliative Care for Heart Failure May Cut Risk for Dying in Hospital – HealthDay
Commentary on Twitter
Patients who received home-based, interdisciplinary palliative care were more likely to die at home than in hospital, compared to those who received usual care: https://t.co/JsLvANgcPK@kieranlquinn @PTanuseputro @sarina_isenberg #PalliativeCare #HeartFailure pic.twitter.com/6rOPtYQw2h
— CMAJ (@CMAJ) September 26, 2022
Viewpoint | Using behavioral economics to decrease operating room costs and promote better surgeon accountability.
29 Sep, 2022 | 13:28h | UTCUsing Behavioral Economics to Decrease Operating Room Costs and Promote Better Surgeon Accountability – JAMA Surgery (free for a limited period)
Perspective | Same-day discharge after minimally invasive colectomy.
29 Sep, 2022 | 13:27h | UTCSame-Day Discharge After Minimally Invasive Colectomy – JAMA Surgery (free for a limited period)
Study shows that same-day home recovery for benign foregut surgery is safe and feasible for most patients.
23 Sep, 2022 | 13:07h | UTCSame-Day Home Recovery for Benign Foregut Surgery – JAMA Surgery (link to abstract – $ for full-text)
Commentary on Twitter
Same-day home recovery is feasible, safe, and effective and may become common practice for the majority of benign foregut surgical procedures. https://t.co/vrYvfiXm5r #Research
— JAMA Surgery (@JAMASurgery) September 16, 2022
Cluster RCT | Effects of real-time prescription benefit recommendations on patient out-of-pocket costs.
19 Sep, 2022 | 12:47h | UTCEffects of Real-time Prescription Benefit Recommendations on Patient Out-of-Pocket Costs: A Cluster Randomized Clinical Trial – JAMA Internal Medicine (free for a limited period)
Invited Commentary: Real-time Prescription Benefit Tools—The Promise and Peril – JAMA Internal Medicine (free for a limited period)
Commentary on Twitter
Real-time Prescription Benefits (RTPB) uses patient out-of-pocket (OOP) cost to recommend lower-cost med alternatives to prescribers. In a RCT, RTPB reduced med OOP costs by 11%, though recommendations were only made for a small proportion of orders. https://t.co/xXviGvnbKw pic.twitter.com/naeciB3CDg
— JAMA Internal Medicine (@JAMAInternalMed) September 12, 2022
Review | The hidden pandemic: the cost of postoperative complications.
6 Sep, 2022 | 14:13h | UTCThe Hidden Pandemic: the Cost of Postoperative Complications – Current Anesthesiology Reports
Incorporating productivity loss in health economic evaluations: a review of guidelines and practices worldwide.
1 Sep, 2022 | 11:41h | UTC
Systematic Review | Interventions to reduce computed tomography usage in the emergency department.
24 Aug, 2022 | 13:54h | UTC
RCT | Antiseptic skin agents to prevent surgical site infection after incisional surgery.
8 Aug, 2022 | 11:54h | UTCAntiseptic Skin Agents to Prevent Surgical Site Infection After Incisional Surgery: A Randomized, Three-armed Combined Non-inferiority and Superiority Clinical Trial (NEWSkin Prep Study) – Annals of Surgery (link to abstract – $ for full-text)
Related:
Cochrane Collection | Achieving sustainable healthcare through deprescribing of unnecessary medications: making sense of the evidence.
8 Aug, 2022 | 11:50h | UTC
Viewpoint | Deimplementation of low-value care in surgery.
4 Aug, 2022 | 14:43h | UTCDeimplementation of Low-Value Care in Surgery – JAMA Surgery (free for a limited period)
M-A | Costs of multimorbidity.
20 Jul, 2022 | 12:06h | UTCCosts of multimorbidity: a systematic review and meta-analyses – BMC Medicine
Related:
Systematic review of high-cost patients’ characteristics and healthcare utilization – BMJ Open
Multimorbidity: a priority for global health research – The Academy of Medical Sciences
The global burden of multiple chronic conditions: A narrative review – Preventive Medicine Reports
Redesigning Care for High-Cost, High-Risk Patients – Harvard Business Review
Multimorbidity: clinical assessment and management – NICE Guideline
Richard Smith: The challenge of high need, high cost patients – The BMJ Blogs
Better Care for People with Complex Needs – Institute for Healthcare Improvement
Comparison of strategies to conserve iodinated intravascular contrast media for computed tomography during a shortage.
10 Jun, 2022 | 11:21h | UTCComparison of Strategies to Conserve Iodinated Intravascular Contrast Media for Computed Tomography During a Shortage – JAMA (free for a limited period)
News Release: Amid Global Shortage, Study Shows How to Cut Contrast Dye Use 83% – University of California, San Francisco (UCSF)
Commentary on Twitter
This modeling study estimated that intravenous contrast use for CT scans could be reduced by approximately 80% by using a combination of dose-reduction strategies. https://t.co/hlnvkdEECS
— JAMA (@JAMA_current) June 9, 2022
Covid-19: US hospitals continued to perform unnecessary surgeries during pandemic.
9 Jun, 2022 | 11:22h | UTCCovid-19: US hospitals continued to perform unnecessary surgeries during pandemic – The BMJ
Original Report: Lown Institute. Hospital overuse during covid. 17 May 2022
Editorial: Appraising pay‐for‐performance in healthcare in low‐ and middle‐income countries through systematic reviews: reflections from two teams.
2 Jun, 2022 | 11:09h | UTCOriginal Study: Paying for performance to improve the delivery of health interventions in low‐ and middle‐income countries – Cochrane Library AND
Commentary on Twitter
'This @CochraneLibrary editorial offers an overview of 4 challenges we met when evaluating 171 studies on #payforperformance for systematic reviews. We hope it will guide future studies/evidence synthesis projects' – @KarinDiaconu
? https://t.co/C0sQ5HyAkr@CochraneEPOC #P4P pic.twitter.com/oeH48m5m4y— The Cochrane Library (@CochraneLibrary) May 27, 2022
Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review.
26 May, 2022 | 10:48h | UTC