Value-based Care
Perspective: to combat physician burnout and improve care, fix the electronic health record
3 Apr, 2018 | 17:37h | UTCTo Combat Physician Burnout and Improve Care, Fix the Electronic Health Record – Harvard Business Review (a few articles per month are free)
Related: Care-Centered Clinical Documentation in the Digital Environment: Solutions to Alleviate Burnout – National Academy of Medicine (free) AND Date Night with the EHR – NEJM Catalyst (free) AND Why Physician Burnout Is Endemic, and How Health Care Must Respond – NEJM Catalyst (free) AND Putting Patients First by Reducing Administrative Tasks in Health Care: A Position Paper of the American College of Physicians (free)
Perspective: charter on physician well-being
3 Apr, 2018 | 17:38h | UTCCharter on Physician Well-being – JAMA (free)
Perspective: paying hospitals to keep people out of hospitals?
3 Apr, 2018 | 15:42h | UTCPaying Hospitals To Keep People Out Of Hospitals? It Works In Maryland – Kaiser Health News (free)
ACP introduces updated High Value Care Curriculum for educators and residents
30 Mar, 2018 | 04:33h | UTCNewly Revised: Curriculum for Educators and Residents (Version 4.0) – American College of Physicians (free)
News release: ACP introduces updated High Value Care Curriculum for educators and residents – ACP Internist (free)
“The High Value Care Curriculum (HVC) was jointly developed by ACP and the Alliance for Academic Internal Medicine (AAIM) to train physicians to be good stewards of limited health care resources”.
Cognitive Load and Its Implications for Health Care
30 Mar, 2018 | 02:43h | UTCCognitive Load and Its Implications for Health Care – NEJM Catalyst (free)
Research: Health Care Spending in the United States and Other High-Income Countries
16 Mar, 2018 | 02:41h | UTCHealth Care Spending in the United States and Other High-Income Countries – JAMA (free article, editorials, author interview and video summary)
Commentaries: Why Is U.S. Health Care So Expensive? Some of the Reasons You’ve Heard Turn Out to Be Myths – The New York Times (10 articles per month are free) AND Huge cost of US healthcare driven by drug prices and salaries – The Guardian (free) AND Healthcare: It’s The Prices, Stupid. Isn’t It? – Forbes (free) AND Physician Salaries, Drug Prices Drive High US Health Costs – Medscape (free registration required)
Perspective: The importance and challenges of shared decision making in older people with multimorbidity
16 Mar, 2018 | 01:37h | UTCPerspective: The importance and challenges of shared decision making in older people with multimorbidity – PLOS Medicine (free)
Why Right-to-Try Laws Are Dangerous
8 Mar, 2018 | 20:27h | UTCWhy Right-to-Try Laws Are Dangerous – The ASCO Post (free)
Opinion: Are Hospitals Becoming Obsolete?
2 Mar, 2018 | 01:30h | UTCAre Hospitals Becoming Obsolete? – The New York Times (10 articles per month are free)
Too Late To Operate? Surgery Near End Of Life Is Common, Costly
2 Mar, 2018 | 01:33h | UTCToo Late To Operate? Surgery Near End Of Life Is Common, Costly – NPR (free)
Meta-Analysis: Robot-assisted laparoscopic surgery versus conventional laparoscopic surgery
2 Mar, 2018 | 01:23h | UTC“Despite higher operative cost, robot-assisted laparoscopic surgery does not result in statistically better treatment outcomes, with the exception of lower estimated blood loss. Operative time and total complication rate are significantly more favorable with conventional laparoscopic surgery”.
Review: Enhanced Recovery in Thoracic Surgery
27 Feb, 2018 | 16:28h | UTCEnhanced Recovery in Thoracic Surgery: A Review – Frontiers in Medicine (free)
See other Enhanced Recovery After Surgery Guidelines and Reviews
Decreasing the Cost of Care by Avoiding Illness
27 Feb, 2018 | 15:51h | UTCDecreasing the Cost of Care by Avoiding Illness – NEJM Catalyst (free)
Opinion: How Value-Based Medicare Payments Exacerbate Health Care Disparities
27 Feb, 2018 | 15:50h | UTCMedical News & Perspectives: How Value-Based Medicare Payments Exacerbate Health Care Disparities – JAMA (free for a limited period)
Research: Robot-assisted radical prostatectomy vs laparoscopic and open retropubic radical prostatectomy
22 Feb, 2018 | 23:36h | UTCCommentary: After-effects not necessarily reduced with robotic prostate surgery – Reuters (free)
Related Cochrane Review with similar results: Laparoscopic and robotic-assisted versus open radical prostatectomy for the treatment of localised prostate cancer – Cochrane Library (free)
New Choosing Wisely Lists in Pediatrics: Things Physicians and Patients Should Question
22 Feb, 2018 | 23:19h | UTCNew Choosing Wisely Lists in Pediatrics: Four Things Physicians and Patients Should Question in Pediatric Infectious Diseases and Medical Microbiology – Choosing Wisely Canada (free) AND Five Things Physicians and Patients Should Question in Pediatric Orthopedics – Choosing Wisely U.S. (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
Up-Streamism: Health in the 21st Century
22 Feb, 2018 | 23:00h | UTCUp-Streamism: Health in the 21st Century – NEJM Catalyst (free)
Clinical Analytics Aid Payers, Providers with Value-Based Care
22 Feb, 2018 | 22:51h | UTCClinical Analytics Aid Payers, Providers with Value-Based Care – HealthITAnalytics (free)
Research: Telemedicine in the Management of Type 1 Diabetes
22 Feb, 2018 | 22:43h | UTCTelemedicine in the Management of Type 1 Diabetes – Preventing Chronic Disease (free)
Commentary: Telemedicine program saves time, money in managing type 1 diabetes – Cardiovascular Business (free)
Research: Patient Experience and Likelihood of 30-day Readmission
22 Feb, 2018 | 22:42h | UTCThe association between patient experience factors and likelihood of 30-day readmission: a prospective cohort study – BMJ Quality & Safety (link to abstract – $ for full-text)
Commentary: Higher patient satisfaction linked to lower readmissions – Modern Healthcare (free)
Source: Are Patients’ Hospital Experiences Linked to Readmissions? – NEJM Journal Watch ($)
Research: Hospital-Level Care at Home for Acutely Ill Adults
22 Feb, 2018 | 22:28h | UTCHospital-Level Care at Home for Acutely Ill Adults: a Pilot Randomized Controlled Trial – Journal of General Internal Medicine (link to abstract – $ for full-text)
Commentary: ‘Home Hospital’ Halves Costs in Small Randomized Trial – Medscape (free registration required)
Overtesting and undertesting in primary care: a systematic review and meta-analysis
16 Feb, 2018 | 02:22h | UTCOvertesting and undertesting in primary care: a systematic review and meta-analysis – BMJ Open (free) (via @JackOSullivan3 and @KariTikkinen)
Meta-Analysis: Enhanced Recovery After Surgery for Noncolorectal Surgery
16 Feb, 2018 | 01:14h | UTCEnhanced Recovery After Surgery for Noncolorectal Surgery? A Systematic Review and Meta-analysis of Major Abdominal Surgery – Annals of Surgery, via Medscape (free registration required)
Consistently High Turnover in the Group of Top Health Care Spenders
16 Feb, 2018 | 00:44h | UTCConsistently High Turnover in the Group of Top Health Care Spenders – NEJM Catalyst (free)
“Within a given year, most health spending is done by a small group of individuals. However, most of those people are new each year” (via @nejmcatalyst see Tweet)
The Cost of Patient-Reported Outcomes in Medicine
15 Feb, 2018 | 11:31h | UTCThe Cost of Patient-Reported Outcomes in Medicine – NEJM Catalyst (free)