Value-based Care
How Did Health Care Get to Be Such a Mess?
20 Jun, 2017 | 12:13h | UTCOpinion: How Did Health Care Get to Be Such a Mess? – The New York Times (10 articles per month are free)
Opinion over payment models in the U.S health care system.
Evolocumab for Treatment of High Cholesterol: Clinical Effectiveness
19 Jun, 2017 | 12:55h | UTCEvolocumab for Treatment of High Cholesterol: Clinical Effectiveness (free PDF) (RT @AnilMakam see Tweet 1, Tweet 2, Tweet 3 and Tweet 4)
News release: Institute for Clinical and Economic Review’s “New Evidence Update” on PCKS9 Inhibitors Highlights Lack of Mortality Benefit With Evolocumab (free)
Lack of mortality benefit in a recent large trial is highlighted in this updated review. Se more on the FOURIER trial and commentaries in our March 20th issue, see #2.
Perspectives on the Use of Clinical Pathways in Oncology Care
16 Jun, 2017 | 01:29h | UTCPerspectives on the Use of Clinical Pathways in Oncology Care – 2017 ASCO Educational Book (free)
American Society of Health-System Pharmacists – Five Things Physicians and Patients Should Question
16 Jun, 2017 | 00:59h | UTCNew Choosing Wisely List: American Society of Health-System Pharmacists – Five Things Physicians and Patients Should Question (free)
See more on the Choosing Wisely initiative in our April 5 issue, see #6.
“Great choosing wisely list from @ASHPOfficial. Great doctoring tips for physicians & trainees” (RT @AnilMakam see Tweet)
Too much medical care: bad for you, bad for health care systems
16 Jun, 2017 | 00:54h | UTCOpinion: Too much medical care: bad for you, bad for health care systems – STAT News (free)
Hospitals Are Dramatically Overpaying for Their Technology
15 Jun, 2017 | 00:49h | UTCHospitals Are Dramatically Overpaying for Their Technology – Harvard Business Review (a few articles per month are free)
“For years, hospitals have invested in sophisticated devices and IT systems that, on their own, can be awe-inspiring. Yet these technologies rarely share data, let alone leverage it to support better clinical care”.
Palliative care: A pathway to value-based care for nursing homes
12 Jun, 2017 | 19:56h | UTCPalliative care: A pathway to value-based care for nursing homes – Diane E. Meier, M.D via McKnight (free)
Leading Quality in Changing Times
11 Jun, 2017 | 19:36h | UTCLeading Quality in Changing Times – NEJM Catalyst (free)
“4 principles for quality leaders in brave new world of population health” (RT @nejmcatalyst see Tweet)
Value-based drug pricing makes sense, but is difficult to pull off
8 Jun, 2017 | 15:43h | UTCOpinion: Value-based drug pricing makes sense, but is difficult to pull off – STAT News (free)
Can Personalized Care Planning Improve Primary Care?
8 Jun, 2017 | 15:45h | UTCViewpoint: Can Personalized Care Planning Improve Primary Care? – JAMA (free)
Related: Multimorbidity: clinical assessment and management – NICE Guideline (free)
See more on caring for people with Complex Needs in our April 24th issue (see #4),
Small wearable devices may lead to big health care savings
8 Jun, 2017 | 15:46h | UTCSmall wearable devices may lead to big health care savings – STAT News (free)
WHO updates Essential Medicines List
7 Jun, 2017 | 15:26h | UTCNews release: WHO updates Essential Medicines List with new advice on use of antibiotics, and adds medicines for hepatitis C, HIV, tuberculosis and cancer (free)
Report 1: The 2017 Expert Committee on the Selection and Use of Essential Medicines (free PDF)
Report 2: WHO Model List of Essential Medicines (free PDF)
Report 3: WHO Model List of Essential Medicines for Children (free PDF)
Commentaries: WHO creates controversial ‘reserve’ list of antibiotics for superbug threats – The Washington Post (free) AND Health officials set to release a list of drugs everyone on Earth should be able to access – STAT News (free) AND WHO’s New Essential Medicines List Includes a 40-Year First – Medscape (free registration required)
WHO Essential Medicines List is used by many countries to guide decisions regarding which medications should be available for their population.
#ASCO2017 – Small studies get big headlines
7 Jun, 2017 | 15:12h | UTC#ASCO2017 – Small studies get big headlines at ASCO 2017 – HealthNewsReview (free)
“Claim – Biggest breakthrough in a decade”. “Reality – The trial included only 15 women; no survival outcomes measured” (RT @HealthNewsRevu see Tweet)
#ASCO2017 – Biosimilar May Be As Effective as Trastuzumab for Early Breast Cancer
7 Jun, 2017 | 15:13h | UTC#ASCO2017 – CT-P6 compared with reference trastuzumab for HER2-positive breast cancer: a randomised, double-blind, active-controlled, phase 3 equivalence trial – The Lancet Oncology (link to abstract – $ for full-text)
Commentary: Biosimilar May Be As Effective as Trastuzumab for Early Breast Cancer – Physician’s First Watch (free)
The Specialists’ Stranglehold on Medicine
7 Jun, 2017 | 15:04h | UTCThe Specialists’ Stranglehold on Medicine – The New York Times (10 articles per month are free)
#ASCO2017 – Survival in a Trial Assessing Patient-Reported Outcomes for Symptom Monitoring During Cancer Treatment
5 Jun, 2017 | 14:52h | UTC#ASCO2017 – Overall Survival Results of a Trial Assessing Patient-Reported Outcomes for Symptom Monitoring During Routine Cancer Treatment – JAMA (free)
Commentaries: Quickly reporting cancer complications may boost survival – STAT News (free) AND If This Were a Drug, the Price Would Be $100,000 – Medscape (free registration required) AND How a simple tech tool can help cancer patients live longer – The Washington Post (free)
“For surveillance of cancer, digital tracking of patient-generated data improves survival”. “The cost of digital tracking is very low and > 5 months median survival improvement is more than cancer drugs that cost > $100,000” (RT @EricTopol see Tweets and Answers)
Engaging Patients in Patient Safety – a Canadian Guide
5 Jun, 2017 | 14:49h | UTCEngaging Patients in Patient Safety – a Canadian Guide (free) (RT @pash22)
News release: How to Effectively Engage Patients in Patient Safety: New Guide available (free)
The Value of Teaching Patients to Administer Their Own Care
5 Jun, 2017 | 14:45h | UTCThe Value of Teaching Patients to Administer Their Own Care – Harvard Business Review (a few articles per month are free) (RT @EricTopol see Tweet)
Association of a Bundled-Payment Program With Cost and Outcomes in Full-Cycle Breast Cancer Care
4 Jun, 2017 | 19:16h | UTCAssociation of a Bundled-Payment Program With Cost and Outcomes in Full-Cycle Breast Cancer Care – JAMA Oncology (link to abstract – $ for full-text)
Commentary: ‘Bundled’ Payments Beat Fee-for-Service: Cost, quality of care, and survival rates all better – MedPage Today (free registration required)
Related: Value-Based Care in the Worldwide Battle Against Cancer – Cureus (free)
Cancer drugs are getting better and dearer
1 Jun, 2017 | 18:27h | UTCCancer drugs are getting better and dearer – The Economist (a few articles per month are free) (RT @pash22 see Tweet)
See more articles and commentaries about “financial toxicity” of cancer treatments in our April 27 issue, see #8.
Diagnosis creep: the new problem in medicine
30 May, 2017 | 15:30h | UTCDiagnosis creep: the new problem in medicine – MJA Insight (free)
Related: How to rein in the widening disease definitions that label more healthy people as sick – The Conversation (free)
Direct-to-Consumer Medical Testing in the Era of Value-Based Care
29 May, 2017 | 15:24h | UTCViewpoint: Direct-to-Consumer Medical Testing in the Era of Value-Based Care – JAMA (free)
See also a recent discussion on direct-to-consumer genetic testing in our April 10th issue, see #5
Others disagree: “Dissing every consumer medical test as “low value”. Sorry, that’s not true. It’s called paternalism” (RT @EricTopol see Tweet)
Recent articles on payment models published in JAMA
26 May, 2017 | 15:05h | UTCRecent articles on payment models published in JAMA
The Next Generation of Episode-Based Payments – JAMA (free) AND Value-Based Payment Models for Community Health Centers: Time to (Cautiously) Take the Plunge? – JAMA (free) AND Business Model–Related Conflict of Interests in Medicine: Problems and Potential Solutions – JAMA (free)
Effect of a Modified Hospital Elder Life Program on Delirium and Length of Hospital Stay in Patients Undergoing Abdominal Surgery
25 May, 2017 | 14:50h | UTCEffect of a Modified Hospital Elder Life Program on Delirium and Length of Hospital Stay in Patients Undergoing Abdominal Surgery: A Cluster Randomized Clinical Trial – JAMA Surgery (free) (RT @PreetiNMalani see Tweet)
Commentary: Anti-delirium strategy reduces after-surgery confusion in elderly – Reuters Health (free)
Multicomponent nonpharmacologic interventions, including orienting communications, oral and nutritional assistance, and early mobilization reduced postoperative delirium by 56% and length of stay by 2 days.
Reoperation and Medicare Expenditures After Laparoscopic Gastric Band Surgery
23 May, 2017 | 14:25h | UTCReoperation and Medicare Expenditures After Laparoscopic Gastric Band Surgery – JAMA Surgery (link to abstract – $ for full-text)
Commentaries: Following gastric band surgery, device-related reoperation common, costly – Science Daily (free) AND Safety, Effectiveness of Gastric Banding Called Into Question – Medscape (free registration required) AND 1 In 5 Gastric Band Surgeries Require Corrective Operations – American Council on Science and Health (free)