Healthcare Papers最新文献_第8页

Value for Who? Value-Based Healthcare for Children and Families. 谁的价值?以价值为基础的儿童和家庭保健。

Healthcare Papers Pub Date : 2020-02-01 DOI: 10.12927/hcpap.2020.26155

Jennifer Zwicker

引用次数: 3

Value in Healthcare: Designing an Integrated Value-Based Healthcare System. 医疗保健中的价值:设计一个基于价值的综合医疗保健系统。

Healthcare Papers Pub Date : 2020-02-01 DOI: 10.12927/hcpap.2020.26154

Richard Lewanczuk, Anderson Chuck, Kathryn Todd, Verna Yiu

引用次数: 6

Rushing the Value Cockpit. 推动价值座舱。

Healthcare Papers Pub Date : 2020-02-01 DOI: 10.12927/hcpap.2020.26153

Peter W Vaughan

引用次数: 1

Towards Value in an Integrated Care Environment: Early Lessons from an Ontario Health Team. 在综合护理环境中实现价值:安大略省卫生队的早期经验教训。

Healthcare Papers Pub Date : 2020-02-01 DOI: 10.12927/hcpap.2020.26159

Sarah Downey, Sandra McKay, Patrick Feng

引用次数: 7

Developing a Value-Based Approach to Outcome Reporting in Pediatric Surgery. 发展一种以价值为基础的儿科外科结果报告方法。

Healthcare Papers Pub Date : 2019-12-01 DOI: 10.12927/hcpap.2019.26032

Lucshman Raveendran, Martin Koyle, Mary Brindle

{"title":"Developing a Value-Based Approach to Outcome Reporting in Pediatric Surgery.","authors":"Lucshman Raveendran, Martin Koyle, Mary Brindle","doi":"10.12927/hcpap.2019.26032","DOIUrl":"https://doi.org/10.12927/hcpap.2019.26032","url":null,"abstract":"The population that undergoes pediatric surgical procedures in high-resource settings such as Canada primarily comprises healthy patients who undergo low-risk, elective surgeries and fewer higher-risk patients who require more complex surgeries. Given this variability, there is a relatively low incidence of traditionally measured \"critical\" outcomes within any single pediatric surgical system or even pediatric surgical subspecialty, rendering the currently available quality measurement tools inadequate to provide sensitive measures of quality. In an era when scalable solutions are required to improve health outcomes across entire populations, there is an urgent need for more holistic measures of a child's well-being to benchmark and measure changes in quality of care. This article discusses opportunities for enhanced performance measurement in pediatric surgery using a value-based framework to identify and measure patient and family outcomes of importance over the full care cycle, from initial presentation through surgery and recovery to sustainability of health. In suggesting new avenues for performance measurement, we highlight how these measures can be used to develop, evaluate and refine surgical system innovations such as bundled care pathways and perioperative care homes.","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"18 4","pages":"20-27"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37511196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Using Data to Move from Volume to Value. 使用数据从量移动到值。

Healthcare Papers Pub Date : 2019-12-01 DOI: 10.12927/hcpap.2019.26034

Jason M Sutherland

引用次数: 1

Value in Primary Healthcare - Measuring What Matters? 初级卫生保健的价值——衡量什么重要?

Healthcare Papers Pub Date : 2019-12-01 DOI: 10.12927/hcpap.2019.26028

Sabrina T Wong, Sharon Johnston, Fred Burge, Kim McGrail

{"title":"Value in Primary Healthcare - Measuring What Matters?","authors":"Sabrina T Wong, Sharon Johnston, Fred Burge, Kim McGrail","doi":"10.12927/hcpap.2019.26028","DOIUrl":"https://doi.org/10.12927/hcpap.2019.26028","url":null,"abstract":"High-performing and equitable healthcare systems are influenced by the strength of primary healthcare (PHC), which means that there should be special attention on this sector because we are changing how we monitor and improve overall care. Comprehensive data are the foundation for actionable information and are urgently needed in PHC because of the heterogeneity in both the demographics and the healthcare needs of the populations served. An ideal information system would combine multiple data sources such as electronic medical records (EMRs), administrative data and patient-reported information, drawing on the strengths of each to develop a comprehensive view of PHC. The purpose of this commentary is to draw attention to data gaps and offer suggestions about where and how this information could be obtained. Linked patient experience, EMRs and administrative data could be used in a learning health system to support decisions at the practice level and the jurisdictional level, where resources (financial and human) can be deployed to improve the quality of care, particularly when care is needed across sectors. The information gained from the analysis of these data are of high value for clinician/practice quality improvement efforts and for regional and jurisdictional health system planning and resource allocation.","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"18 4","pages":"58-67"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37511200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Toward a Person-Centred Learning Health System: Understanding Value from the Perspectives of Patients and Caregivers. 迈向以人为本的学习卫生系统:从患者和护理者的角度理解价值。

Healthcare Papers Pub Date : 2019-12-01 DOI: 10.12927/hcpap.2019.26030

Kerry Kuluski, Sara J T Guilcher

{"title":"Toward a Person-Centred Learning Health System: Understanding Value from the Perspectives of Patients and Caregivers.","authors":"Kerry Kuluski, Sara J T Guilcher","doi":"10.12927/hcpap.2019.26030","DOIUrl":"https://doi.org/10.12927/hcpap.2019.26030","url":null,"abstract":"What matters most to people who use healthcare? What matters to their caregivers? How do we use this information to support ongoing quality improvement in the healthcare system? In this paper, we explore three concepts from the current healthcare discourse, intended to drive health system improvements: person-centred care, value-based healthcare and learning health systems. We propose that key tenets from each of these concepts should be combined to create a person-centred learning health system (PC-LHS). We highlight two key points: First, in achieving a PC-LHS, the experiences, priorities and values of patients and their caregivers should be continually collected and fed into data systems to monitor ongoing quality improvement and performance benchmarking. Second, the information collected in determining value must include important contextual factors - including the social determinants of health - as patient health and well-being outcomes will ultimately be shaped by these factors, in addition to health system and disease factors. In summary, improving value for patients and caregivers, by capturing the things that matter most to them, within their life contexts, needs to be part of the continuous quality improvement cycle that lies at the heart of a learning health system.","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"18 4","pages":"36-46"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/hcpap.2019.26030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37511198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 24

A Made-in-Canada Approach to Value-Based Healthcare. 以价值为基础的医疗保健的加拿大制造方法

Healthcare Papers Pub Date : 2019-12-01 DOI: 10.12927/hcpap.2019.26033

Fred Horne, Rachael Manion

引用次数: 6

Value in Healthcare and the Role of the Patient Voice. 医疗保健的价值和患者声音的作用。

Healthcare Papers Pub Date : 2019-12-01 DOI: 10.12927/hcpap.2019.26031

Kendall Jamieson Gilmore, Francesca Pennucci, Sabina De Rosis, Claudio Passino

{"title":"Value in Healthcare and the Role of the Patient Voice.","authors":"Kendall Jamieson Gilmore, Francesca Pennucci, Sabina De Rosis, Claudio Passino","doi":"10.12927/hcpap.2019.26031","DOIUrl":"https://doi.org/10.12927/hcpap.2019.26031","url":null,"abstract":"A prevailing feature of recent healthcare delivery and reform initiatives is a focus on increasing the value provided by investment in services, alongside a more nuanced understanding of how such value should be considered. Effective measurement of this value remains an elusive goal for most health system performance assessment (HSPA) systems. A more prominent role for the patient voice can enable a better understanding of value at both patient and population levels. The Tuscan HSPA model has evolved over the past several years by adopting the perspective of service users, including multiple dimensions of performance, and illustrating the interactions of these elements. For the heart failure pathway, this approach has now been further developed to combine these dimensions with the systematic electronic collection of patient-reported outcome measures and patient-reported experience measures - initially in a specialist hospital. This enables a richer understanding of the value delivered by professionals as they operate in reality, as opposed to by organizational boundaries, and more timely and actionable insights into the drivers of that value. This commentary sets out the latest developments in the Tuscan HSPA and the lessons from implementation.","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"18 4","pages":"28-35"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/hcpap.2019.26031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37511197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13