The Value of Low Value Lists

This JAMA article discusses the challenge facing physicians and hospitals to develop and implement strategies to reduce the use of low value services

Document of the Week (May 20th): Understanding integrated care: a comprehensive conceptual framework…….

This paper from the Netherlands tries to gain a better understanding of the concept of integrated care from a primary care perspective.

Document of the Week (13th May): The Power of Video Recording. Taking Quality to the Next Level

This JAMA article discusses whether the video recording of medical procedures can improve quality of care.

Document of the Week (29th April): Why the Ethics of Parsimonious Medicine Is Not the Ethics of Rationing

This JAMA article discusses the difference between rationing and parsimonious medicine

Can Accountable Care Organizations Improve Population Health? Should They Try?

This JAMA article discusses what improving population health actually means

How is evidence from systematic reviews perceived by clinicians when considering potential disinvestment?

This study suggests that clinicians should be involved in the planning of systematic reviews (SRs) in order to address evidence gaps and generate productive policy change

Cesarean Delivery Rates Vary Tenfold Among US Hospitals; Reducing Variation May Address Quality And Cost Issues

This paper reports that cesarean rates in the US varied tenfold across hospitals, from 7.1% to 69.9%, and suggests ways of reducing this variation

Fragmentation requires “a locally driven and multifaceted approach to integration”

This journal article states that many have faiiled to appreciate how complex fragmentation within the health service actually is

Document of the Week (4th March): Reducing ineffective practice: challenges in identifying low-value health care using Cochrane systematic reviews

The objective of this research was to use Cochrane Reviews to identify low value practices to support local disinvestment decisions.

Document of the Week (25th Feb): The association between health care quality and cost – a systematic review.

This review found that evidence of the direction of association between cost and quality in health care is inconsistent