“Essential Reading” is a series of reading lists on specific themes relevant to our Right Care programme themes. We hope they provide you with a rapid introduction to the subject and access to knowledge which will change your thinking. The latest reading list is on Integrated care - see below.
Our resident Information Scientist – Nicola Pearce-Smith – will conduct a systematic search of the academic literature (and we will include the search strategy and filtering methodology for transparency). Our betters will then select the most important articles for inclusion in the Essential Reading list and we will extract a key statement or conclusion from the paper to help you assess the article’s value to your needs. Since many articles will be from academic journals you may have to contact your local library service to access the full text, but we will always try to link to online free-text or abstracts where possible.
We welcome feedback on these reading lists and suggestions for future themes. Use our feedback form to get in touch.
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Integrated care – with an introduction by Sir Muir Gray Dec 2012
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Integrated care: what do patients, service users and carers want? National Voices, 2012 “People want co-ordination. Not necessarily (organisational) integration. People want care. Where it comes from is secondary” p1 Why hasn’t integrated health care developed widely in the United States and not at all in England? Bevan, G. and K. Janus (2011). Journal of Health Politics, Policy & Law 36(1): 141-164. “The lessons of the 1990s are that there are many barriers to entry for a new IHCDS [integrated health care delivery system] and that the benefits of integration are most easily achieved by vertical integration through hybrids” p159 |
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| Commissioning for value - with an introduction by Sir Muir Gray August 2012
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Delivering value-based health care: maximising outcomes for every pound we spend. Conference organised by UCL Partners and the Greater London Authority, Feb 2012.
“Significant improvement in value will require fundamental restructuring of health care delivery, not incremental improvements. Today, 21st century medical technology is often delivered with 19th century organization structures, management practices, and payment models” taken from Michel Porter’s slides |
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| Disinvestment in healthcare - with an introduction by Sir Muir Gray March 2012
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Reducing the use of ineffective health care interventions. Centre for Health Economics Research and Evaluation (CHERE) Working Paper 2010/5. A report by the Centre for Health Economics Research and Evaluation for New South Wales Treasury. January 2010
“This review has found that active disinvestment has generally been removal of funding for ineffective and/or unsafe technologies, usually initiated by new evidence of inefficacy or harm. Disinvestment is more likely to be passive, ie driven by changes in medical practice, as a procedure or treatment gradually falls out of use over time. There are very few instances of disinvestment, or appraisal for disinvestment, driven by considerations of cost-effectiveness. There are considerable difficulties implementing disinvestment in ineffective health care practices” p8. |
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Shared decision-making - with an introduction by Dr. Steven Laitner December 2011
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Decision aids for people facing health treatment or screening decisions. Stacey D, Bennett CL, Barry MJ et al. Cochrane Database Syst Rev. 2011 Oct 5;(10):CD001431. “Consistent with findings from the previous review, which had included studies up to 2006: decision aids increase people’s involvement, and improve knowledge and realistic perception of outcomes; however, the size of the effect varies across studies. Decision aids have a variable effect on choices. They reduce the choice of discretionary surgery and have no apparent adverse effects on health outcomes or satisfaction. The effects on adherence with the chosen option, patient-practitioner communication, cost-effectiveness, and use with developing and/or lower literacy populations need further evaluation.” taken from Author’s conclusions. |
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Accountable Care Organisations - with an introduction by Sir Muir Gray September 2011
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Accountable care organizations: Accountable for what, to whom, and how. Fisher E.S., Shortell S.M. JAMA – Journal of the American Medical Association. 304 (15) (pp 1715-1716), 2010. “It is important to know not simply whether an ACO worked (improved care, reduced costs) but also how it worked. For example, what aspects of the ACO (eg, organizational structure, leadership, care processes) and of the local environment (eg, market structure, state health policies) contributed to its success” p1716. |
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| Unwarranted variation in health care - with an introduction by Sir Muir Gray September 2011
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Time to tackle unwarranted variations in practice. Wennberg JE. BMJ; 2011; 342:d1513.
“Much of the variation in use of healthcare is accounted for by the willingness and ability of doctors to offer treatment rather than differences in illness or patient preference” d1513. |
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