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Value in health care : accounting for cost, quality, safety, outcomes, and innovation : workshop summary / Roundtable on Value & Science-Driven Health Care ; Pierre L. Yong, LeighAnne Olsen, and J. Michael McGinnis ; Institute of Medicine of the National Academies

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摘要註

The United States has the highest per capita spending on health care of any industrialized nation. Yet despite the unprecedented levels of spending, harmful medical errors abound, uncoordinated care continues to frustrate patients and providers, and U.S. healthcare costs continue to increase. The growing ranks of the uninsured, an aging population with a higher prevalence of chronic diseases, and many patients with multiple conditions together constitute more complicating factors in the trend to higher costs of care. A variety of strategies are beginning to be employed throughout the health system to address the central issue of value, with the goal of improving the net ration of benefits obtained per dollar spent on health care. However, despite the obvious need, no single agreed-upon measure of value or comprehensive, coordinated systemwide approach to assess and improve the value of health care exists. Without this definition and approach, the path to achieving greater value will be characterized by encumbrance rather than progress. To address the issues central to defining, measuring, and improving value in health care, the Institute of Medicine convened a workshop to assemble prominent authorities on healthcare value and leaders of patient, payer, provider, employer, manufacturer, government, health policy, economics, technology assessment, informatics, health services research, and health professions communities. The workshop, summarized in this volume, facilitated a discussion of stakeholder perspectives on measuring and improving value in health care, identifying the key barriers and outlining the opportunities for next steps"--Publisher's description

內容註

The need to improve value in health care / David M. Walker -- Measuring value of ambulatory care services / L. Gregory Pawlson -- Assessing the value of surgical care / Justin B. Dimick and John D. Birkmeyer -- Information flow in diagnostic imaging: consumer, clinician, facility, payer? Why imaging value is difficult to measure / Howard P. Forman and Frank Levy -- Assessing the value of prevention / David O. Meltzer -- Evidence-based decision making or decision-based evidence making? Evidence and decisions along the life cycle of pharmaceutical products / Newell E McElwee -- Approaches to assessing value: personalized diagnostics / Ronald E. Aubert and Robert S. Epstein -- Medical device value and innovation / John Hernandez and Parashar B. Patel -- Value-based insurance design: restoring health to the healthcare cost debate / A. Mark Fendrick and Michael E. Chernew -- Consumer-directed health plans: what are they, what do we know about their effects, and can they enhance value? / Melinda J Beeuwkes-Buntin -- The role of tiered benefit designs for improving value in health care / Dennis P. Scanlon and Grant R. Martsolf -- Policy perspectives: health promotion and disease prevention (aka wellness) / Ronald Z. Goetzel -- Pay for performance / Carolyn M. Clancy -- Incentives for product innovation--product manufacturer perspective / Donald A. Sawyer -- Incentives for product innovation--payer perspective / Reed V. Tuckson -- Approaches to improving value: coverage and reimbursement / Steven D Pearson -- The value of electronic health records / Douglas Johnston ... [et al.] -- Medical homes and medical "home runs" / Arnold Milstein -- Disease management / Tracey A. Moorhead -- Plenary address: perspectives on value from the United Kingdom / Sir Michael Rawlins -- Value in health care: the path to value / Christine K. Cassel

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