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Author: OECD
Publisher: OECD Publishing
Published: 2023-10-16
Total Pages: 98
ISBN-13: 9240080678
DOWNLOAD EBOOKThe publication builds on the existing body of empirical evidence and newly commissioned case studies from Australia, Canada, Chile, China, Germany, Indonesia, South Africa, and Spain to better understand the design of different purchasing arrangements that aim to promote quality for chronic disease care.
Author: World Health Organization
Publisher: World Health Organization
Published: 2023-10-10
Total Pages: 24
ISBN-13: 9240080694
DOWNLOAD EBOOKThis policy brief series was edited by Sarah L Barber, World Health Organization (WHO) Centre for Health Development, Kobe, Japan (WHO Kobe Centre – WKC); Inke Mathauer, WHO Department of Health Systems Governance and Financing, Geneva, Switzerland; Megumi Rosenberg, WKC; and Luca Lorenzoni, Organisation for Economic Co-operation and Development (OECD), Paris, France. It is an accompaniment to a set of case study reports and a summary report on purchasing for chronic care that was published by the World Health Organization Centre for Health Development (WHO Kobe Centre – WKC), Kobe, Japan, and the Organisation for Economic Co-operation and Development (OECD), Paris, France. Each policy brief is adapted from the executive summary of its corresponding report. Details of each study are available in the full report cited at the end of each policy brief. The case studies were carried out to inform the summary report, which was developed jointly with the OECD under WHO Kobe Centre’s leadership as one of the flagship technical products of WHO designated in its Thirteenth General Programme of Work, 2019–2023.
Author: World Health Organization
Publisher: World Health Organization
Published: 2024-03-11
Total Pages: 84
ISBN-13: 9240084916
DOWNLOAD EBOOKThere has been significant interest globally in understanding how purchasing arrangements can be designed strategically to optimize the delivery of health services. Given the growing burden of chronic diseases worldwide and the costs they are likely to impose on health systems, it is imperative that health services for chronic diseases are purchased in a way that contributes to the objectives of universal health coverage, including improved quality, and ultimately achieves better health outcomes. This paper explores the role of purchasing arrangements in improving the quality of chronic disease care. Specifically, the paper provides an overview and summary of the types of payment methods that have been used, summarizes evidence of their effectiveness in improving the quality of chronic care and assesses the enablers and barriers to the implementation of purchasing reforms. For that matter, a scoping review of the peer-reviewed literature was conducted, focusing on payment methods that seek to improve the quality of chronic disease care published. The lessons from these payment initiatives implemented to improve the quality of chronic disease care, mainly from HICs, suggest that they are a promising tool but, nonetheless, the quality and equity aspects need more attention in terms of the design of such initiatives as well as in terms of evidence generation. The significant information technology infrastructure and resources required to implement such arrangements potentially limit their applicability in low-resource settings.
Author: Cassandra Simmons
Publisher: World Health Organization
Published: 2024-01-16
Total Pages: 100
ISBN-13: 9240083979
DOWNLOAD EBOOKThis scoping review aimed to identify alternative purchasing arrangements (apart from fee for service [FFS] and pay for performance [P4P]) and their associated service delivery models that countries have used to improve the quality of chronic care, as well as to assess how these purchasing arrangements have impacted the quality of care. A scoping review of academic and grey literature published between 2013 and 2022 was carried out on alternative purchasing arrangements and their impact on the quality of chronic care using causal inference methods. The analytical approach consisted of clustering articles around similar purchasing arrangements or programmes, summarizing the evidence across the clusters, and highlighting the service delivery aspects and institutional design features that potentially impacted the quality of care. This research provided information to the WHO and OECD joint publication Purchasing for quality chronic care: summary report.
Author: Enrique Bernal-Delgado
Publisher: World Health Organization
Published: 2023-10-10
Total Pages: 50
ISBN-13: 9240078592
DOWNLOAD EBOOKAuthor: Institute of Medicine
Publisher: National Academies Press
Published: 2007-02-17
Total Pages: 273
ISBN-13: 0309102162
DOWNLOAD EBOOKThe third installment in the Pathways to Quality Health Care series, Rewarding Provider Performance: Aligning Incentives in Medicare, continues to address the timely topic of the quality of health care in America. Each volume in the series effectively evaluates specific policy approaches within the context of improving the current operational framework of the health care system. The theme of this particular book is the staged introduction of pay for performance into Medicare. Pay for performance is a strategy that financially rewards health care providers for delivering high-quality care. Building on the findings and recommendations described in the two companion editions, Performance Measurement and Medicare's Quality Improvement Organization Program, this book offers options for implementing payment incentives to provide better value for America's health care investments. This book features conclusions and recommendations that will be useful to all stakeholders concerned with improving the quality and performance of the nation's health care system in both the public and private sectors.
Author: Ronda Hughes
Publisher: Department of Health and Human Services
Published: 2008
Total Pages: 592
ISBN-13:
DOWNLOAD EBOOK"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Author: Institute of Medicine
Publisher: National Academies Press
Published: 2001-02-27
Total Pages: 344
ISBN-13: 0309132746
DOWNLOAD EBOOKAmong the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Author: S. Glouberman
Publisher:
Published: 1998
Total Pages:
ISBN-13:
DOWNLOAD EBOOKAuthor: Institute of Medicine
Publisher: National Academies Press
Published: 2013-05-10
Total Pages: 437
ISBN-13: 0309282810
DOWNLOAD EBOOKAmerica's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.
