Radio Value: Recent Episodes
Oxford Centre for Triple Value Healthcare
The Oxford Value & Stewardship Programme. We are a programme supporting health systems achieve optimal outcomes for populations and individuals given the resources available.
Professor Sir Muir Gray talks about the definition of the glossary terms Equity and Equality
Glossary podcast on language - this episode from Professor Sir Muir Gray focusses on Value & Values
When working on value in health and care, we have found there is nothing so important as language. These short podcasts are a discussion about our definition of a word or phrase. We encourage you to share and discuss the meanings with colleagues.
Teaser: Have you ever been kept awake worrying about how value relates to efficiency or to cost effectiveness? Relax, these are just concepts each created by an academic who down played, or ignored and did not even reference, the other two concepts in the competitive world of academia. Weick makes it clear that you just have to relax and make sense of the perspectives of these different experts and authorities
Peter Senge describes how in most organisations people save their creative, open style of learning for the weekends, and at work just get on with the job. But it doesn't have to be like that..
Everett Rogers had it all worked out decades before the internet came along. The digital medium has changed some of the rules but the game is the same, and this book described the rules of the game in 1995.
Wenger describes how most organisations usually work in ignorance of how other organisations, with the same mission, are getting on. If they compare performance with others it is usually to compete and win, or at least avoid losing. In a community of practice they share to learn.
Teaser: “I don’t know” are the most important three words in medicine. The truth is, the more one knows, the less certain one is. And this is certainly true in medicine where combining an individual’s personal goals and specific attributes to the research evidence means that the Uncertain Physician is one of the most experienced. In this great book, Kurt Link explores the ideas around managing and dealing with uncertainty in healthcare.
Teaser: Images of Organization is a classic based on a very simple premise—that all theories of organization and management are based on implicit images or metaphors that stretch our imagination in a way that can create powerful insights. Morgan provides resources for exploring the complexity of modern organizations.
Teaser: This is a 700-page report released for the Government of the United Kingdom on 30 October 2006 and is considered as one of the most important documents to combine climate change science and economics. It has important implications for health - the impact on health itself, the economic effects of changes in health and the impact on health from economic changes. Leaders of health systems cannot ignore climate change and their role in recognising that healthcare services have a major environmental impact on the planet, making this landmark report critically important.
Teaser: How do we avoid a culture of contentment so that we don’t make the changes we need. In this great book, world-leading health economist Cam Donaldson defends NHS-type systems on the same basis as their detractors: economic efficiency. However, protecting government funding of health care is not enough: scarcity has to be managed. Donaldson goes on to show how we can get more out of our systems by addressing issues of value for money. In particular, he demonstrates what has been achieved through health care reform but questions how much more this can deliver relative to getting serious about priority setting.
Culture forms a complex framework of national, organizational, and professional attitudes and values within which groups and individuals function. In this book the authors explore the influences of culture in two professions, aviation and medicine. Their focus is on commercial airline pilots and operating room teams. Within these two environments they show the effect of professional, national and organizational cultures of individual attitudes and values and team interaction.
Teaser: Have you ever wanted to better understand the role of professions like doctors and nurses? In this book, Elliot Krause considers the autonomy and leverage of modern professional groups---medicine, law, university teaching, and engineering. Krause considers the implications for professionals and those they serve.
Teaser: How we make decisions in healthcare is heavily influenced by our emotions, whether we like it or not. This important book outlines the impact that emotions have on decision making, so at least we can have a hope of making better emotions. It describes prospect theory, which suggests two stages to decision making and how it can be influenced.
Teaser: Anybody who wants to display graphical information should read this book. Anybody who wants to understand how beautiful data can look should read this book. Read this book and do not put up with unintelligible and ugly graphics ever again.
Teaser: This book is one of the great blockbusters of management. It is a synthesis of the empirical literature currently available on organisational structuring. Importantly, Mintzberg discusses organisations that are staffed by highly trained professionals, like clinicians. So, if you want to understand the evidence of leading and managing the health service, this is one of the best.
Teaser: Repeated research studies demonstrate that doctors and patients alike overestimate the likelihood of benefits and underestimate the likelihood of harms. That is because we do not understand risk. Gerd Gigerenzer, is the director of the Max Planck Institute for Human Development in Berlin, Germany, and lectures around the world on the importance of proper risk education for everyone from school-age children to prominent doctors, bankers, and politicians. In this book he outlines way in which we can make better decisions in healthcare.
Teaser: This book, the first in Castells′ ground–breaking trilogy, is an account of the economic and social dynamics of the new age of information. Based on research in the USA, Asia, Latin America, and Europe, it aims to formulate a systematic theory of the information society which takes account of the fundamental effects of information technology on the contemporary world.
Teaser: The great management expert Peter Drucker said “Culture eats strategy for breakfast”. Repeated studies have shown the importance of culture on healthcare importance. Yet, almost all healthcare reform focuses on structural and transactional change, forgetting culture. The guru on culture is Edgar Schein. Organizational Culture and Leadership is the classic reference for leaders seeking a deeper understanding of the inter-relationship of organizational culture dynamics and performance.
Teaser: We all work in organisations. But do we understand why and how organisations work? This book is a classic text in sociology. It provides a succinct overview of the principal schools of thought of organizational theories, placing each into critical, historical, and cultural context. Vividly written, with many specific, student-oriented examples, Complex Organizations offers a critical perspective on organizations, analyzing their impact on individuals, groups, and society as a whole.
Teaser: The 21st Century is the age of networks; this is the only way we can deliver the complexity of population health and care. Bureaucracies are critical for linear tasks, but networks are needed for complexity. In this book two leading Japanese business experts, Ikujiro Nonaka and Hiro Takeuchi, outline how networks can create new knowledge and use it to produce successful products and technologies. They describe the hypertext organisation, that floats alongside the bureaucracy.
Teaser: In this book, Wilkinson and Pickett remind us that it is not poverty but inequality that causes most damage to society. They also outline how more equal societies enjoy greater health and well-being and that this benefits everyone in society- the most and least deprived. In healthcare, we must therefore, address inequity of access, or the Inverse Care Law, as this is a form of inequality that is entirely within our control.
Teaser: When we study healthcare at a population, as opposed to institutional, level, a whole new perspective emerges- unwarranted variation. This is variation that is not driven by a failure to standardise, but variation that shows we do not have systems for population healthcare. Understanding the symptom that is unwarranted variation helps inform how we can fix the causes of lower value population healthcare.
Teaser: How much should we spend on people with frailty versus people with mental health problems? Unless we can answer questions like this, we cannot have high value universal healthcare. Alain Enthoven, is mistakenly blamed for suggesting to Margaret Thatcher that the NHS should introduce the purchaser provider split- actually his Nuffield Trust paper advocated the development of accountable care organisations. However, this book is about the work he and colleagues did on creating programme budgets in the Department of Defense (sic) in the US. Originally published in 1971 this is a book of enduring value and lasting relevance. Enthoven details the application, history, and controversies surrounding the Planning, Programming, and Budgeting System.
Teaser: Making decisions, especially where there are competing priorities, is complex and sometimes impossible. Arrow describes two ways in which decisions can be made in democratic capitalist countries, markets and politics. Understanding these options are critical to anyone in a position to influence resource use in healthcare...
Teaser: This book really is obligatory reading for anyone who influences the use of resources in healthcare and is interested in quality. Avedis Donabedian's name is synonymous with quality of health care. He unravelled the mystery behind the concept by defining it in clear operational terms and provided detailed blueprints for both its measurement (known as quality assessment) and its improvement (known as quality assurance). Many before him claimed that quality couldn't be defined in concrete objective terms. He demonstrated that quality is an attribute of a system which he called structure, a set of organised activities which he called process, and an outcome which results from both.
Teaser: The people we serve would expect resources to be used fairly and reasonably. In this book, Daniels and Sabin outline that we lack consensus on principles for allocating medical resources, and in the absence of such a consensus we must develop and rely on a fair decision-making process for setting limits on health care so we can use resources more fairly.
Teaser: Anybody leading a public service organisation, a hospital, a clinic, a healthcare payer, should understand their role in providing public value. This great book by Mark Moore summarises what value means within the public sector, and the different perspectives that need to be taken.
Teaser: The current fashion is for targeting interventions towards those at higher risk. But this is often at the expense of interventions that are targeted at a whole population. Which is best? The population strategy of prevention refers to prevention activities that target a whole population regardless of variation in individuals' risk status, whereas a high-risk strategy targets individuals identified as having elevated risk for some adverse health outcome (e.g. thorough screening). In this classic book by Geoffrey Rose, the pros and cons of each approach are discussed.
Teaser: Friedman’s great addition to management thinking was that we need to stop focussing on doing a lot of activity productively and start to focus on outcomes. More importantly, hold ourselves accountable for doing so, Outcomes Based Accountability (OBA) can be used to improve the quality of life in communities, cities, counties, states and nations, including everything from the well-being of children to the creation of a sustainable environment. It is an approach that supports value-based population health.
Teaser: Why have costs risen in healthcare? How can we improve the value of care? In Designing Care, Harvard Business School professor and doctor Richard Bohmer explains that health-care professionals are tasked with providing two very different types of care - sequential and iterative. To reduce costs and manage care effectively, sequential and iterative care situations require different management systems. Bohmer reveals how health-care providers can successfully manage both modes.
Fjeldstad, Ø. D., Johnson, J. K., Margolis, P. A., Seid, M., Höglund, P., & Batalden, P. B. (Accepted/In press). Networked health care: Rethinking value creation in learning health care systems. Learning Health Systems, [e10212].
https://doi.org/10.1002/lrh2.10212
How does participating in a deliberative citizens panel on healthcare priority setting influence the views of participants?
Reckers-Droog V et al (2020) et al./Health Policy 124143–151 https://doi.org/10.1016/j.healthpol.2019.11.011
Health Care Hotspotting — A Randomized, Controlled Trial Finkelstein, A. et al (2020), N Engl J Med 2020;382:152-62. DOI: 10.1056/NEJMsa1906848 https://www.nejm.org/doi/full/10.1056/NEJMsa1906848
Full reference and title from the journal:
Health Equity in England: The Marmot Review 10 Years On. February 2020
Professor Sir Michael Marmot, Jessica Allen, Tammy Boyce, Peter Goldblatt, Joana Morrison
Link to paper https://www.health.org.uk/publications/reports/the-marmot-review-10-years-on
Full reference and title from the journal: A Prescription for Longevity in the 21st Century Renewing Purpose, Building and Sustaining Social Engagement, and Embracing a Positive Lifestyle. JAMA. Published online January 9, 2020. doi:10.1001/jama.2019.21087
Reference to paper: Whitty C.J.M.et al 2020 BMJ 2020;368:l6964 doi: 10.1136/bmj.l6964 (Published 6 January 2020)
Link to paper: https://www.bmj.com/content/bmj/368/bmj.l6964.full.pdf
For more blogs see here: https://www.3vh.org/essential-insights/category/paper-of-the-week/
Are clinical networks the future way to organize healthcare?
Managing the performance of general practitioners and specialists referral networks: A system for evaluating the heart failure pathway.
SabinaNutiaFrancescaFerréaChiaraSeghieriaElisaForesiaTherese A.Stukelb, Health Policy, Volume 124, Issue 1, January 2020, Pages 44-51 https://www.sciencedirect.com/science/article/pii/S0168851019302581
This is a free pdf with the full articles and accompanying editorials https://cdn.nejm.org/pdf/Notable-Articles-of-2019.pdf
For more Podcasts and Blogs visit: https://www.3vh.org/essential-insights/category/paper-of-the-week/
Full reference and title from the journal: Biases distorting priority setting BjørnHofmann Health Policy, Volume 124, Issue 1. January 2020. Pages 52-60. https://www.sciencedirect.com/science/article/pii/S0168851019302799#!
Funding orphan medicinal products beyond price: sustaining an ecosystem. Author- De Sola-Morales, Oriol, The European Journal of Health Economics (2019) 20:1283–1286.
https://doi.org/10.1007/s10198-019-01047-0
Association Between a Temporary Reduction in Access to Health Care and Long-term Changes in Hypertension Control Among Veterans After a Natural Disaster Aaron Baum, PhD; Michael L. Barnett,MD, MS; Juan Wisnivesky,MD, DrPH; Mark D. Schwartz, MD.
JAMA Network Open. 2019;2(11):e1915111. doi:10.1001/jamanetworkopen.2019.15111 (Reprinted) November 13, 2019
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2755309
Waste in the US Health Care System; Estimated Costs and Potential for Savings William H. Shrank, MD, MSHS1; Teresa L. Rogstad, MPH1; Natasha Parekh, MD, MS2 JAMA. 2019;322(15):1501-1509.
Whitehead J. et al (2019), How can the spatial equity of health services be defined and measured? A systematic review of spatial equity definitions and methods, Journal of Health Services Research & Policy Vol. 24(4) 270–278, DOI: 10.1177/1355819619837292
Bending the cost curve: time series analysis of a value transformation programme at an academic medical centre Chatfield SC, Volpicelli FM, Adler NM, et al. BMJ Qual Saf 2019;28:449–458
Convenient primary care and emergency hospital utilisation Edward W. Pinchbeck , Journal of Health Economics 68 (2019) 102242 https://doi.org/10.1016/j.jhealeco.2019.102242
Can patient centred care plus shared decision making equal lower costs? Gemma Venhuizen BMJ 2019;367:l5900, https://doi.org/10.1136/bmj.l5900
Estimating the Marginal Productivity of the English National Health Service From 2003 to 2012, Lomas, J et al (2019), Value in health 22;995-1002 https://doi.org/10.1016/j.jval.2019.04.1926
Full reference and title from the journal:
What level of domestic government health expenditure should we aspire to for universal health coverage?
McIntyre D. et al (2017) Health Economics, Policy and Law, 12, 125–137
Full Title: Overuse of low value dependence forming medications is common (and more likely if you live in a deprived area)
Reference: https://www.gov.uk/government/publications/prescribed-medicines-review-report/prescribed-medicines-review-summary
International comparison of health care carbon footprints Peter-Paul Pichler et al 2019 Environ. Res. Lett. 14 064004
https://iopscience.iop.org/article/10.1088/1748-9326/ab19e1/meta#erlab19e1s3
Full reference and title from the journal: Uterus at a price: Disability insurance and hysterectomy Fan E. (et al) Journal of Health Economics 66 (2019) 1-17
This week’s blog is brought to you by: Professor Sir Muir Gray
Full reference and title from the journal: Intensive Glucose Control in Patients with Type 2 Diabetes — 15-Year Follow-up Reaven P.D. et al (2019) N Engl J Med 2019;380:2215-24.
This week’s blog is brought to you by Dr Tim Wilson
Health Care Spending, Utilization, and Quality 8 Years into Global Payment
Song, Z., Ji, Y., Safran, D. G., & Chernew, M. E. (2019). Health Care Spending, Utilization, and Quality 8 Years into Global Payment. New England Journal of Medicine, 381(3), 252–263.
Expert Panel on effective ways of investing in Health (EXPH), Defining value in “value-based healthcare”
Physician Beliefs and Patient Preferences: A New Look at Regional Variation in Health Care Spending
Cutler, David, Jonathan S. Skinner, Ariel Dora Stern, and David Wennberg. 2019. "Physician Beliefs and Patient Preferences: A New Look at Regional Variation in Health Care Spending." American Economic Journal: Economic Policy, 11 (1): 192-221.
Why productivity isn't enough
Atella, V., Belotti, F., Bojke, C., Castelli, A., Grašič, K., Kopinska, J., … Street, A. (2019). How health policy shapes healthcare sector productivity? Evidence from Italy and UK. Health Policy, 123(1), 27–36. https://doi.org/10.1016/J.HEALTHPOL.2018.10.016
What is fair in healthcare
Chamberlain, C., Owen-Smith, A., MacKichan, F., Donovan, J. L., & Hollingworth, W. (2019). “What’s fair to an individual is not always fair to a population”: a qualitative study of patients and their health professionals using the Cancer Drugs Fund. Health Policy, 123(8), 706–712.
Paper of the Week: The 7 Habits of Highly Effective Cost-of-Care Conversations https://annals.org/aim/fullarticle/2732826/7-habits-highly-effective-cost-care-conversations
Why are we wasting precious resources to deliver low value at the end of life?”
Warraich, H. J., & Meier, D. E. (2019). Serious-Illness Care 2.0 — Meeting the Needs of Patients with Heart Failure. New England Journal of Medicine, 380(26), 2492–2494. https://doi.org/10.1056/NEJMp1900584
The inverse care law continues to thrive in the NHS for vascular surgery (and probably more)
Giuseppe Moscelli, Luigi Siciliani, NilsGutacker, Richard Cookson Socioeconomic inequality of access to healthcare: Does choice explain the gradient? Journal of Health Economics, 57, 290–314.
Paper of the Week: The Precision of Evidence Needed to Practice “Precision Medicine”
Hunter D.S. and Dan L. Longo D. L. (2019) newengl j med 380;25;2472-2475
What Are Polygenic Scores and Why Are They Important? Full reference: JAMA May 14, 2019 Volume 321, Number 18 1820 -1821
The health equity measurement framework: a comprehensive model to measure social inequities in health
Full reference: Dover D.C. and Belon A.P.(2019) International Journal for Equity in Health 18;36
Paper of the Week: Optimality in cancer redefined for the 21st century. The ROC Curve Redefined—Optimizing Sensitivity (and Specificity) to the Lived Reality of Cancer. New England Journal of Medicine, 2019 380(17), pp.1594-1595. Walker, S.P. https://www.ncbi.nlm.nih.gov/pubmed/31018068
Knights and Knaves; even with the “wrong” incentives, most clinicians exhibit a culture of stewardship
https://onlinelibrary.wiley.com/doi/pdf/10.1002/hec.3875
Selective laser trabeculoplasty versus eye drops for first-line treatment of ocular hypertension and glaucoma (LiGHT): a multicentre randomised controlled trial
Better payment systems can support, but not replace, culture change
https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2018.05366
More info can be found at www.3vh.org
To assess the value of an innovation it is essential not only to assess cost effectiveness but to think what else could be done with the money, or with the time of the clinicians who will deliver the service.
Paper of the Week 24th April 2019: Shared Decision Making and the Importance of Time
For many professionals, and almost all patients , the value of time is more precious than money
Serving individuals and populations within integrated care systems Moses, H., Matheson, D. H. M., & Poste, G. (2019). Serving Individuals and Populations Within Integrated Health Systems. JAMA. https://doi.org/10.1001/jama.2019.2929
More info can be found at www.3vh.org
Toward Precision Policy — The Case of Cardiovascular Care Wadhera, R.K. , and Deepak L. Bhatt, D.L (2018) The New Englad Journal of Medicine - 379;2193-2195
More information can be found at www.3vh.org
Paper of the Week 21st March 2019: Bilateral versus Single Internal-Thoracic-Artery Grafts at 10 Years
Reference: N Engl J Med 2019; 380:437-446 https://www.nejm.org/doi/10.1056/NEJMc1703358
More information can be found at www.3vh.org
Paper of the Week: Digital Smoking Cessation
Tang, J., & Liao, Y. (2018). Effectiveness of a text messaging-based smoking cessation intervention (Happy Quit) in China: a randomised controlled trial. The Lancet, 392, S6.
https://doi.org/10.1016/S0140-6736(18)32635-7
Paper of the Week 7th March 2019:Future Directions in Valuing Benefits for Estimating QALYs: Is Time Up for the EQ-5D? Brazier J. E. et al (2019 http://eprints.whiterose.ac.uk/140092/11/1-s2.0-S1098301518363149-main.pdf
More information can be found at www.3vh.org
Has the NHS Long Term Plan forgotten we are all going to die?
See more on our website: https://www.3vh.org/essential-insights/
Paper of the week: Efficacy and safety of statin therapy in older people
Reference: Efficacy and safety of statin therapy in older people: a meta-analysis of individual participant data from 28 randomised controlled trials.
See more on our website: https://www.3vh.org/essential-insights/
3v's Dr Tim Wilson in conversation with Karen Chumbley, Clinical Director of the St Helena Hospice.
More information here: www.3vh.org/essential-insights/
Paper of the week - The Medicalization of Population Health: Who Will Stay Upstream?
Reference: The Medicalization of Population Health: Who Will Stay Upstream? Paula M. Lantz December 2018 Millbank Quarterly
https://www.milbank.org/quarterly/articles/the-medicalization-of-population-health-who-will-stay-upstream/
More info at: www.3vh.org/essential-insights/
Paper of the week - The Rise of Pseudomedicine for Dementia and Brain Health
Reference: Hellmuth J, Rabinovici GD, Miller BL. The Rise of Pseudomedicine for Dementia and Brain Health. JAMA. Published online January 25, 2019. doi:10.1001/jama.2018.21560
https://jamanetwork.com/journals/jama/fullarticle/2723294
More info at: www.3vh.org/essential-insights/
Paper of the week - Framing health literacy: A comparative analysis of national action plans
Reference: Heide Weishaar, Klaus Hurrelmann, Orkan Okan, Annett Horn, Doris Schaeffer, Framing health literacy: A comparative analysis of national action plans, Health Policy, Volume 123, Issue 1, 2019, Pages 11-20, https://www.sciencedirect.com/science/article/pii/S0168851018306584
More info at: www.3vh.org/essential-insights/
Paper of the week: Ten Principles for More Conservative, Care-Full Diagnosis
Reference: Schiff, G. D., Martin, S. A., Eidelman, D. H., Volk, L. A., Ruan, E., Cassel, C., ... Sheikh, A. (2018). Ten principles for more conservative, care-full diagnosis. Annals of internal medicine, 169(9), 643-645. https://doi.org/10.7326/M18-1468
More info at: www.3vh.org/essential-insights/
Paper of the week: International variation in radiation dose for computed tomography examinations
Reference: International variation in radiation dose for computed tomography examinations: prospective cohort study. Rebecca Smith-Bindman et al BMJ 2019;364:k4931
https://www.bmj.com/content/364/bmj.k4931
More info at: www.3vh.org/essential-insights/
Paper of the week: Evidence and values in the NHS: choosing treatments and interventions well
Reference: Margaret McCartney and Sam Finnikin Br J Gen Pract 2019; 69 (678): 4-5
https://bjgp.org/content/69/678/4
More info at: www.3vh.org/essential-insights/
3v's Dr Tim Wilson in conversation with Jack O'Sullivan, the author of our paper of the week: 'Temporal trends in use of tests in UK primary care'
Reference: O’Sullivan Jack W, Stevens Sarah, Hobbs F D Richard, Salisbury Chris, Little Paul, Goldacre Benet al. Temporal trends in use of tests in UK primary care, 2000-15: retrospective analysis of 250 million tests BMJ 2018; 363 :k4666
More information here: www.3vh.org/essential-insights/
Paper of the week: Cryptic connections illuminate pathogen transmission within community networks
Reference: https://www.nature.com/articles/s41586-018-0720-z
More info at: www.3vh.org/essential-insights/
This month’s issue of the month for December 2018 is brought to you by Erica Ison & Dr Tim Wilson. In this podcast the focus is on Burden of Disease.
Changes in health in the countries of the UK and 150 English Local Authority areas 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016
More information here: https://www.3vh.org/essential-insights/
Paper of the week 28.11.18: The view of experts on initiatives to be undertaken to promote equity in the access to orphan drugs and specialised care for rare diseases in Spain
Reference: www.sciencedirect.com/science/articl…54X?via%3Dihub
For more information, please visit: www.3vh.org
Paper of the week from Professor Sir Muir Gray: Saving Thyroids — Over-treatment of Small Papillary Cancers
H. Gilbert Welch, M.D., M.P.H., and Gerard M. Doherty, M.D. Reference: https://www.nejm.org/doi/full/10.1056/NEJMp1804426
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Paper of the week from Professor Sir Muir Gray: Progress in clinical research in surgery and IDEAL
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30102-8/fulltext
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This month’s issue of the month for October 2018 is brought to you by Dr Tim Wilson, 3V Managing Director. In this podcast he focuses on the 10-year plan - how we need to move from what to do, to how to do it.
More information here www.3vh.org
Paper of the week from Dr Anant Jani: Trying to convince people to poo in toilets: What the NHS needs to learn
Rural Sanitation in India: The Poo Party https://ssir.org/articles/entry/rural_sanitation_in_india_the_poo_party
See more: https://www.3vh.org/essential-insights/
Paper of the week: Paying for Cures: Perspectives on Solutions to the “Affordability Issue”
Karlsberg Schaffer K et al https://www.sciencedirect.com/science/article/pii/S1098301518300020
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Muir Gray’s paper of the week: Time for Value-Based Payment Models to Adopt a Disparities-Sensitive Frame Shift
Reference: Chaiyachati KH, Bhatt J, Zhu JM. Time for Value-Based Payment Models to Adopt a Disparities-Sensitive Frame Shift. Ann Intern Med. 2018;168:509–510. doi: 10.7326/M17-2590
https://bettervaluehealthcare.net/paper-of-the-week-22-08-18/
Muir Gray’s paper of the week: Seven Deadly Sins Resulting From the Centers for Disease Control and Prevention's Seven Forbidden Words
Reference: http://annals.org/aim/article-abstract/2668640/seven-deadly-sins-resulting-from-centers-disease-control-prevention-s
bettervaluehealthcare.net/paper-of-the…eek-09-08-18
Muir Gray’s paper of the week: For Patients With Type 2 Diabetes, What’s the Best Target Hemoglobin A1C?
Reference: Abbasi J. For Patients With Type 2 Diabetes, What’s the Best Target Hemoglobin A1C?. JAMA. 2018;319(23):2367–2369. doi:10.1001/jama.2018.5420
https://bettervaluehealthcare.net/paper-of-the-week-03-08-18
Muir Gray’s paper of the week: Global Budgets in Maryland Assessing Results to Date
Reference: https://jamanetwork.com/journals/jama/article-abstract/2682350
More information here: bettervaluehealthcare.net/paper-of-the…ek-25-07-18/
Muir Gray’s paper of the week: NHS England’s plan to pull the plug on ineffective procedures
Reference: https://www.bmj.com/content/362/bmj.k3028
More information here: bettervaluehealthcare.net/paper-of-the…ek-19-07-18/
Muir Gray’s paper of the week: Managing the Most Precious Resource in Medicine
Reference: McMahon, Graham. (2018). Managing the Most Precious Resource in Medicine. New England Journal of Medicine. 378. 10.1056/NEJMe1802899.
More information here: https://bettervaluehealthcare.net/paper-of-the-week-13-07-18/
Muir Gray’s paper of the week: Hearing Aids and Health-Related Quality of Life in Adults With Hearing Loss
Reference: Kitterick PT, Ferguson MA. Hearing Aids and Health-Related Quality of Life in Adults With Hearing Loss. JAMA. 2018;319(21):2225–2226. doi:10.1001/jama.2018.5567
More information here: bettervaluehealthcare.net/paper-of-the…ek-04-07-18/
Muir Gray’s paper of the week: Decision Making for Healthcare Resource Allocation
Reference: Decision Making for Healthcare Resource Allocation: Joint v. Separate Decisions on Interacting Interventions Helen Dakin and Alastair Gray. Medical Decision Making 2018, Vol. 38(4)476–486
More information here: bettervaluehealthcare.net/paper-of-the…ek-27-06-18/
Muir Gray’s paper of the week: Following the patient's orders? Recommending vs. offering choice in neurology outpatient consultations
Reference: https://www.ncbi.nlm.nih.gov/pubmed/29627761
More information here: bettervaluehealthcare.net/paper-of-the…ek-20-06-18/
Muir Gray’s paper of the week: Redefining the ‘E’ in EBM
Reference: http://ebm.bmj.com/content/23/2/46
More information here: bettervaluehealthcare.net/paper-of-the…ek-15-06-18/
Muir Gray’s paper of the week: Overcoming overuse: the way forward is not standing still—an essay by Steven Woloshin and Lisa M Schwartz
Reference: BMJ 2018;361:k2035
More information here: https://bettervaluehealthcare.net/paper-of-the-week-06-06-18/
Muir Gray's book of the month for June is: How much is enough; shaping the defense system 1961-1969
See more: https://bettervaluehealthcare.net/book-of-the-month-01-june-2018/
Muir Gray’s paper of the week: Changing how we think about healthcare improvement
Reference: Changing how we think about healthcare improvement Braithwaite Jeffrey. 2018; 361 :k2014
https://www.bmj.com/content/361/bmj.k2014
More information here: https://bettervaluehealthcare.net/paper-of-the-week-31-05-18/
Muir Gray’s paper of the week: Hospital-Based Physicians’ Intubation Decisions and Associated Mental Models when Managing a Critically and Terminally Ill Older Patient
Reference: http://journals.sagepub.com/doi/abs/10.1177/0272989X17738958?journalCode=mdma
More information here: https://bettervaluehealthcare.net/paper-of-the-week-23-05-18/
Muir Gray’s paper of the week: Artificial intelligence in health care: enabling informed care
References: Commentary: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30701-3/fulltext
Full text article: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)31540-4/fulltext
More information here - https://bettervaluehealthcare.net/paper-of-the-week-17-05-18/
Muir Gray’s papers of the week: The positive and negative value of precision medicine
References: In the Era of Precision Medicine and Big Data, Who Is Normal?
Manrai AK, Patel CJ, Ioannidis JPA. In the Era of Precision Medicine and Big Data, Who Is Normal?. JAMA. Published online April 23, 2018. doi:10.1001/jama.2018.2009
https://jamanetwork.com/journals/jama/fullarticle/2679460
Reducing Overtreatment of Cancer with Precision Medicine - Just What the Doctor Ordered
Katz, Steven & Jagsi, Reshma & Morrow, Monica. (2018). Reducing Overtreatment of Cancer with Precision Medicine: Just What the Doctor Ordered. JAMA. 319. 10.1001/jama.2018.0018.
http://www.drstevenkatz.com/wp-content/uploads/Reducing-Overtreatment-of-Cancer-With-Precision-Medicine-Just-What-the-Doctor-Ordered-JAMA.pdf
More information here - https://bettervaluehealthcare.net/paper-of-the-week-09-05-18/
Muir Gray’s paper of the week is: ‘Beware the medicalisation of loneliness'
Reference: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30577-4/fulltext
More information here - https://bettervaluehealthcare.net/paper-of-the-week-02-05-18/
Muir Gray’s paper of the week is: ‘Variability in Affect and Willingness to Take Medication'
Reference: http://journals.sagepub.com/doi/full/10.1177/0272989X17727002
More information here - https://bettervaluehealthcare.net/25th-april-2018-paper-of-the-week/
Muir Gray’s paper of the week is: ‘Complexity-compatible’ policy for integrated care? Lessons from the implementation of Ontario’s Health Links
Reference: Grudniewicza A et al (2018) Social Science & Medicine 198 (2018) ISSN 0277-9536, https://doi.org/10.1016/j.socscimed.2017.12.029. (http://www.sciencedirect.com/science/article/pii/S0277953617307736)
More information here - https://bettervaluehealthcare.net/the-wisdom-distillery/
Is less ever more?
A podcast from Muir Gray based on: Rosenbaum L. The Less Is More Crusade - Are We Overmedicalizing or Oversimplifying? New England Journal of Medicine 374;2392-2395
Mitigating waste is imperative. But doing so effectively means grappling with a greed that may more often reflect a hunger for information than a desire for financial gain. Until we learn how to better manage the uncomfortable uncertainties inherent in clinical care, “less is more” may be an aphorism better suited to telling coherent stories than to the complex decisions faced by doctors and patients.”
http://ezproxy-prd.bodleian.ox.ac.uk:2481/doi/pdf/10.1056/NEJMms1713248
Sir Muir Gray - Podcast: Overuse of Surgery for Women with Breast Cancer by Oxford Centre for Triple Value Healthcare
Radio Value is now available through iTunes! Today's mini post is from Sir Muir Gray on The importance of walking, and incorporating learning into doing it more.
Obituary of Author Ken Arrow
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Arrovian impossibility theorem
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“…. the celebrated general possibility theorem, or the Arrovian impossibility theorem in the currently prevailing terminology, to the effect that there exists no social welfare function satisfying a set of conditions necessary for democratic legitimacy and informational efficiency.”
Source: Arrow, K.J., Sen, A.K., Suzumura, K. (Eds). (2002) Handbook of Social Choice and Welfare, Volume 1. Elsevier. (p.11).
“According to his celebrated general impossibility theorem, a set of seemingly reasonable axioms that are meant to crystallize minimal requirements on the “democratic” rule for resolving the conflicting claims of individuals is demonstrably self-contradictory, so that there cannot possibly exist a satisfactory rule.”
- Source: Suzumura, K. (2009) Rational choice, collective decision, and social welfare. Cambridge University Press. (p.62).
“Pareto principle, … a change from one social state to another social state can be judged as socially good if at least one individual is thereby made better off without making anybody else worse off in return.”
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Source: Arrow, K.J., Sen, A.K., Suzumura, K. (Eds). (2002) Handbook of Social Choice and Welfare, Volume 1. Elsevier. (p.7).
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“In a capitalist democracy there are essentially two methods by which social choices can be made: voting, typically used to make ‘political’ decisions, and the market mechanism, typically used to make ‘economic’ decisions.”
Source: Arrow, K..J. (1963) Social Choice and Individual Values (2nd Edition). Cowles Foundation for Research in Economics at Yale University (originally published by John Wiley & Sons). (p.1)
Sir Muir Gray - Podcast: Down With Savings by Oxford Centre for Triple Value Healthcare
Sir Muir Gray - Podcast of the Month: Optimality by Oxford Centre for Triple Value Healthcare
Source: Kuhn, T.S. (1962) The Structure of Scientific Revolutions [2nd Ed.] The University of Chicago Press. (p.111.)
“Revolution as Changes of World View. Examining the record of past research from the vantage of contemporary historiography, the historian of science may be tempted to exclaim that when paradigms change, the world itself changes with them. Led by a new paradigm, scientists adopt new instruments and look in new places. Even more important, during revolutions scientists see new and different things when looking with familiar instruments in places they have looked before. It is rather as if the professional community had been suddenly transported to another planet where familiar objects are seen in a different light and are joined by unfamiliar ones as well. Of course, nothing of quite that sort does occur: there is no geographical transplantation; outside the laboratory everyday affairs usually continue as before. Nevertheless, paradigm changes do cause scientists to see the world of their research engagement differently. In so far as their only recourse to that world is through what they see and do, we may want to say that after a revolution scientists are responding to a different world.”