HOW TO GET BETTER VALUE HEALTH CARE by Muir Gray 3rd edition
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New edition for the challenges facing the NHS in 2017
We are now in a new era – the era of better value. It is no longer sufficient to provide safe, effective, and high quality care. These characteristics will be taken for granted. Value is the most important term for the next twenty years.
Value is the most important concept for healthcare worldwide for the next twenty years. Great progress has been made in all health services over the last forty
years but three problems remain. One is unwarranted variation in investment, cost, and outcome, which reveals the other two:
Underuse of high value interventions. This results in
■ failure to prevent death and disability, which may aggravate
■ inequity.
Overuse of lower value interventions. This results in
■ waste – activity that consumes resources which could give greater value if used for another group of patients, which may also result in
■ patient harm.
In addition, need and demand are increasing faster than resources. It is therefore essential to focus on value, which embraces, but is broader
than, quality and cost-effectiveness. In the NHS in England the focus is on Triple Value:
■ Personalised Value – determined by how well the outcome relates to the values of each individual.
■ Allocative Value – determined by how well resources are distributed to different groups in the population.
■ Technical Value – determined by how well resources are used for all the people in need in each group.
Value-based healthcare embraces the paradigms of quality improvement and evidence-based decision-making. The aim is better value both for
individuals and populations. This book summarizes the key concepts and skills to reduce waste and increase value
for people who pay for or manage healthcare resources, including clinicians and patients’ organisations.
We are now in a new era – the era of better value. It is no longer sufficient to provide safe, effective, and high quality care. These characteristics will be taken for granted. Value is the most important term for the next twenty years.
Value is the most important concept for healthcare worldwide for the next twenty years. Great progress has been made in all health services over the last forty
years but three problems remain. One is unwarranted variation in investment, cost, and outcome, which reveals the other two:
Underuse of high value interventions. This results in
■ failure to prevent death and disability, which may aggravate
■ inequity.
Overuse of lower value interventions. This results in
■ waste – activity that consumes resources which could give greater value if used for another group of patients, which may also result in
■ patient harm.
In addition, need and demand are increasing faster than resources. It is therefore essential to focus on value, which embraces, but is broader
than, quality and cost-effectiveness. In the NHS in England the focus is on Triple Value:
■ Personalised Value – determined by how well the outcome relates to the values of each individual.
■ Allocative Value – determined by how well resources are distributed to different groups in the population.
■ Technical Value – determined by how well resources are used for all the people in need in each group.
Value-based healthcare embraces the paradigms of quality improvement and evidence-based decision-making. The aim is better value both for
individuals and populations. This book summarizes the key concepts and skills to reduce waste and increase value
for people who pay for or manage healthcare resources, including clinicians and patients’ organisations.
Value is the most important concept for healthcare worldwide for the next twenty years. Great progress has been made in all health services over the last forty
years but three problems remain. One is unwarranted variation in investment, cost, and outcome, which reveals the other two:
Underuse of high value interventions. This results in
■ failure to prevent death and disability, which may aggravate
■ inequity.
Overuse of lower value interventions. This results in
■ waste – activity that consumes resources which could give greater value if used for another group of patients, which may also result in
■ patient harm.
In addition, need and demand are increasing faster than resources. It is therefore essential to focus on value, which embraces, but is broader
than, quality and cost-effectiveness. In the NHS in England the focus is on Triple Value:
■ Personalised Value – determined by how well the outcome relates to the values of each individual.
■ Allocative Value – determined by how well resources are distributed to different groups in the population.
■ Technical Value – determined by how well resources are used for all the people in need in each group.
Value-based healthcare embraces the paradigms of quality improvement and evidence-based decision-making. The aim is better value both for
individuals and populations. This book summarizes the key concepts and skills to reduce waste and increase value
for people who pay for or manage healthcare resources, including clinicians and patients’ organisations.
years but three problems remain. One is unwarranted variation in investment, cost, and outcome, which reveals the other two:
Underuse of high value interventions. This results in
■ failure to prevent death and disability, which may aggravate
■ inequity.
Overuse of lower value interventions. This results in
■ waste – activity that consumes resources which could give greater value if used for another group of patients, which may also result in
■ patient harm.
In addition, need and demand are increasing faster than resources. It is therefore essential to focus on value, which embraces, but is broader
than, quality and cost-effectiveness. In the NHS in England the focus is on Triple Value:
■ Personalised Value – determined by how well the outcome relates to the values of each individual.
■ Allocative Value – determined by how well resources are distributed to different groups in the population.
■ Technical Value – determined by how well resources are used for all the people in need in each group.
Value-based healthcare embraces the paradigms of quality improvement and evidence-based decision-making. The aim is better value both for
individuals and populations. This book summarizes the key concepts and skills to reduce waste and increase value
for people who pay for or manage healthcare resources, including clinicians and patients’ organisations.