Dentistry is a profession with many stakeholders and contributors. In the optimal scenario, the collective focus should be on the patient. A significant opportunity awaits any dental team ready to best meet patients' needs and desires through value-based dentistry (VBD), in which patient requests and concerns in the context of cost of care are the priority. In exploring how a patient makes the decision to visit a practice, how to capture the value a practice can create, and how to assess quality and cost, the article explains how a practice can work to attain VBD.
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J Clin Epidemiol
January 2025
Discipline of Physiotherapy, Graduate School of Health, The University of Technology Sydney, New South Wales, Australia.
Objective: To determine common domains across existing musculoskeletal COSs. Secondary aims were to assess the development quality of existing musculoskeletal COSs and whether development quality and patient participation was associated with domain selection.
Study Design And Setting: A systematic review of musculoskeletal COSs.
Int J Qual Health Care
January 2025
Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Background: Hospitals face mounting pressure to reduce unplanned utilization amid rising healthcare demands from an aging population. The Case management for At-Risk patients in the Emergency Department (CARED) program is among the first ED transitional care strategies to focus on both frail older adults and Emergency Department (ED) re-attenders to reduce acute hospital utilization. This study aims to evaluate the effectiveness of the CARED program in reducing hospital (re)admissions and ED re-attendances within 30- and 60-days post-discharge.
View Article and Find Full Text PDFArch Rehabil Res Clin Transl
December 2024
Department of Clinical Research and Leadership, George Washington University School of Medicine and Health Sciences, Washington, DC.
Objective: To examine associations among the time and content of rehabilitation treatment with self-care and mobility functional gain rate for adults with acquired brain injury.
Design: Retrospective cohort study using electronic health record and administrative billing data.
Setting: Inpatient rehabilitation unit at a large, academic medical center.
Prev Chronic Dis
January 2025
Division of Foundational Sciences, Columbia University College of Dental Medicine, New York, New York.
Introduction: Early childhood caries (ECC), dental cavities in children younger than 6 years, is common, consequential, and inequitably concentrated among socially disadvantaged children. The World Health Organization and authoritative clinical and public health agencies promote 4 chronic disease management (CDM) approaches that are low-cost and can be delivered in home and community sites: pharmacologic, behavioral, monitoring, and minimally invasive dentistry (MID). The extent of adoption of these approaches among US pediatric dentists is unknown.
View Article and Find Full Text PDFBMC Med Res Methodol
December 2024
Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, the Netherlands.
Background: The aim of this study is to develop a method we call "cost mining" to unravel cost variation and identify cost drivers by modelling integrated patient pathways from primary care to the palliative care setting. This approach fills an urgent need to quantify financial strains on healthcare systems, particularly for colorectal cancer, which is the most expensive cancer in Australia, and the second most expensive cancer globally.
Methods: We developed and published a customized algorithm that dynamically estimates and visualizes the mean, minimum, and total costs of care at the patient level, by aggregating activity-based healthcare system costs (e.
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