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| http://dx.doi.org/10.21037/jss-21-67 | DOI Listing |
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Patient-level cost analysis of subfertility pathways in the Dutch healthcare system.
Eur J Health Econ
December 2024
Reinier de Graaf Gasthuis, Delft, The Netherlands.
Background: Health economic evaluations require cost data as a key input, and reimbursement policies and systems should incentivize valuable care. Subfertility is a growing global phenomenon, and Dutch per-treatment DRGs alone do not support value-based decision-making because they don't reflect patient-level variation or the impact of technologies on costs across entire patient pathways.
Methods: We present a real-world micro-costing analysis of subfertility patient pathways (n = 4.
A cost-reducing reimbursement programme? Effects of value-based reimbursement on healthcare costs.
Front Public Health
December 2024
Department of Health, Medicine and Caring Sciences (HMV), Linköping University, Linköping, Sweden.
Value-based reimbursement programmes have become increasingly common in attempts to bend the cost curve of healthcare without negative effects on quality. The aim of this study was to analyse the effect of introducing a value-based reimbursement programme on the cost to third-party payer. We performed a retrospective observational study with a before and after design based on the introduction of a value-based reimbursement programme in Sweden.
View Article and Find Full Text PDFDevelopment, validation and recalibration of a prediction model for prediabetes: an EHR and NHANES-based study.
BMC Med Inform Decis Mak
December 2024
Division of Public Health Sciences, Department of Biostatistics and Data Science, Wake Forest University School of Medicine, 525 Vine St, Winston-Salem, NC, 27101, USA.
Background: A prediction model that estimates the risk of elevated glycated hemoglobin (HbA1c) was developed from electronic health record (EHR) data to identify adult patients at risk for prediabetes who may otherwise go undetected. We aimed to assess the internal performance of a new penalized regression model using the same EHR data and compare it to the previously developed stepdown approximation for predicting HbA1c ≥ 5.7%, the cut-off for prediabetes.
View Article and Find Full Text PDFDevelopment of a psychometrically valid and reliable measure of primary care providers' willingness to engage with value based payments and innovations in care coordination.
BMC Health Serv Res
December 2024
Larner College of Medicine, University of Vermont, Burlington, VT, USA.
Background: Most approaches to healthcare reform envision an enhanced role for primary care providers, supported by innovative payment methodology and improved resources. However, there are currently no instruments to measure providers' ability and willingness to work with existing tools provided by payers, such as Accountable Care Organizations (ACO). In this study, we develop and psychometrically test a new instrument to measure provider engagement with ACOs.
View Article and Find Full Text PDFPatient and Staff Experiences of Embedding Electronic Patient Reported Outcome Measures for Distress Screening and Quality of Life Assessment, Into Routine Melanoma Care: A Mixed-Methods Study.
Psychooncology
December 2024
National Health & Medical Research Council (NHMRC) Clinical Trials Centre, The University of Sydney, Camperdown, Australia.
Objective: Patient reported outcome measures (PROMs) are commonly collected in melanoma research. However, they are not used to guide immediate clinical care in Australia. This study explored the views and experiences of patients with Stage III melanoma and clinic staff during implementation of an electronic Patient-Reported Outcome Measures in melanoma (ePROMs-MEL) pilot to assess distress and quality of life.
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