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Geographic Variation
Unwarranted variation (or geographic variation) in health care service delivery refers to medical practice pattern variation that cannot be explained by illness, medical need, or the dictates of evidence-based medicine. It is one of the causes of low value care often ignored by health systems. Definition Unwarranted variation (or geographic variation) in health care service delivery refers to differences that cannot be explained by personal preference, illness, medical need, or the dictates of evidence-based medicine. The term was coined by Dr. John Wennberg. Unwarranted variation reveals three areas: * Overuse of treatments (or overutilisation) such that more harm than good is being done *Underuse of treatments such that cost-effective interventions are not being provided *Inequity of care (a subset of underuse) such that parts of the population are not accessing treatment, possibly because of their social background. Supply-sensitive care, which is strongly correlated with healt ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Evidence-based Medicine
Evidence-based medicine (EBM) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research." The aim of EBM is to integrate the experience of the clinician, the values of the patient, and the best available scientific information to guide decision-making about clinical management. The term was originally used to describe an approach to teaching the practice of medicine and improving decisions by individual physicians about individual patients. The EBM Pyramid is a tool that helps in visualizing the hierarchy of evidence in medicine, from least authoritative, like expert opinions, to most authoritative, like systematic reviews. Adoption of evidence-based medicine is necessary in a human Rights-based approach to development, rights-based approach to public health and a precondition ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Primary Care Trust
Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers. Until 31 May 2011, they also provided community health services directly. Collectively PCTs were responsible for spending around 80 per cent of the total NHS budget. Primary care trusts were abolished on 31 March 2013 as part of the Health and Social Care Act 2012, with their work taken over by clinical commissioning groups. Establishment In 1997 the incoming Labour Government abolished GP Fundholding. In April 1999 they established 481 primary care groups in England "thereby universalising fundholding while repudiating the concept." Primary and community health services were brought together in a single Primary Care Group controlling a unified budget for delivering health care to and improving the health of communities of about 100,000 people. A ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Medical Sociology
Medical sociology is the sociological analysis of health, Illness, differential access to medical resources, the social organization of medicine, Health Care Delivery, the production of medical knowledge, selection of methods, the study of actions and interactions of healthcare professionals, and the social or cultural (rather than clinical or bodily) effects of medical practice. The field commonly interacts with the sociology of knowledge, science and technology studies, and social epistemology. Medical sociologists are also interested in the qualitative experiences of patients, doctors, and medical education; often working at the boundaries of public health, social work, demography and gerontology to explore phenomena at the intersection of the social and clinical sciences. Health disparities commonly relate to typical categories such as class, race, ethnicity, immigration, gender, sexuality, and age. Objective sociological research findings quickly become a normative and pol ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Geodemography
Geodemography is the study of people based on where they live. It links the sciences of demography, the study of human population dynamics, and geography, the study of the locational and spatial variation of both physical and human phenomena on Earth, along with sociology. It includes the application of geodemographic classifications for business, social research and public policy but has a parallel history in academic research seeking to understand the processes by which settlements (notably, cities) evolve and neighborhoods are formed. Geodemographic systems estimate the most probable characteristics of people based on the pooled profile of all people living in a small area near a particular address. Origins The origins of geodemographics are often identified as Charles Booth and his studies of deprivation and poverty in early twentieth century London, and the Chicago School of sociology. Booth developed the idea of 'classifying neighborhoods', exemplified by his multivariate cl ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Overutilization
Unnecessary health care (overutilization, overuse, or overtreatment) is health care provided with a higher volume or cost than is appropriate. In the United States, where health care finance in the United States, health care costs are the highest as a percentage of GDP, overuse was the predominant factor in its expense, accounting for about a third of its health care spending ($750 billion out of $2.6 trillion) in 2012. Factors that drive overuse include paying health professionals more to do more (fee-for-service), defensive medicine to protect against wikt:litigiousness#Noun, litigiousness, and insulation from price sensitivity in instances where the consumer is not the wikt:payer#Noun, payer—the patient receives goods and services but insurance pays for them (whether public insurance, private, or both). Such factors leave many actors in the system (doctors, patients, pharmaceutical companies, device manufacturers) with inadequate incentive to restrain health care prices or ov ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Five Year Forward View
The Five Year Forward View was produced by NHS England in October 2014 under the leadership of Simon Stevens (civil servant), Simon Stevens as a planning document. Publication and reception It received praise for brevity, being only 39 pages, and lacking the illustrations which had graced its predecessors. Like the NHS Plan 2000 with which Stevens was also associated it was supported by the great and good of the NHS, but in this case it was regulators - Monitor (NHS), Monitor, the Care Quality Commission and the like, rather than the Royal Colleges and Trades Unions of the earlier plan. This new national leadership of the NHS issues an unprecedented warning to politicians, none of whom are included in the endorsements, that it cannot continue at current funding levels, and additional resources worth more than 1.5 per cent a year in real terms will be required. No more top-down reorganisation was proposed, but instead the development of new models to suit local needs, something q ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Jane Cummings
Dame Jane Frances Cummings is a former Chief Nursing Officer for England, formerly at the Department of Health and subsequently at NHS England. In November 2013 she was interviewed about the demand for safe staffing levels in NHS hospitals and told '' ITV Daybreak'': "The most important thing to do is to use evidence to determine what the staffing levels should be. "It's actually quite dangerous to to suggest that there must be a particular minimum and what we really need to do is to look at the needs of the patients on a particular ward or service and that will vary." In 2012, Cummings developed and published the 6C's of Nursing – a set of core values and expectations of registered nurses in the UK. In December 2013 she was involved in the launch of the £100 million Nursing Technology Fund and said "Technology is a tool that, if embraced and used in the right way, allows healthcare professionals to work differently and more effectively so they can focus on what they do bes ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Medical Journal Of Australia
The ''Medical Journal of Australia'' (MJA) is a peer-reviewed medical journal published 22 times a year. It is the official journal of the Australian Medical Association, published by Wiley (publisher), Wiley on behalf of the Australasian Medical Publishing Company. The journal publishes editorials, original research, guideline summaries, narrative reviews, perspectives, medical education, reflections, and letters. The full text of every issue since January 2002 is available online. History Early origins The journal was established in 1856, when communication between Australian states and other English-speaking nations entailed long delays. The journal was both a platform for Australian medical research, as well as educational reviews summarising research done overseas. It has since been renamed several times: *''Australian Medical Journal'' (1856–1895) *''Intercolonial Quarterly Journal of Medicine and Surgery'' (1895–1896) *''Intercolonial Medical Journal of Australasia'' (1 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Minneapolis
Minneapolis is a city in Hennepin County, Minnesota, United States, and its county seat. With a population of 429,954 as of the 2020 United States census, 2020 census, it is the state's List of cities in Minnesota, most populous city. Located in the state's center near the eastern border, it occupies both banks of the Upper Mississippi River and adjoins Saint Paul, Minnesota, Saint Paul, the state capital of Minnesota. Minneapolis, Saint Paul, and the surrounding area are collectively known as the Minneapolis–Saint Paul, Twin Cities, a metropolitan area with 3.69 million residents. Minneapolis is built on an artesian aquifer on flat terrain and is known for cold, snowy winters and hot, humid summers. Nicknamed the "City of Lakes", Minneapolis is abundant in water, with list of lakes in Minneapolis, thirteen lakes, wetlands, the Mississippi River, creeks, and waterfalls. The city's public park system is connected by the Grand Rounds National Scenic Byway. Dakota people orig ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
John Wennberg
John E. "Jack" Wennberg (June 2, 1934 – March 10, 2024) was an American healthcare researcher who was a pioneer of unwarranted variation in the healthcare industry. In four decades of work, Wennberg has documented the geographic variation in the healthcare that patients receive in the United States. In 1988, he founded the Center for the Evaluative Clinical Sciences at Dartmouth Medical School (now The Dartmouth Institute for Health Policy and Clinical Practice at Geisel School of Medicine at Dartmouth) to address that unwarranted variation in healthcare. Wennberg was the Peggy Y. Thomson Professor Emeritus in the Evaluative Clinical Sciences & Founder and Director Emeritus of The Dartmouth Institute for Health Policy & Clinical Practice (formerly the Center for the Evaluative Clinical Sciences), and was the Professor in the Department of Community and Family Medicine since 1980 and in the Department of Medicine since 1989. Wennberg was the founding editor of the Dartmouth Atla ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Miami
Miami is a East Coast of the United States, coastal city in the U.S. state of Florida and the county seat of Miami-Dade County, Florida, Miami-Dade County in South Florida. It is the core of the Miami metropolitan area, which, with a population of 6.14 million, is the second-largest metropolitan area in the Southeastern United States, Southeast after Atlanta metropolitan area, Atlanta, and the Metropolitan statistical area#United States, ninth-largest in the United States. With a population of 442,241 as of the 2020 United States census, 2020 census, Miami is the List of municipalities in Florida, second-most populous city in Florida, after Jacksonville, Florida, Jacksonville. Miami has the List of tallest buildings in the United States#Cities with the most skyscrapers, third-largest skyline in the U.S. with over List of tallest buildings in Miami, 300 high-rises, 70 of which exceed . Miami is a major center and leader in finance, commerce, culture, arts, and internation ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Albuquerque
Albuquerque ( ; ), also known as ABQ, Burque, the Duke City, and in the past 'the Q', is the List of municipalities in New Mexico, most populous city in the U.S. state of New Mexico, and the county seat of Bernalillo County, New Mexico, Bernalillo County. Founded in 1706 as ' by Santa Fe de Nuevo México governor Francisco Cuervo y Valdés, and named in honor of Francisco Fernández de la Cueva, 10th Duke of Alburquerque and List of viceroys of New Spain, Viceroy of New Spain, it was an Old Town Albuquerque, outpost on Camino Real de Tierra Adentro, El Camino Real linking Mexico City to the northernmost territories of New Spain. Located in the Albuquerque Basin, the city is flanked by the Sandia Mountains to the east and the West Mesa to the west, with the Rio Grande and bosque flowing north-to-south through the middle of the city. According to the 2020 United States census, 2020 census, Albuquerque had 564,559 residents, making it the List of United States cities by population ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
