Literature DB >> 22541241

[Practical taxonomy of health care containment/disinvestment in non-value-added care in order to have a sustainable NHS].

J R Repullo1.   

Abstract

The environment of severe cost containment has led to the active search of "internal sustainability" of health systems; the disinvestment in all non-value added services is one of the tools used. This article provides the taxonomy to identify ineffective, unsafe, unnecessary, unsuccessful, unkind and unwise care practices and discusses their implications in relation to patients ordered according to their severity, as well as the expected health gains of the intervention. Finally, the feasibility of those disinvestment policies is analysed according to macro-, middle, and micro-management scenarios.
Copyright © 2012 SECA. Published by Elsevier Espana. All rights reserved.

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Year:  2012        PMID: 22541241     DOI: 10.1016/j.cali.2012.02.010

Source DB:  PubMed          Journal:  Rev Calid Asist        ISSN: 1134-282X


  2 in total

1.  [If you find yourself in a hole the first thing to do is stop digging].

Authors:  Salvador Peiró
Journal:  Aten Primaria       Date:  2012-09-13       Impact factor: 1.137

2.  [Primary prevention and chronic disease strategies: overcoming our own reluctance and ignoring what others say].

Authors:  José R Repullo
Journal:  Aten Primaria       Date:  2013 Aug-Sep       Impact factor: 1.137

  2 in total

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