HALE and hearty: Toward more meaningful health measurement in the clinical setting.
نویسندگان
چکیده
Recent major analyses of global burden of disease reinforce a familiar critique: despite vastly greater health spending than any other country, population health outcomes in the US are unacceptably poor. The Institute of Medicine estimates that we spend about $750 billion annually on health care in excess of what should achieve the observed health outcomes. Such inefficiency underlies health care's role as a central driver of long-term US fiscal instability and entails extensive publicand private-sector opportunity costs. Meanwhile, US healthy life expectancy (HALE) ranks a comparatively poor 35th and 32nd globally for women and men, respectively, in the bottom quartile and falling compared to peer developed countries. This failure of ample financial investment to produce better population health outcomes motivates a broad consensus for health care reform. While an important component of excess spending can be attributed to financing peculiarities such as distorted pricing, the accompanying poor outcomes reveal a health care system that does not efficiently deliver health. We believe that a central obstacle to achieving higher population health value in health care comes down to a measurement problem. If, as the improvement principle goes, “you can't improve what you don't measure”, then what we don't measure in health care is telling. Our health care systems’ predominant measurements focus on what can be conveniently measured from the health care perspective, but do too little to guide us to the improved health status we ultimately seek.
منابع مشابه
Clinical assessment methods in medical sciences universities of Tehran – clinical instructors’ viewpoint
Introduction: Assessment and evaluation are crucial steps in educational process that play major role in the process of medical education, by certifying competent physicians who can take care of the public health. The purpose of this study was investigation of clinical medical teachers' opinion about using clinical assessment tools in their clinical setting. Methods: The survey was a descriptiv...
متن کاملNurses’ attitude towards attendance of nursing students in the clinical setting in Shahrekord in 2015
Abstract Background and Purpose: Attendance of nursing students in clinical settings is an inherent element of nursing education. This study aimed to evaluate the attitudes of nurses toward the attendance of nursing students in clinical settings in Shahrekord, Iran. Methods: This descriptive study was conducted in Hajar teaching hospital of Shahrekord city, Iran in 2015. Using convenience sam...
متن کاملNursing students experiences toward evidence-based learning in clinical setting: A qualitative study
Introduction: Evidence-based learning is an effective educational strategy. Assessment of nursing student’s viewpoints about this new method can increase its application. This research was conducted to find out student’s experiences toward evidence-based learning in clinical setting. Methods: This qualitative study was performed by grounded theory method in 2010. Eighteen nursing students were...
متن کاملPriority Setting for Universal Health Coverage: We Need Evidence-Informed Deliberative Processes, Not Just More Evidence on Cost-Effectiveness
Priority setting of health interventions is generally considered as a valuable approach to support low- and middle-income countries (LMICs) in their strive for universal health coverage (UHC). However, present initiatives on priority setting are mainly geared towards the development of more cost-effectiveness information, and this evidence does not sufficiently support countries to make optimal...
متن کاملAssessing and Improving Performance: A Longitudinal Evaluation of Priority Setting and Resource Allocation in a Canadian Health Region
Background In order to meet the challenges presented by increasing demand and scarcity of resources, healthcare organizations are faced with difficult decisions related to resource allocation. Tools to facilitate evaluation and improvement of these processes could enable greater transparency and more optimal distribution of resources. Methods The Resource Allocation Performance Assessment Too...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Healthcare
دوره 1 3-4 شماره
صفحات -
تاریخ انتشار 2013