Spending Too Much on the Wrong Things

Pained ◽  
2020 ◽  
pp. 107-110
Author(s):  
Michael D. Stein ◽  
Sandro Galea
Keyword(s):  
Health Care ◽  
Health Outcomes ◽  
Health System ◽  
Social Services ◽  
Health Care Providers ◽  
Entire Population ◽  
Health Care Spending ◽  
Care Providers ◽  
The Social ◽  
Per Capita

This chapter addresses overspending in health care. Americans spend half as many days in hospital as persons living in other high-income countries. They take fewer pills per person, and they have fewer doctors per capita. Yet Americans spend two to three times as much on health care as other countries, and they have poorer health outcomes. This is because they overpay. Talking about overspending suggests that certain partners in the health system are charging more than they should. Since about one third of health care spending is related to hospitals and another 20% is paid to health care providers, these are the obvious culprits. If Americans spent less on hospitals and clinicians, they could spend more on the social services required to prevent or reduce illness, to make their entire population healthier.

scholarly journals MEETING SOCIAL NEEDS TO IMPROVE HEALTH OUTCOMES: PARTNERSHIPS BETWEEN COMMUNITY-BASED ORGS AND HEALTH CARE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S499-S500
Author(s):  
Traci L Wilson ◽  
Suzanne R Kunkel ◽  
Jane Straker ◽  
Marisa Scala-Foley ◽  
Elizabeth Blair
Keyword(s):  
Health Care ◽  
Health Outcomes ◽  
Social Services ◽  
Health Care Providers ◽  
Health Care Use ◽  
Social Needs ◽  
Care Providers ◽  
Community Based ◽  
Cross Sectional ◽  
Improve Health

Abstract Unmet social needs negatively affect individual and population health, and better integration of community-based supports and health systems is a promising approach to improve health outcomes and avoid unnecessary health care use. Community-based organizations (CBOs) such as Area Agencies on Aging (AAAs) and Centers for Independent Living (CILs), as providers and coordinators of social services, are well-positioned within their communities to coordinate care and provide for unmet social needs. Partnerships between CBOs and health care entities have clear potential to improve health care outcomes while also reducing expenditures. This paper will present a cross-sectional analysis of a national survey of AAAs, CILS, and other CBOs at two time points (2017: n=593; 2018: n=763) to understand the extent, type, and evolution of CBO engagement with health care providers. In addition, longitudinal analysis (n=374) shows movement at the organization level: 33% of organizations who did not have a contract at T1 but were pursuing one had achieved a contract by T2. This presentation will: describe details of the services delivered, contracting arrangements, and populations served under CBO/health care contracts, as well as challenges experienced by CBOs; examine differences by state and organizational structure; and discuss the implications of state policy on integrated care and contracting.

The Adverse Health Outcomes, Economic Burden, and Public Health Implications of Unmanaged Attention Deficit Hyperactivity Disorder (ADHD): A Call to Action Resulting from CHADD Summit, Washington, DC, October 17, 2019

2021 ◽  
pp. 108705472110367
Author(s):  
Bob Cattoi ◽  
Ingrid Alpern ◽  
Jeffrey S. Katz ◽  
David Keepnews ◽  
Mary V. Solanto
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Outcomes ◽  
Health Care Providers ◽  
Economic Burden ◽  
Emotional Health ◽  
Care Providers ◽  
Health Implications ◽  
Adverse Health ◽  
Adverse Health Outcomes

Recent research has increasingly documented the adverse effects of ADHD on physical health in addition to its well-known effects on emotional health. Responding to this concern, CHADD organized a summit meeting of health care providers, governmental and other health-related organizations, and health care payers. A White Paper generated from the meeting reviewed the adverse health outcomes, economic burden and public health implications of unmanaged ADHD. Here we summarize the resulting Calls to Action to the various stakeholder groups including: increased awareness and education of providers; development of professional guidelines for diagnosis and treatment; insurance coverage of the relevant services; support of research targeting the role of ADHD in the etiology and treatment of physical illness; and public education campaigns.

Promising Interventions to Prevent Liver Cancer in Idaho

2021 ◽  
pp. 152483992110571
Author(s):  
Behnoosh Momin ◽  
Danielle Nielsen ◽  
Spencer Schaff ◽  
Jennifer L. Mezzo ◽  
Charlene Cariou
Keyword(s):  
Health Care ◽  
Social Media ◽  
Liver Cancer ◽  
Hepatitis B ◽  
Health Care Provider ◽  
Health Care Providers ◽  
Care Provider ◽  
Hepatitis B Vaccination ◽  
Care Providers ◽  
The Social

Introduction: The Idaho Comprehensive Cancer Control Program (ICCCP) collaborated with the Idaho Immunization Program (IIP) to plan and implement activities to increase knowledge and awareness of liver cancer prevention through tailored hepatitis B immunization messaging to the Idaho community and health care providers. Purpose and Objectives: In this article, we report findings from an evaluation of these activities. Interventions Approach: The two programs implemented liver cancer prevention activities between May 2017 and December 2017; strategies included a social media vaccination awareness campaign and health care provider education. Evaluation Methods: Facebook Insights was used to report, and descriptive statistics were used to analyze, data from the social media campaign. Descriptive statistics were used to analyze data collected from a retrospective pre–post survey for the health care provider presentations and paired t-tests were conducted to detect differences between pre- and postexposure. Results: For the social media campaign, ICCCP and IIP posted a total of 32 liver cancer and hepatitis B vaccination posts on their respective Facebook pages, which reached 42,804 unique users. For the health care provider presentations, there was a statistically significant increase in awareness, knowledge, ability, and intention among health care providers. Implications for Public Health: Our evaluation serves as an example of how public health social media can reach consumers and how educating providers can raise awareness on the importance of hepatitis B vaccination as a means of preventing liver cancer.

scholarly journals A Survey of Family Planning Training, Knowledge, and Practices Among Health Care Providers Within the Military Health System at Joint Base Lewis–McChord

2018 ◽  
Vol 184 (5-6) ◽  
pp. e394-e399 ◽  
Author(s):  
Elizabeth I Deans ◽  
Alison L Batig ◽  
Sarah Cordes ◽  
Alicia N Scribner ◽  
Peter E Nielsen ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Health System ◽  
Health Care Providers ◽  
Care Providers ◽  
Military Health System ◽  
Military Health ◽  
The Military

Directions and Opportunities in Health Informatics in British Columbia

1994 ◽  
Vol 33 (03) ◽  
pp. 299-301
Author(s):  
K. Thornton
Keyword(s):  
Health Care ◽  
British Columbia ◽  
Health Care Providers ◽  
Health Informatics ◽  
Major Change ◽  
Network Evolution ◽  
Royal Commission ◽  
Social Changes ◽  
Care Providers ◽  
The Social

Abstract:The social changes, and changes in perceptions of the effectiveness of health care in British Columbia have resulted in a large number of recommendations in the report of the British Columbia Royal Commission on Health Care and Costs. Many of these recommendations have implications for health informatics. The British Columbia Government, in outlining a response, foresees a major change in the emphases of health care, which will involve four major areas of health informatics: network evolution, automation of the patient record, outcome- and other quality-related databases, and consumer health education. These themes are discussed, in the light of the opinions of academics, health care providers, and the health-informatics industry. The themes must be intercalated into the health informatics curriculum, to equip graduates for the challenges of B.C.’s changing health care system.

The public’s trust and information brokers in health care, public health and research

2019 ◽  
Vol 33 (7/8) ◽  
pp. 929-948 ◽  
Author(s):  
Jodyn Platt ◽  
Minakshi Raj ◽  
Sharon L.R. Kardia
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health System ◽  
Information Sharing ◽  
Health Information ◽  
Health Care Providers ◽  
Care Providers ◽  
Content Type ◽  
The Public ◽  
Information Brokers

Purpose Nations such as the USA are investing in technologies such as electronic health records in order to collect, store and transfer information across boundaries of health care, public health and research. Health information brokers such as health care providers, public health departments and university researchers function as “access points” to manage relationships between the public and the health system. The relationship between the public and health information brokers is influenced by trust; and this relationship may predict the trust that the public has in the health system as a whole, which has implications for public trust in the system, and consequently, legitimacy of involved institutions, under circumstances of health information data sharing in the future. This paper aims to discuss these issues. Design/methodology/approach In this study, the authors aimed to examine characteristics of trustors (i.e. the public) that predict trust in health information brokers; and further, to identify the factors that influence trust in brokers that also predict system trust. The authors developed a survey that was administered to US respondents in 2014 using GfK’s nationally representative sample, with a final sample of 1,011 participants and conducted ordinary least squares regression for data analyses. Findings Results suggest that health care providers are the most trusted information brokers of those examined. Beliefs about medical deceptive behavior were negatively associated with trust in each of the information brokers examined; however, psychosocial factors were significantly associated with trust in brokers, suggesting that individual attitudes and beliefs are influential on trust in brokers. Positive views of information sharing and the expectation of benefits of information sharing for health outcomes and health care quality are associated with system trust. Originality/value This study suggests that demonstrating the benefits and value of information sharing could be beneficial for building public trust in the health system; however, trust in brokers of information are variable across the public; that is, knowledge, attitudes and beliefs are associated with the level of trust different individuals have in various health information brokers – suggesting that the need for a personalized approach to building trust.

scholarly journals Sports Medicine Staffing Across National Collegiate Athletic Association Division I, II, and III Schools: Evidence for the Medical Model

2020 ◽  
Vol 55 (6) ◽  
pp. 573-579 ◽  
Author(s):  
Christine M. Baugh ◽  
Emily Kroshus ◽  
Bailey L. Lanser ◽  
Tory R. Lindley ◽  
William P. Meehan
Keyword(s):  
Health Care ◽  
Health Outcomes ◽  
Health Care Providers ◽  
Sports Medicine ◽  
National Collegiate Athletic Association ◽  
Athletic Trainers ◽  
Full Time ◽  
Care Providers ◽  
Collegiate Sports ◽  
Financial Oversight

Context The ratio of clinicians to patients has been associated with health outcomes in many medical contexts but has not been explored in collegiate sports medicine. The relationship between administrative and financial oversight models and staffing is also unknown. Objective To (1) evaluate staffing patterns in National Collegiate Athletic Association sports medicine programs and (2) investigate whether staffing was associated with the division of competition, Power 5 conference status, administrative reporting structure (medical or athletic department), or financial structure (medical or athletic department). Design Cross-sectional study. Setting Collegiate sports medicine programs. Patients or Other Participants Representatives of 325 universities. Main Outcome Measure(s) A telephone survey was conducted during June and July 2015. Participants were asked questions regarding the presence and full-time equivalence of the health care providers on their sports medicine staff. The number of athletes per athletic trainer was determined. Results Responding sports medicine programs had 0.5 to 20 full-time equivalent staff athletic trainers (median = 4). Staff athletic trainers at participating schools cared for 21 to 525 athletes per clinician (median = 100). Both administrative and financial oversight from a medical department versus the athletics department was associated with improved staffing across multiple metrics. Staffing levels were associated with the division of competition; athletic trainers at Division I schools cared for fewer athletes than athletic trainers at Division II or III schools, on average. The support of graduate assistant and certified intern athletic trainers varied across the sample as did the contributions of nonphysician, nonathletic trainer health care providers. Conclusions In many health care settings, clinician : patient ratios are associated with patient health outcomes. We found systematic variations in clinician : patient ratios across National Collegiate Athletic Association divisions of competition and across medical versus athletics organizational models, raising the possibility that athletes' health outcomes vary across these contexts. Future researchers should evaluate the relationships between clinician : patient ratios and athletes' access to care, care provision, health care costs, health outcomes, and clinician job satisfaction.

The Industrial Organization of Health-Care Markets

2015 ◽  
Vol 53 (2) ◽  
pp. 235-284 ◽  
Author(s):  
Martin Gaynor ◽  
Kate Ho ◽  
Robert J. Town
Keyword(s):  
Health Care ◽  
Industrial Organization ◽  
Health Care Providers ◽  
Affordable Care Act ◽  
Health Care Spending ◽  
Health Care Markets ◽  
Care Providers ◽  
Patient Protection ◽  
The Impact ◽  
The U.S

The U.S. health-care sector is large and growing—health-care spending in 2011 amounted to $2.7 trillion and 18 percent of GDP. Approximately half of health-care output is allocated via markets. In this paper, we analyze the industrial organization literature on health-care markets, focusing on the impact of competition on price, quality, and treatment decisions for health-care providers and health insurers. We conclude with a discussion of research opportunities for industrial organization economists, including opportunities created by the U.S. Patient Protection and Affordable Care Act. (JEL J15, J24, J71, J81, K31)

Full Disclosure When Bad Things Happen

2007 ◽  
Vol 26 (2) ◽  
pp. 131-132 ◽  
Author(s):  
Sherri Lee Simons
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Providers ◽  
Health Care Systems ◽  
Institute Of Medicine ◽  
Care Providers ◽  
Full Disclosure ◽  
Care Systems

SINCE THE RELEASE OF THE Institute of Medicine report “To Err Is Human: Building a Safer Health System,” much attention has been focused on redesigning health care systems and implementing safer practices.1 At the same time, health care providers continue to grapple with the ways in which institutions and caregivers respond when preventable injuries occur.2–5

Sign in / Sign up

Export Citation Format

Share Document