Medicina Baseada em Valor

M-A | Eficácia da telerreabilitação na prática da fisioterapia.

10 Jun, 2021 | 08:57h

Effectiveness of Telerehabilitation in Physical Therapist Practice: An Umbrella and Mapping Review With Meta–Meta-Analysis – Physical Therapy & Rehabilitation Journal

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M-A | “Hospital em casa” para pacientes com doenças crônicas que se apresentam ao departamento de emergência – Em comparação com a internação hospitalar, há risco similar de mortalidade, menor risco de readmissão e de admissão de longo prazo, além de menores índices de depressão e ansiedade.

9 Jun, 2021 | 09:51h

Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis – JAMA Network Open

Comentário convidado: Hospitalization at Home for Patients With Acute Exacerbation of Chronic Disease—Further Evidence to Inform Practice – JAMA Network Open

Relacionado: Pandemic Boosts an Old Idea—Bringing Acute Care to the Patient E Randomized trial: Admission Avoidance Hospital at Home + Geriatric Assessment led to similar outcomes compared to hospital admission for older persons E Most COVID-19 patients receiving home-based hospital care did not require escalation to traditional hospital setting – Approximately 1 in 5 were admitted within 14 days. Higher oxygen saturation was associated with decreased odds of transfer, whereas higher comorbidity burden was associated with increased risk.

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Ponto de vista | Meta nacional para avançar na equidade de saúde por meio do pagamento baseado em valor.

7 Jun, 2021 | 10:14h

A National Goal to Advance Health Equity Through Value-Based Payment – JAMA

Relacionado: Report: Implementing high-quality primary care – “pay for primary care teams to care for people, not physicians to deliver services”.

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Médicos contam como aproveitar ao máximo as teleconsultas.

3 Jun, 2021 | 09:53h

Doctors Tell How to Make the Most of Your Telehealth Visits – Kaiser Health News

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Fornecer mais cuidados de baixo valor não eleva as avaliações positivas dos pacientes – “Novos estudos desafiam o conceito de que oferecer mais testes e procedimentos aos pacientes aumenta os índices de aprovação.”

31 Mai, 2021 | 12:08h

Providing more low-value care doesn’t lead to higher patient experience ratings – University of Chicago Medical Center

Estudo original: Association of Low-Value Care Exposure With Health Care Experience Ratings Among Patient Panels – JAMA Internal Medicine

 

Comentário no Twitter

New work led by @sanghavi_prachi w/ @A_Schwa & Alan Zaslavsky

We asked do PCPs w/ more wasteful practice patterns get better patient ratings?

Answer is no. No they don't

This should allay overblown concerns about pt experience measures leading us to satisfy patients to death https://t.co/cosXvLA6Ql

— Michael McWilliams (@JMichaelMcW) May 28, 2021

 

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Uso inteligente de recursos na pandemia de COVID-19: uma lista internacional de recomendações do Choosing Wisely.

24 Mai, 2021 | 10:59h

Using resources wisely in the COVID-19 pandemic: an international list of Choosing Wisely recommendations – Journal of Evidence-Based Healthcare

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Revisão sistemática: Pagamento por desempenho visando à melhora na prestação dos serviços de saúde em países de baixa e média rendas.

19 Mai, 2021 | 09:22h

Paying for performance to improve the delivery of health interventions in low‐ and middle‐income countries – Cochrane Library

Resumo: Paying for performance to improve the delivery of health interventions in LMICs

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Relatório: Implementação de cuidado primário de alta qualidade – “pague para equipes de cuidado primário cuidarem das pessoas, e não para médicos prestarem serviços.”

17 Mai, 2021 | 09:18h

Implementing High-Quality Primary Care: A Report From the National Academies of Sciences, Engineering, and Medicine – JAMA

Relatório original: Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care – National Academies of Sciences, Engineering, and Medicine

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Estudo: A presença de mais enfermeiros leva a menos mortes e readmissões de pacientes, estadia mais curta em hospitais e redução de custos.

13 Mai, 2021 | 10:10h

Comunicado de imprensa: More nurses lead to fewer patient deaths & readmissions, shorter hospital stays, and savings – The Lancet

Estudo original: Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals (necessário cadastro gratuito)

 

Comentário no Twitter

NEW—More nurses lead to fewer patient deaths and readmissions, shorter hospital stays, and cost-savings for hospitals, suggests study of recent Australian state policy to introduce a minimum ratio of one nurse to four patients for day shifts. Read https://t.co/zTZNt8viPU. pic.twitter.com/B812I0P6N2

— The Lancet (@TheLancet) May 12, 2021

 

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A maioria dos pacientes com COVID-19 em regime de “hospital em casa” não necessita de encaminhamento para internação hospitalar – Cerca de 1 em cada 5 desses casos são admitidos em 14 dias. Maior saturação de oxigênio está associada com redução das chances de transferência, assim como maior comorbidade está associada com risco aumentado.

12 Mai, 2021 | 10:24h

Most COVID-19 patients receiving home-based hospital care did not require escalation to traditional hospital setting – American College of Physicians

Estudo original: Factors Associated With Risk for Care Escalation Among Patients With COVID-19 Receiving Home-Based Hospital Care – Annals of Internal Medicine

Relacionado: Pandemic Boosts an Old Idea—Bringing Acute Care to the Patient

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