Tuesday, 16 September 2014

Do large-scale hospital and system-wide interventions improve patient outcomes

"Common findings show the difficulty of introducing large-scale interventions, and that effective leadership and clinical champions, adequate financial and educational resources, and dedicated promotional activities appear to be common factors in successful system-wide change."

Do large-scale hospital and system-wide interventions improve patient outcomes: a systematic review
R Clay-Williams, H Nosrati, FC Cunningham, K Hillman, J Braithwaite
BMC Health Services Research 2014, 14:369

Read more here.

Hospital discharge of the elderly - functions, variability and performance-shaping factors

"Precision issues related to (1) decision-making criteria concerning the medical fitness decision and appropriate level of care, (2) quality of discharge planning, (3) degree of patient involvement, and (4) quality of information transfer."

Hospital discharge of the elderly-an observational case study of functions, variability and performance-shaping factors
K Laugaland, K Aase, J Waring
BMC Health Services Research 2014, 14:365

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Prioritising health service innovation investments using public preferences

"Discrete choice approaches can help policy makers, those designing innovations, and decision-makers in health services make more of the public’s views on how services invest their money."

Prioritising health service innovation investments using public preferences: a discrete choice experiment
S Erdem, C Thompson
BMC Health Services Research 2014, 14:360

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Quality care outcomes following transitional care interventions for older people from hospital to home

"Gaps in the evidence base were apparent in the quality domains of timeliness, equity, efficiencies for community providers, effectiveness/symptom management, and domains of person and family centred care. Further research that involves the person and their family/caregiver in transitional care interventions is needed."

Quality care outcomes following transitional care interventions for older people from hospital to home: a systematic review
J Allen, AM Hutchinson, R Brown, PM Livingston
BMC Health Services Research 2014, 14:346

Read more here.

Monday, 15 September 2014

A new settlement for health and social care

"A new settlement is needed for health and social care in England that breaks down the historic divide between the two systems and provides a much simpler path through the current maze of health and social care."

A new settlement for health and social care: Final report
K Barker
The King's Fund
September 2014

Read more here.

Dyspepsia/GORD: clinical audit and costing statement

NICE have released a clinical audit tool and a costing statement for the treatment of dyspepsia and gastro‑oesophageal reflux disease to be used alongside their guidance documentation:

CG184 Dyspepsia/GORD: costing statement
CG184 Dyspepsia/GORD: clinical audit tools

Multiple sclerosis (relapsing remitting) - dimethyl fumarate: costing report

"The costing template can be used by health communities to assess the local impact of implementing the recommendations, based on the local population. The national assumptions used in the template can be altered to reflect local circumstances."

TA320 Multiple sclerosis (relapsing remitting) - dimethyl fumarate: costing report
NICE
August 2014

Read more here.