Health Policy

Best care at lower cost : the path to continuously learning by Institute of Medicine, Committee on the Learning Health Care

By Institute of Medicine, Committee on the Learning Health Care System in America, J. Michael McGinnis, Leigh Stuckhardt, Robert Saunders, Mark Smith

"America's overall healthiness care procedure has turn into too advanced and dear to proceed company as traditional. most sensible Care at cheaper price explains that inefficiencies, an overpowering volume of information, and different financial and caliber boundaries prevent growth in bettering health and wellbeing and threaten the nation's financial balance and international competitiveness. in keeping with this file, the information and instruments exist to place the healthiness approach on the  Read more...

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Extra info for Best care at lower cost : the path to continuously learning health care in America

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Although 24 BEST CARE AT LOWER COST some of these initiatives may appeal to patient tastes, they do not achieve the true goals of patient-centered care and may increase costs while not directly addressing the patient’s needs, preferences, or goals most important to improving quality, health, and value. This report builds on the definition of patient-centered care offered in Crossing the Quality Chasm: “providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all decisions” (IOM, 2001a).

Beyond the increasing stores of biomedical and clinical knowledge, changes in disease prevalence and patient demographics have altered the landscape for care delivery. The prevalence of chronic conditions, for example, has increased over time. In 2000, 125 million people suffered from such conditions; by 2020, that number is projected to grow to an estimated 157 million (Anderson, 2010). The role of chronic diseases has changed as the demographics of the population have shifted. 5 times the rate of the rest of the population (Howden and Meyer, 2011).

Engaging Patients, Families, and Communities5 The structure, incentives, and culture of the health care system are poorly aligned to engage patients and respond to their needs. While clinicians supply information and advice based on their scientific expertise in treatment and intervention options, as well as potential outcomes, patients, their families, and other caregivers bring personal knowledge regarding the suitability—or lack thereof—of different treatments for the patient’s circumstances and preferences.

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