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The document discusses efforts to reconfigure healthcare services in the northeastern part of Gothenburg, Sweden. Key points include:
1) Services were analyzed and redesigned based on data about high mortality rates and health needs of the population in the area.
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- The reform mandated that patients be offered a choice of 5 hospitals, rather than being referred only to their local hospital. Prices were also standardized across hospitals.
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2) Key statistics on health spending, surpluses/deficits, and debt are presented for Canada, as well as case studies of Ontario and Saskatchewan. Health spending growth slowed but outcomes did not suffer.
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Mamma mia proabastos
El documento detalla las entregas de materiales POP de la distribuidora Proabastos a varios clientes minoristas en diferentes sectores a través de los vendedores Jorge Lema, Rafael Merino y Dennis Maldonado. Se enumeran los nombres de los clientes minoristas y los sectores a los que se les realizaron entregas.
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The document discusses efforts to reconfigure healthcare services in the northeastern part of Gothenburg, Sweden. Key points include:
1) Services were analyzed and redesigned based on data about high mortality rates and health needs of the population in the area.
2) A new hospital was created with a vision of improving health by mobilizing the local community and through partnerships.
3) The hospital harnessed individuals and the community by involving them in various ways and redesigning processes and facilities to better meet their needs.
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- The document analyzes the impact of increased choice in the British National Health Service on the responsiveness of patient demand to hospital quality.
- It uses data on patients undergoing coronary artery bypass graft (CABG) surgery before and after a 2006 reform that expanded choice of hospitals.
- The reform mandated that patients be offered a choice of 5 hospitals, rather than being referred only to their local hospital. Prices were also standardized across hospitals.
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1) The document summarizes Canada's management of health spending during an economic downturn from 1990-1999. It describes rising debt burdens, experimentation with regionalization, and national reform efforts.
2) Key statistics on health spending, surpluses/deficits, and debt are presented for Canada, as well as case studies of Ontario and Saskatchewan. Health spending growth slowed but outcomes did not suffer.
3) The document analyzes the recession's impact on GDP, revenues, transfers and spending on hospitals/institutions. Provinces recorded an aggregate surplus in 1999-2000 despite debt burdens.
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The document discusses the New Zealand National Health Board and draws comparisons to reforms being considered in the UK National Health Service. It makes the following key points:
1) New Zealand has crafted complex governance arrangements for its health system despite its small population.
2) It is unclear what problem the National Health Board is intended to solve and whether it will make courageous national decisions about funding and planning.
3) Reforms in the UK should avoid simply creating a new board within the existing structure and using the same staff, and should make accountability and responsibilities absolutely clear.
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Dr Jennifer Dixon: Efficiency
1) The NHS faces a major financial challenge due to increasing demand and limited funding growth.
2) While the NHS is in better shape than before with improved quality, financial management and techniques, significant changes are still needed to address inefficiencies.
3) True efficiency gains will require moving beyond short-term cuts towards systems of coordinated and integrated care across health and social care using data to guide interventions and reduce costs.
Steve McDermott: Connecting the dots
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Field Briefing (Olivia Kotsifa) 2012
The document provides information about the FIELD module taking place over 10 weeks. It outlines that students will be placed into groups and given a brief to create a 2-minute video about Cardiff. Each group will explore the theme through collaborating and incorporating their different subject areas. Students have until Thursday at 3:30pm to submit their video project file. On Friday, the groups will present their videos and receive feedback from staff. The goal is for students to evaluate the same theme through different perspectives and for the final videos to have professional quality with titles, transitions, and credits.
Книги моей жизни
Презентация общероссийской акции «Книги моей жизни».
Соорганизаторы проекта — книжные магазины и библиотеки в Москве и регионах России. Стать соорганизатором и использовать ресурсы проекта в своей издательской деятельности, АСТ призывает любое книжное издательство, книги которого стали главными книгами жизни известных людей.
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Infective pentastomid larvae from Pygocentrus nattereri Kner (Pisces, Characidae), taxonomy and epidemiology,
Mark Zezza: Moving towards accountable care in the US
The document discusses how accountable care organizations (ACOs) help achieve the vision of health care reform under the Affordable Care Act. ACOs aim to clarify health care goals, foster care coordination and accountability, and align payment incentives with quality care. Early evidence shows ACOs in Medicare programs and private sector initiatives have improved quality measures and reduced costs. The document notes ACOs are one part of broader reform efforts through the Center for Medicare and Medicaid Innovation to test new payment and delivery models beyond ACOs alone.
Judith Smith: Integrated care: the route to system sclerosis or the future
This document discusses integrated care in the UK healthcare system. It notes that integrated care has long been discussed as a way to address divisions between health and social services that result in issues like lack of care coordination and patients falling through cracks. The document examines examples of integrated care models in the UK and other countries. It explores evidence that integrated care approaches may positively impact quality of care, though more evidence is still needed on their effects on outcomes and costs. The document questions whether fully integrated funding and delivery systems will lead to an overly rigid "system sclerosis" and argues the system needs more sophisticated care management processes across organizational boundaries.
Dr Judith Smith: The New Zealand national health board
The document discusses the New Zealand National Health Board and draws comparisons to reforms being considered in the UK National Health Service. It makes the following key points:
1) New Zealand has crafted complex governance arrangements for its health system despite its small population.
2) It is unclear what problem the National Health Board is intended to solve and whether it will make courageous national decisions about funding and planning.
3) Reforms in the UK should avoid simply creating a new board within the existing structure and using the same staff, and should make accountability and responsibilities absolutely clear.
Guadalinfo con las ampas "Guadalampas"
Este proyecto busca establecer una colaboración entre los centros Guadalinfo y las asociaciones de madres y padres de alumnos (AMPAs) en las provincias de Jaén para dotar a las AMPAs de herramientas digitales que les permitan una gestión más eficiente y moderna, fomentar la participación ciudadana y la inclusión digital. El proyecto ofrecerá formación en habilidades digitales a las juntas directivas de las AMPAs y creará una red de recursos educativos mediante un blog compartido.
Dr Jennifer Dixon: Efficiency
1) The NHS faces a major financial challenge due to increasing demand and limited funding growth.
2) While the NHS is in better shape than before with improved quality, financial management and techniques, significant changes are still needed to address inefficiencies.
3) True efficiency gains will require moving beyond short-term cuts towards systems of coordinated and integrated care across health and social care using data to guide interventions and reduce costs.
Steve McDermott: Connecting the dots
Hill Physicians Medical Group is a large independent practice association (IPA) in Northern California consisting of over 2,600 physicians. Through initiatives leveraging technology, clinical programs, and a pay for performance program, Hill Physicians aims to better coordinate care, control costs, and improve quality across its network of small, independent physician practices. The organization faces ongoing challenges in balancing physician autonomy with coordinated, population-based care through initiatives requiring physician collaboration and accountability.
Rebecca Rosen: Integrated care: Accelerating pace of change
This document summarizes the aims and agenda for a workshop on accelerating integration in the NHS. The workshop aims to understand experiences with integration, present preliminary findings from Nuffield Trust work, and test those findings. The document reviews the long history and overlapping terminology around integration efforts in the UK. Evidence suggests payer-provider and provider integration can improve partnerships and capacity but has mixed effects on outcomes and costs. Networks show improved communication and care provision but little evidence of improved outcomes or reduced costs. Large organized medical groups in the US achieve higher quality and lower mortality. The document outlines assumptions that integration and integrated care are distinct, that current initiatives share common goals, and that progress requires adapting to organizational and local contexts.
Sherry Glied: Health reforms in the OECD
The document summarizes health reforms in OECD countries. It finds that while systems share some commonalities like universal coverage and defined benefits packages, they vary in their organization and financing. All systems are struggling with providing value for money as health costs rise faster than incomes. The document also examines reforms in areas like physician roles, quality improvement, health IT, pharmaceutical policies, and innovations in countries like Sweden and the UK.
Session 4 Move those Muscles
This document discusses how exercising the muscles every day can help reverse insulin resistance and prevent diabetes. Regular physical activity makes the muscles better at using oxygen to burn fuel, which decreases how much insulin the pancreas needs to produce. Staying active helps the body's own insulin work more effectively at moving glucose into cells. The document also mentions metformin as a medication that can help for pre-diabetes and diabetes when blood sugar levels are not controlled through diet and exercise alone.
Sara Riggare:
Sara Riggare discusses patient involvement in healthcare. She presents a framework for understanding the different elements of patient and family engagement. The framework includes 4 domains: self-care, care, co-production, and policy. Riggare argues that involving patients in their own care as well as healthcare design, delivery and policy can improve health outcomes. However, meaningful engagement requires relationships of trust and respect between patients and providers.
Dr Judith Smith & Prof Chris Ham: Commissioning integrated care: insights fro...
The document summarizes research into how NHS commissioners in the UK were developing more integrated care. Case studies showed a range of approaches, including commissioning care pathways and holding budgets. Emerging themes included the importance of leadership, data infrastructure, and aligning incentives between primary and secondary care. The conclusion calls for more support of commissioning integrated care and experimenting with payment models to better incentivize integration.
Destaque (15)
Infective pentastomid larvae from Pygocentrus nattereri Kner
Infective pentastomid larvae from Pygocentrus nattereri Kner
Mark Zezza: Moving towards accountable care in the US
Mark Zezza: Moving towards accountable care in the US
Judith Smith: Integrated care: the route to system sclerosis or the future
Judith Smith: Integrated care: the route to system sclerosis or the future
Dr Judith Smith: The New Zealand national health board
Dr Judith Smith: The New Zealand national health board
Rebecca Rosen: Integrated care: Accelerating pace of change
Rebecca Rosen: Integrated care: Accelerating pace of change
Dr Judith Smith & Prof Chris Ham: Commissioning integrated care: insights fro...
Dr Judith Smith & Prof Chris Ham: Commissioning integrated care: insights fro...