نتایج جستجو برای: Disinvestment

تعداد نتایج: 265  

Journal: :Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research 2017
James D Chambers Mark N Salem Brittany N D'Cruz Prasun Subedi Sachin J Kamal-Bahl Peter J Neumann

BACKGROUND Disinvesting in low-value health care services provides opportunities for investment in higher value care and thus an increase in health care efficiency. OBJECTIVES To identify international experience with disinvestment initiatives and to review empirical analyses of disinvestment initiatives. METHODS We performed a literature search using the PubMed database to identify interna...

2017
Claire Harris Sally Green Wayne Ramsey Kelly Allen Richard King

BACKGROUND This is the ninth in a series of papers reporting a program of Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. The disinvestment literature has broadened considerably over the past decade; however there is a significant gap regarding systematic, integrated, organisation-wide approaches. This debate paper presents a discussion o...

2015
S Peiró

Objectives. Beyond the current economic crisis, the Spanish National Health System (SNHS) has a problem of long-term sustainability that has its roots in changes in the morbidity patterns with the onset of chronic diseases and the acceleration of technological change, and with the rapid incorporation of new and expensive technologies. The aim of this paper is to explore the role of low value te...

2017
Claire Harris Kelly Allen Vanessa Brooke Tim Dyer Cara Waller Richard King Wayne Ramsey Duncan Mortimer

BACKGROUND This is the sixth in a series of papers reporting Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. The SHARE program was established to investigate a systematic, integrated, evidence-based approach to disinvestment within a large Australian health service. This paper describes the methods employed in undertaking pilot disinvestm...

2017
Claire Harris Kelly Allen Richard King Wayne Ramsey Cate Kelly Malar Thiagarajan

BACKGROUND This is the second in a series of papers reporting a program of Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. Rising healthcare costs, continuing advances in health technologies and recognition of ineffective practices and systematic waste are driving disinvestment of health technologies and clinical practices that offer litt...

2010
Duncan Mortimer

BACKGROUND Remarkable progress has been made over the past 40 years in developing rational, evidence-based mechanisms for the allocation of health resources. Much of this progress has centred on mechanisms for commissioning new medical devices and pharmaceuticals. The attention of fund-managers and policy-makers is only now turning towards development of mechanisms for decommissioning, disinves...

Journal: :Australian health review : a publication of the Australian Hospital Association 2012
Marion Haas Jane Hall Rosalie Viney Gisselle Gallego

Healthcare technology is a two-edged sword - it offers new and better treatment to a wider range of people and, at the same time, is a major driver of increasing costs in health systems. Many countries have developed sophisticated systems of health technology assessment (HTA) to inform decisions about new investments in new healthcare interventions. In this paper, we question whether HTA is als...

Journal: :Australia and New Zealand Health Policy 2007
Adam G Elshaug Janet E Hiller Sean R Tunis John R Moss

BACKGROUND Internationally, many health care interventions were diffused prior to the standard use of assessments of safety, effectiveness and cost-effectiveness. Disinvestment from ineffective or inappropriately applied practices is a growing priority for health care systems for reasons of improved quality of care and sustainability of resource allocation. In this paper we examine key challeng...

Background Disinvestment from inefficient health services may be a potential solution to rising healthcare costs, but there has been poor uptake of disinvestment recommendations. This Australian study aims to understand how health professionals react when confronted with a plan to disinvest from a health service they previously provided to their patients.   Methods This ...

2017
Claire Harris Sally Green Adam G Elshaug

BACKGROUND This is the tenth in a series of papers reporting a program of Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. After more than a decade of research, there is little published evidence of active and successful disinvestment. The paucity of frameworks, methods and tools is reported to be a factor in the lack of success. However t...

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