Policy makers and providers are under increasing pressure to find innovative approaches to achieving better health outcomes as efficiently as possible. Accountable care, which holds providers accountable for results rather than specific services, is emerging in many countries to support such care innovations. However, these reforms are challenging and complex to implement, requiring significant policy and delivery changes. Despite global interest, the evidence on how to implement accountable care successfully remains limited. To improve the evidence base and increase the likelihood of success, we applied a comprehensive framework for assessing accountable care implementation to three promising reforms outside the United States. The framework relates accountable care policy reforms to the competencies of health care organizations and their health policy environments to facilitate qualitative comparisons of innovations and factors that influence success. We present emerging lessons to guide future implementation and evaluation of accountable care reforms to improve access to and the quality and affordability of care.
The aim of the work was to determine the impact of addition of transglutaminase (TGase), soy and whey protein on physicochemical and sensory properties of gluten-free breads. Samples were produced from concentrates consist of 7% of soy or whey protein. TGase was added in amount of 1, and 10 U/g of protein. Following features have been marked for each gluten-free bread sample: specific mass, specific volume, crumb porosity, moisture and crumb hardness. One observed that more valuable changes have been observed for the samples with soy protein; in particular, addition of 1U/g of TGase to gluten-free breads with soy or whey protein improves several physicochemical and sensory features of gluten-free breads. An impact of TGase into quality of gluten-free breads depends on the type of proteins that has been used. Samples with addition of 1U TGase were better assessed by consumers in comparison with other analyzed samples.
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