Achieving the Quadruple Aim to deliver value-based allergy care in an ever-evolving health care system

Iglesia, Edward G.A.; Greenhawt, Matthew; Shaker, Marcus

doi:10.1016/j.anai.2020.04.007

Cited by 17 publications

(3 citation statements)

References 53 publications

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“…To guide health systems to accomplish high-quality, value-based care, the Quadruple Aim serves as a guiding principle. The four elements to focus on are improving patient experience, improving health of populations, reducing cost of care, and improving provider experience ( Cattel & Eijkenaar, 2020 ; Iglesia et al, 2020 ). To contribute to the evidence on the effectiveness of VBP models, this review focuses not only on factors that enhance these models in any of the four focus elements of the Quadruple Aim but also on hindering factors that should be avoided.…”

Section: Introductionmentioning

confidence: 99%

Facilitating and Inhibiting Factors in the Design, Implementation, and Applicability of Value-Based Payment Models: A Systematic Literature Review

et al. 2023

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Evidence on the potential for value-based payment models to improve quality of care and ensure more efficient outcomes is limited and mixed. We aim to identify the factors that enhance or inhibit the design, implementation, and application of these models through a systematic literature review. We used the PRISMA guidelines. The facilitating and inhibiting factors were divided into subcategories according to a theoretical framework. We included 143 publications, each reporting multiple factors. Facilitators on objectives and strategies, such as realistic/achievable targets, are reported in 56 studies. Barriers regarding dedicated time and resources (e.g., an excessive amount of time for improvements to manifest) are reported in 25 studies. Consensus within the network regarding objectives and strategies, trust, and good coordination is essential. Health care staff needs to be kept motivated, well-informed, and actively involved. In addition, stakeholders should manage expectations regarding when results are expected to be achieved.

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Section: Introductionmentioning

confidence: 99%

Facilitating and Inhibiting Factors in the Design, Implementation, and Applicability of Value-Based Payment Models: A Systematic Literature Review

et al. 2023

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“…The Quadruple Aim of health care is directed toward the aspirational goal of improving (i) the patient experience and (ii) the health of populations while (iii) reducing the cost of care and (iv) facilitating HCP wellness and preventing burnout. 61 Dimensions of wellness include emotional, spiritual, intellectual, social, physical, environmental, financial, and occupational dimensions. 62 The classic features of burnout include exhaustion, feeling a lack of personal accomplishment, and depersonalization.…”

Section: Communicating Riskmentioning

confidence: 99%

Shared decision-making, communicating risk, and food allergy in 2023

Shaker

2023

Journal of Food Allergy

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Background: Across the practice of allergy and clinical immunology, disruptive innovations have accelerated the adoption of shared decision-making (SDM) to improve the health of patients and populations, particularly with regard to food allergy prevention and management of food allergy and anaphylaxis. Methods: A narrative review was performed to describe recent innovations in shared decision-making, risk communication, and food allergy. Results: Several challenges, primarily related to the coronavirus disease 2019 (COVID-19) pandemic and misinformation campaigns, have catalyzed adaptations to evolve clinical care. Recent pressures have facilitated the rapid adoption of telemedicine. In 2023, many allergist/immunologists routinely incorporate both in-person and virtual visits to contextually deliver value-based care to each patient. SDM may occur in a hybrid model that incorporates both in-person and virtual encounters, with many patients experiencing benefit from a combination approach. This may be facilitated by leveraging previsit web-based SDM tools. Whether in person or by telemedicine, effective risk communication to avoid cognitive overload while appreciating population variation in numeracy is key to competent implementation of SDM. Misinformation continues to disproportionately harm patients who belong to groups that encourage denial of evidence-based medical recommendations and COVID-19 vaccination intent correlating with sociopolitical factors. Still, strategies to address misinformation that leverage empathy, respect, and expertise can help to mitigate these effects. Physician wellness is a key component to realization of the Quadruple Aim of health care, and the use of positive framing and appreciative inquiry can help to optimize outcomes and improve value in health care. Conclusion: SDM is an important component to consider when incorporating recent innovations in allergy and clinical immunology care, particularly in the setting of contextual and conditional medical recommendations. Effective risk communication is critical to SDM that is truly reflective of patient goals and preferences, and can be facilitated through in-person encounters, telemedicine, and hybrid models. It is important to foster physician wellness as a component of the Quadruple Aim, particularly in the recent pandemic climate of misinformation and denial of evidence-based medicine within large groups of society.

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“…According to Lowe (2018), value-based healthcare performance can be measured as the meaningful patient outcomes per dollar spent and providers should focus on improving efficiency by doing more high-value activities, thereby improving outcomes. In some recent publications on value-based healthcare, scholars include more elements, such as an improved population's health and needs of healthcare providers for assessing value-based healthcare performance (Bachynsky, 2020;Bodenheimer & Sinsky, 2014;Iglesia et al, 2020). Authors argue that value-based healthcare performance should improve the patient and healthcare provider experience, the health of the population and increase the effectiveness of care.…”

Section: Introductionmentioning

confidence: 99%

Role of Cultural Dimensions and Dynamic Capabilities in the Value-based Performance of Digital Healthcare Services

Sermontyte-Baniule

Pundzienė

Giménez

et al. 2022

Technological Forecasting and Social Change

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Achieving the Quadruple Aim to deliver value-based allergy care in an ever-evolving health care system

Cited by 17 publications

References 53 publications

Facilitating and Inhibiting Factors in the Design, Implementation, and Applicability of Value-Based Payment Models: A Systematic Literature Review

Facilitating and Inhibiting Factors in the Design, Implementation, and Applicability of Value-Based Payment Models: A Systematic Literature Review

Shared decision-making, communicating risk, and food allergy in 2023

Role of Cultural Dimensions and Dynamic Capabilities in the Value-based Performance of Digital Healthcare Services

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