Redefining Health: The Evolution of Health Ideas from Antiquity to the Era of Value-Based Care&#x0D;
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Badash, Ido; Kleinman, Nicole P; Barr, Stephanie; Jang, Julie K.; Rahman, Suraiya Abdul; Wu, Brian

doi:10.7759/cureus.1018

Cited by 29 publications

(17 citation statements)

References 23 publications

(30 reference statements)

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“…Health care in the United States is continuing to evolve toward a value-based system in which compensation is increasingly driven by patient-centered clinical outcomes. 1 This requires defining clinical value and justifying costs of clinical interventions, particularly in areas such as orthopaedic surgery. Although traditional clinician-mediated measures of patient symptoms and outcomes such as clinical examination and radiographic results provide valuable information, they do not directly measure a patient's concerns and symptom burden.…”

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confidence: 99%

Integration of Patient-reported Outcomes in a Total Joint Arthroplasty Program at a High-volume Academic Medical Center

et al. 2020

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Introduction: Despite widely appreciated barriers to successful clinical implementation, the literature regarding how to operationalize electronic health record-integrated patient-reported outcomes (PROs) remains sparse. We offer a detailed summary of the implementation of PROs into the standard of care at a major tertiary academic medical center. Methods: Collection of four Patient-Reported Outcomes Measurement Information System computer adaptive tests was piloted in a large academic orthopaedic surgery ambulatory clinic starting in October 2016. The Patient-Reported Outcomes Measurement Information System computer adaptive tests (Physical Function, Pain Intensity, Pain Interference, and Ability to Return to Social Roles and Activities) were initially implemented as manual order sets to be administered before surgery through 2 years after surgery. Completion rate over time, mean time to completion for all PRO domains, and the overall distribution of symptom severity were used to evaluate the success of the pilot. A subsequent optimization and redesign of the pilot was conducted using tablets, automation of questionnaire deployment, and improved results review to address obstacles encountered during the pilot phase. Results: Two thousand nine distinct joint arthroplasty patients (mean age = 65) completed at least one set of PRO assessments, with overall completion rates reaching 68% and mean completion time of 3 minutes. Focal points during the implementation process included engagement and training of staff, selection of an appropriate patient population and outcome measures, and user friendly data displays for patients and providers. Conclusion: Our pilot program successfully demonstrated that PROs can be administered, scored, and made immediately available within the electronic health record to patients and their providers with minimal disruption of clinical workflows. Although considerable operational and technological challenges remain, we found that the implementation of PROs in clinical care within an ambulatory practice at an academic medical center can be achieved through a constellation of several key factors.

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confidence: 99%

Integration of Patient-reported Outcomes in a Total Joint Arthroplasty Program at a High-volume Academic Medical Center

et al. 2020

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“…In this regard, it is necessary to say that bioadhesive biomaterial applications in healthcare deliver quality health through integrated and technologically sophisticated heath care delivery systems. Modern healthcare also has four main principles, including the following: (i) evidence-based, patients-centered and inclusive care; (ii) community, continuous and coordinated; (iii) being ethically sound and (iv) having a regulated healthcare system [ 100 , 101 , 102 , 103 ]. This review article intends to describe in Figure 3 the contemporary understanding of the significance of bioadhesive biomaterials for biomedical applications in healthcare for redefining healthcare management as a novel approach.…”

Section: Redefining Healthcare Management In Relation To Bioadhesimentioning

confidence: 99%

Polymer Based Bioadhesive Biomaterials for Medical Application—A Perspective of Redefining Healthcare System Management

Saha

Sáha

et al. 2020

Polymers

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This article deliberates about the importance of polymer-based bioadhesive biomaterials’ medical application in healthcare and in redefining healthcare management. Nowadays, the application of bioadhesion in the health sector is one of the great interests for various researchers, due to recent advances in their formulation development. Actually, this area of study is considered as an active multidisciplinary research approach, where engineers, scientists (including chemists, physicists, biologists, and medical experts), material producers and manufacturers combine their knowledge in order to provide better healthcare. Moreover, while discussing the implications of value-based healthcare, it is necessary to mention that health comprises three main domains, namely, physical, mental, and social health, which not only prioritize the quality healthcare, but also enable us to measure the outcomes of medical interventions. In addition, this conceptual article provides an understanding of the consequences of the natural or synthetic polymer-based bioadhesion of biomaterials, and its significance for redefining healthcare management as a novel approach. Furthermore, the research assumptions highlight that the quality healthcare concept has recently become a burning topic, wherein healthcare service providers, private research institutes, government authorities, public service boards, associations and academics have taken the initiative to restructure the healthcare system to create value for patients and increase their satisfaction, and lead ultimately to a healthier society.

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“…The definition of what means to be healthy has evolved many times since the early days of mankind reflecting beliefs and medical knowledge [ 4 ]. The journey from medical Egyptian papyri to the rod of Asclepius, from Hippocrates to Galen, brought us to the 1948 World Health Organisation (WHO) definition of health as “a state of complete physical, mental and social well-being, not merely the absence of infirmity or disease”.…”

Section: Introductionmentioning

confidence: 99%

The United States Health Care System is Sick: From Adam Smith to Overspecialization

Anderlini

2018

Cureus

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The United States (US) health care system is sick. High cost affects the nation and the people. The poor outcomes mainly impact the patients. If we do not fix it, the system will implode because of the unsustainable economic burden.The choice to shape the health care system on the “pin factory” model described by Adam Smith is the cause of the failure. The key players in the health care system are accordingly molded.Many factors tightly intertwined need to be addressed. Medical education, the role of family doctor, the overspecialization and, not least, the translation of discoveries into clinical practice are among them.The failure of the US health care system is a complex and multi-factorial issue which requires a global approach.

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Redefining Health: The Evolution of Health Ideas from Antiquity to the Era of Value-Based Care

Cited by 29 publications

References 23 publications

Integration of Patient-reported Outcomes in a Total Joint Arthroplasty Program at a High-volume Academic Medical Center

Integration of Patient-reported Outcomes in a Total Joint Arthroplasty Program at a High-volume Academic Medical Center

Polymer Based Bioadhesive Biomaterials for Medical Application—A Perspective of Redefining Healthcare System Management

The United States Health Care System is Sick: From Adam Smith to Overspecialization

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