culture

10 05, 2019

Paper of the Week: 10th May 2019: Better payment systems can support, but not replace, culture change

2019-05-10T08:24:07+00:00

  Full reference: Maryland’s Experiment With Capitated Payments For Rural Hospitals: Large Reductions In Hospital-Based Care. Jesse M. Pines, Sonal Vats, Mark S. Zocchi, Bernard Black. (2019) HEALTH AFFAIRS . Vol. 38, NO. 4 Link to Paper This week’s blog is brought to you by: Dr Tim Wilson, Managing Director Authors conclusion Inpatient admissions and outpatient services fell sharply at [study] hospitals, increasingly so over the period that [capitated payment] was in effect. Emergency department (ED) admission rates declined 12 percent, direct (non-ED) admissions fell 23 percent, ambulatory surgery center visits fell 45 percent, and outpatient clinic visits and services fell 40 percent. However, for residents of [capitated payment] counties, visits to all Maryland hospitals fell by lesser amounts and Medicare spending increased, [...]

Paper of the Week: 10th May 2019: Better payment systems can support, but not replace, culture change2019-05-10T08:24:07+00:00
17 10, 2018

Paper of the week 17.10.18: Trying to convince people to poo in toilets – what the NHS needs to learn

2018-10-17T11:45:26+00:00

Reference: Rural Sanitation in India: The Poo Party This weeks paper of the week is brought to you by Dr Anant Jani, 3V Executive Director. Bottom line “Transforming the behavioral norms of rural populations is a particularly challenging task, and it will only work if rural communities change from within…much depends on the extent to which civil society takes up the call, and whether and how the government pitches in to sensitize and support the fight….The other half of the challenge is uprooting deep-seated beliefs and taboos…Success will require long-term campaigns to spread awareness, the development of regionally contextualized innovations, focus-group discussions, and women’s empowerment.” Implications for value improvement  Getting people to change is not easy.  Habits, beliefs and [...]

Paper of the week 17.10.18: Trying to convince people to poo in toilets – what the NHS needs to learn2018-10-17T11:45:26+00:00
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