Treatment variability is one of the factors that has been identified as a potential cause of lower healthcare quality.
In fact, much of medicine in the United States remains empirical today as the decision-making process relies more on the medical opinions of the providers and local supply of resources rather than evidence from clinical sciences.
this leads to wide practice variations and healthcare outcomes
One study investigating the quality of care in the United States found that Americans on average received only half of recommended medical care processes
The gap between clinical sciences and bedside medicine is quite substantial.
This practice variation, which is characterized by variation in adopting established effective care, variation in choosing preference-sensitive care, and variation in supply-sensitive care, is known as unwarranted variation
Thttps://books.google.com/books?id=NK80DwAAQBAJ&printsec=frontcover&dq=bunion&hl=en&sa=X&ved=0ahUKEwjG5JPD_MbbAhUGeawKHZtSDdsQ6AEILDAB#v=onepage&q&f=false
This has huge implications in both healthcare quality and financial burden to the healthcare system
healthcare system
. The abundance of unwarranted variations can be partly attributed to practice algorithms that are not supported by the current medical evidence but rather provider preference
. Many providers are more apt to trust their personal experiences and instincts over medical literature.
Contrary to popular belief that clinical experience leads to better patient care, a systematic review exploring the relationship between provider experience and quality of care found that providers who have been in practice for more years are less likely to adhere to appropriate standards of care and are correlated with poorer patient outcomes, suggesting the importance of adopting evidence-based medicine and quality assurance strategies in today's practice environment . ( This i think is true only in some cases)
. It is clear that our current levels of discrepancy in the treatment of "any disease"are simply too high. Inconsistency in healthcare can be costly and in many cases may compromise the patient's quality of life.
Koenig and Bozic [37] discussed the concept of value- based care related to orthopedic care. They "make the case that standardization Of care along evidence based guidelines is the most predictable pathway to enhancing value in healthcare." They conclude that care pathways can reduce process variation which will have the effect of increasing quality and reducing cost while at the same time reducing complications. There is well-known resistance by many providers to adopting evidence-based care planning and standardization of process citing the necessity for professional autonomy and the common misconception that evidence-based care planning is "cookbook medicine." However, there is a compelling body of literature that clearly indicates reduction in variation through consistency results in higher quality product
.
In fact, much of medicine in the United States remains empirical today as the decision-making process relies more on the medical opinions of the providers and local supply of resources rather than evidence from clinical sciences.
this leads to wide practice variations and healthcare outcomes
One study investigating the quality of care in the United States found that Americans on average received only half of recommended medical care processes
The gap between clinical sciences and bedside medicine is quite substantial.
This practice variation, which is characterized by variation in adopting established effective care, variation in choosing preference-sensitive care, and variation in supply-sensitive care, is known as unwarranted variation
Thttps://books.google.com/books?id=NK80DwAAQBAJ&printsec=frontcover&dq=bunion&hl=en&sa=X&ved=0ahUKEwjG5JPD_MbbAhUGeawKHZtSDdsQ6AEILDAB#v=onepage&q&f=false
This has huge implications in both healthcare quality and financial burden to the healthcare system
healthcare system
. The abundance of unwarranted variations can be partly attributed to practice algorithms that are not supported by the current medical evidence but rather provider preference
. Many providers are more apt to trust their personal experiences and instincts over medical literature.
Contrary to popular belief that clinical experience leads to better patient care, a systematic review exploring the relationship between provider experience and quality of care found that providers who have been in practice for more years are less likely to adhere to appropriate standards of care and are correlated with poorer patient outcomes, suggesting the importance of adopting evidence-based medicine and quality assurance strategies in today's practice environment . ( This i think is true only in some cases)
In order to improve quality Of care, it is widely accepted that first step should be taken to reduce practice variations
. It is clear that our current levels of discrepancy in the treatment of "any disease"are simply too high. Inconsistency in healthcare can be costly and in many cases may compromise the patient's quality of life.
Koenig and Bozic [37] discussed the concept of value- based care related to orthopedic care. They "make the case that standardization Of care along evidence based guidelines is the most predictable pathway to enhancing value in healthcare." They conclude that care pathways can reduce process variation which will have the effect of increasing quality and reducing cost while at the same time reducing complications. There is well-known resistance by many providers to adopting evidence-based care planning and standardization of process citing the necessity for professional autonomy and the common misconception that evidence-based care planning is "cookbook medicine." However, there is a compelling body of literature that clearly indicates reduction in variation through consistency results in higher quality product
.
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