Linking Costs and Quality in Healthcare: Towards Sustainable Healthcare Systems; Comment on “Hospitals Bending the Cost Curve With Increased Quality: A Scoping Review Into Integrated Hospital Strategies”

Document Type : Commentary

Authors

Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands

Abstract

Organisation-wide studies in cost and quality of care are rare, and Wackers et al make a valuable contribution in synthesizing the literature on this issue. Their paper provides a good overview of initiatives and a list of factors that help in furthering organisation-wide change. The eleven factors they distill from the literate however remain rather abstract and more work needs to be done to contextualize the factors and the work that is needed to accomplish them and to see how they are aligned. Challenges in healthcare quality and costs moreover increasingly cross organizational boundaries and we need new methods to study and evaluate these.

Keywords

References

  1. Moleman M, Jerak-Zuiderent S, van de Bovenkamp H, Bal R, Zuiderent-Jerak T. Evidence-basing for quality improvement; bringing clinical practice guidelines closer to their promise of improving care practices. J Eval Clin Pract. 2022. doi:1111/jep.13659
  2. Steinmann G, van de Bovenkamp H, de Bont A, Delnoij D. Redefining value: a discourse analysis on value-based health care. BMC Health Serv Res. 2020;20(1):862. doi:1186/s12913-020-05614-7
  3. Wackers E, Stadhouders N, Heil A, Westert G, van Dulmen S, Jeurissen P. Hospitals bending the cost curve with increased quality: a scoping review into integrated hospital strategies. Int J Health Policy Manag. 2021. doi:34172/ijhpm.2021.168
  4. Tsing AL. On nonscalability: the living world is not amenable to precision-nested scales. Common Knowledge. 2012;18(3):505-524. doi:1215/0961754x-1630424
  5. Pfotenhauer S, Laurent B, Papageorgiou K, Stilgoe AJ. The politics of scaling. Soc Stud Sci. 2022;52(1):3-34. doi:1177/03063127211048945
  6. Dixon-Woods M, Bosk CL, Aveling EL, Goeschel CA, Pronovost PJ. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):167-205. doi:1111/j.1468-0009.2011.00625.x
  7. Bosk CL, Dixon-Woods M, Goeschel CA, Pronovost PJ. Reality check for checklists. Lancet. 2009;374(9688):444-445. doi:1016/s0140-6736(09)61440-9
  8. Aarts J, Koppel R. Implementation of computerized physician order entry in seven countries. Health Aff (Millwood). 2009;28(2):404-414. doi:1377/hlthaff.28.2.404
  9. van Pijkeren N, Wallenburg I, Bal R. Triage as an infrastructure of care: the intimate work of redistributing medical care in nursing homes. Sociol Health Illn. 2021;43(7):1682-1699. doi:1111/1467-9566.13353
  10. Jones L. The art and science of non-evaluation evaluation. J Health Serv Res Policy. 2018;23(4):262-267. doi:1177/1355819618779614
  11. May C. Agency and implementation: understanding the embedding of healthcare innovations in practice. Soc Sci Med. 2013;78:26-33. doi:1016/j.socscimed.2012.11.021
  12. Looman W, Struckmann V, Köppen J, et al. Drivers of successful implementation of integrated care for multi-morbidity: mechanisms identified in 17 case studies from 8 European countries. Soc Sci Med. 2021;277:113728. doi:1016/j.socscimed.2021.113728
  13. Schuurmans JJ, van Pijkeren N, Bal R, Wallenburg I. Regionalization in elderly care: what makes up a healthcare region? J Health Organ Manag. 2021;35(2):229-243. doi:1108/jhom-08-2020-0333
  14. Lorne C, McDonald R, Walshe K, Coleman A. Regional assemblage and the spatial reorganisation of health and care: the case of devolution in Greater Manchester, England. Sociol Health Illn. 2019;41(7):1236-1250. doi:1111/1467-9566.12867

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History

  • Receive Date: 13 June 2022
  • Revise Date: 14 July 2022
  • Accept Date: 19 July 2022
  • First Publish Date: 20 July 2022

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