An evaluation of the effectiveness and cost effectiveness of audit and feedback and educational outreach in improving nursing practice and health care outcomes

2013 ◽  
Author(s):  
Franchie Cheater
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Nursing Practice ◽  
Audit And Feedback ◽  
Educational Outreach ◽  
Health Care Outcomes ◽  
Care Outcomes

Avarice, Inefficiency, and Inequality: An International Health Care Tale

1977 ◽  
Vol 7 (2) ◽  
pp. 179-190
Author(s):  
Alan Maynard
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Care Delivery ◽  
Medical Profession ◽  
International Health ◽  
West Germany ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
Health Care Delivery Systems ◽  
The Cost

The paper is concerned with impact of a medical profession, physicians, on the delivery of health care. The basic economic motivation of self-interest and avarice has led this profession to produce health care outcomes which are inequitable and inefficient. In the first section of the paper the regional geographical distribution of physicians in four disparate health systems—England, Ireland, France, and West Germany-is analyzed and found to be highly unequal. The next section is concerned with the efficacy of therapies and the cost-effectiveness of health care delivery systems in a variety of countries. The final section discusses how health care can be more equitably and more efficiently delivered. It is argued that both markets and bureaucracies are likely to be inadequate unless carefully monitored. In particular, there is a great need to investigate the cost-effectiveness of therapies and then persuade physicians, via pecuniary and nonpecuniary incentives, to behave in a manner which leads to more equitable and efficient health care outcomes.

Audit and feedback: effects on professional practice and health care outcomes

2006 ◽  
Author(s):  
Gro Jamtvedt ◽  
Jane M Young ◽  
Doris Tove Kristoffersen ◽  
Mary Ann O'Brien ◽  
Andrew D Oxman
Keyword(s):  
Health Care ◽  
Professional Practice ◽  
Audit And Feedback ◽  
Feedback Effects ◽  
Health Care Outcomes ◽  
Care Outcomes

Setting priorities in and for end-of-life care: challenges in the application of economic evaluation

2012 ◽  
Vol 7 (4) ◽  
pp. 431-439 ◽  
Author(s):  
CHARLES NORMAND
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
Short Time ◽  
Competition For Resources

AbstractHealth technology assessment processes aim to provide evidence on the effectiveness and cost-effectiveness of different elements of health care to assist setting priorities. There is a risk that services that are difficult to evaluate, and for which there is limited evidence on cost-effectiveness, may lose out in the competition for resources to those with better evidence. It is argued here that end-of-life care provides particular challenges for evaluation. Outcomes are difficult to measure, can take place over short time scales, and services can be difficult to characterise as they are tailored to the specific needs of individuals. Tools commonly used to measure health care outcomes do not appear to discriminate well in the end-of-life care context. It is argued that the assumption that units of time of different quality of life can simply be added to assess the overall experience at the end of life may not apply, and that alternative perspectives, such as the Peak and End Rule, might offer useful perspectives.

Audit and feedback: effects on professional practice and health care outcomes

2003 ◽  
Author(s):  
G Jamtvedt ◽  
JM Young ◽  
DT Kristoffersen ◽  
MA Thomson O'Brien ◽  
AD Oxman
Keyword(s):  
Health Care ◽  
Professional Practice ◽  
Audit And Feedback ◽  
Feedback Effects ◽  
Health Care Outcomes ◽  
Care Outcomes
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