Home Healthcare is a giant with feet of clay
Article
Licensed
Unlicensed Requires Authentication

Healthcare is a giant with feet of clay

  • Giovanni Barletta , Stefano Nesi , Simone Becciolini and Mario Plebani ORCID logo EMAIL logo
Published/Copyright: April 26, 2016

Abstract

There is an increasing emphasis on using cost-effectiveness analysis to achieve a higher value for the money invested in the healthcare, avoiding waste and unnecessary costs. The process for achieving a better use of available resources should include five steps: collecting data, developing indicators, evaluating evidence, making informed decisions, and considering consequences. Clinical laboratories represent a paradigmatic model to improve data collection in order to develop further steps of the improvement process. Here we describe the experience of the “e-Valuate” project, aiming to improve the collection of laboratory data to provide useful information that should be the foundation for all other steps of this improvement project.

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

References

1. Chaytor S, Staiger U. The future of Healthcare in Europe. https://www.ucl.ac.uk/public-policy/public-policy-briefings/FHE-print.pdf. Accessed 12 November, 2015.Search in Google Scholar

2. Report on health inequalities in the European Union. European Commission, ec.europa.eu/health/social.../docs/healthinequalitiesineu_2013_en.pdf. Accessed: 2 November 2015.Search in Google Scholar

3. Brody H. From and ethics of rationing to an ethics of waste avoidance. N Engl J Med 2012;366:1949–51.10.1056/NEJMp1203365Search in Google Scholar PubMed

4. Berwick DM, Hackbarth AD: Eliminating waste in US health care. J Am Med Assoc 2012;307:1513–6.10.1001/jama.2012.362Search in Google Scholar PubMed

5. Barletta G, Zaninotto M, Faggian D, Plebani M. Shop for quality or quantity? Volumes and costs in clinical laboratories. Clin Chem Lab Med 2013;51:295–301.10.1515/cclm-2012-0415Search in Google Scholar PubMed

6. Porter ME. What is value in HealthCare? N Engl J Med 2010; 363:2477–81.10.1056/NEJMp1011024Search in Google Scholar PubMed

7. Cooper R, Kaplan RS. Measure costs right: make the right decisions. Harvard Bus Rev 1988;66:96–103.Search in Google Scholar

8. Plebani M. Clinical laboratories: production industry or medical services? Clin Chem Lab Med 2015;53:995–1004.10.1515/cclm-2014-1007Search in Google Scholar PubMed

9. Graban M. Lean Hospitals: Improving quality, patient safety, and employee engagement, 2nd ed. New York: CRC Press, 2012.Search in Google Scholar

10. Kohn LT, Corrigan JM, Donaldson MS. (Institute of Medicine) To err is human: building a safer health system. Washington, DC: National Academy Press, 2000.Search in Google Scholar

11. Committee on the Learning Health Care System in America, Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Washington, DC: National Academy Press, 2012.Search in Google Scholar

Received: 2016-1-27
Accepted: 2016-3-10
Published Online: 2016-4-26
Published in Print: 2016-6-1

©2016 by De Gruyter

Downloaded on 21.9.2025 from https://www.degruyterbrill.com/document/doi/10.1515/dx-2016-0005/html
Scroll to top button