Gracias al Convenio de Colaboración AZ-CRES 2022 ofrecemos en abierto este tercer lanzamiento. Se origina en un rastreo de una cincuentena de revistas de las que se seleccionan las contribuciones más relevantes para la investigación en Economía de la Salud.

Esta entrega, titulada Utilización eficiente de los recursos, está basada en innovaciones/intervenciones para la reducción de:

1. Problemas en la prestación de la atención: Ejecución deficiente (calidad), no adopción de tratamientos evidence-based (infrautilización) o de prácticas efectivas.
    
2. Problemas en la coordinación de la atención: Demoras, retrasos diagnósticos, complicaciones, reingresos..., provocando que los pacientes queden atrapados en los agujeros de una atención fragmentada, especialmente en pacientes crónicos y complejos.
    
3. Sobreutilización: Tratamientos y pruebas diagnósticas que no beneficiarán a los pacientes (e.g. antibióticos, tranquilizantes, algunas cirugías, pruebas preoperatorias, revisiones, etc.)
    
4. Complejidad administrativa y rigidez burocrática: Desarrollo de normas y reglas ineficientes que consumen el tiempo del personal sanitario en actividades de valor escaso.
    
5. Fraude, abuso, mal gobierno: No solamente incluye el propio fraude, sino también los costes de vigilancia (que todos soportan por el abuso de unos cuantos) y, en el extremo, genera buena parte de los costes burocráticos.

Listado de revistas y artículos seleccionados

• American Journal of Public Health
  • Implementing Quality of Care Measures: Lessons from a Standardized Patient Study in Seven Provinces of China
• Annals of Internal Medicine
• Applied Health Economics and Health Policy
  • Financing and Reimbursement Models for Personalised Medicine: A Systematic Review to Identify Current Models and Future Options 
• Atención Primaria
  • Historia clínica y receta electrónica: riesgos y beneficios detectados desde su implantación. Diseño, despliegue y usos seguros
  • A safe use of medications in Primary Care, in COVID-19 pandemic as well
  • Oferta de servicios de atención farmacéutica: clave para un nuevo modelo de servicios de salud
  • Current situation of children with medical complexity: An experience between primary and hospital care
• British Medical Journal (BMJ)
• Canadian Medical Association Journal
  • Artificial intelligence in colorectal cancer screening
  • Revisiting the concept of urgency in surgical prioritization and addressing backlogs in elective surgery provision
• Cancer Discovery
• Circulation
  • The Cardiovascular Quality Improvement and Care Innovation Consortium
• Clinical Pharmacology & Therapeutics
• Cochrane Library
• Diabetes Care
  • Prevention or Delay of Type 2 Diabetes and Associated Comorbidities: Standards of Medical Care in Diabetes
• EMBO Journal
• Epidemiology
• European Journal of Health Economics
  • Can competition improve hospital quality of care? A difference-in-differences approach to evaluate the effect of increasing quality transparency on hospital quality
  • Value-based pricing for advanced therapy medicinal products: emerging affordability solutions
• European Journal of Hospital Pharmacy. Science and Practice
  • Statin overuse? Evaluation of statin initiation for primary prevention during hospitalisation between two neighbouring countries in europe in high-risk patients
  • STOPP and START screening tools as supplements to the pharmaceutical medicines review
• European Journal of Public Health
• Gaceta Sanitaria
• Health Affairs
  • Medicare And Telehealth: Delivering On Innovation's Promise For Equity, Quality, Access, And Sustainability
  • Understanding 'Evergreening': Making Minor Modifications Of Existing Medications To Extend Protection
  • Comprehensive Primary Care Plus Did Not Improve Quality Or Lower Spending For The Privately Insured
  • Diabetes And The Fragmented State Of US Health Care And Policy
  • Reducing Disparities In Telemedicine: An Equity-Focused, Public Health Approach
  • Modernizing Diabetes Care Quality Measures
• Health Economics
  • The effects of multi-disciplinary integrated care on healthcare utilization: Evidence from a natural experiment in the UK
  • Incentives to implement personalized medicine under second-best pricing
• Health Economics Review
  • Health system efficiency in OECD countries: dynamic network DEA approach
• Health Economics, Policy and Law
  • Impact on the NHS and health of the UK's trade and cooperation relationship with the EU, and beyond
  • The forgotten dimension of integrated care: barriers to implementing integrated clinical care in English NHS hospitals
• Health Services Research
  • Five-year impact of Medicare Part D coverage gap reform on drug expenditures and utilization
  • Strategies for sustaining high-quality pediatric asthma care in community hospitals
  • Dually-enrolled patients choose providers with lower wait times: Budgetary implications for the VHA
• International Journal of Technology Assessment in Health Care
  • Bridging The Gap Of Health Services During The COVID-19 Pandemic Through Telemedicine
  • Informing The Development And Evaluation Of An Evidence-Based Service Delivery Model For Mental Health Patients With Complex Needs
  • Using discrete-choice experiments to elicit preferences for digital wearable health technology for self-management of chronic kidney disease
  • Bridging health technology assessment and healthcare quality improvement using international consortium of health outcomes measurement standard sets
• International Journal on Quality in Health Care
• Journal of American Medical Association (JAMA)/ JAMA Oncology
  • Effect of a Comprehensive Telehealth Intervention vs Telemonitoring and Care Coordination in Patients With Persistently Poor Type 2 Diabetes Control
  • Effect of Care Coordination Using an Allied Health Liaison Officer for Chronic Noncomplex Medical Conditions in Children
  • Overuse and Underuse of Health Care: New Insights From Economics and Machine Learning
  • Reducing Low-Value Care and Improving Health Care Value
  • Reducing Administrative Waste in the US Health Care System
• Journal of Clinical Epidemiology
  • Health items with a novel patient-centered approach provided information for preference-based transplant outcome measure
  • A novel methodological framework was described for detecting and quantifying overdiagnosis
• Journal of Clinical Oncology
  • Care Fragmentation, Faulty Communication, and Documentation Lapses Derail a Treatment Plan
  • Innovative Methodology for Strengthening a Multidisciplinary Team Approach in Cities in Low- and Middle-Income Countries
  • Biomarkers for Systemic Therapy in Metastatic Breast Cancer: ASCO Guideline Update
  • Integrative Medicine for Pain Management in Oncology: Society for Integrative Oncology–ASCO Guideline
• Journal of Comparative Effectiveness Research
• Journal of Epidemiology & Community Health
• Journal of General Internal Medicine
  • Characterizing the Relationship Between Payer Mix and Diagnostic Intensity at the Hospital Level
  • Quality of Antibiotic Prescribing in a Large Direct-to-Patient Telehealth Program: an Observational Study
  • Implementation of an Intensive Telehealth Intervention for Rural Patients with Clinic-Refractory Diabetes
  • Patient-Reported Care Coordination is Associated with Better Performance on Clinical Care Measures
  • The Effectiveness of a Specialized Primary Care Medical Home for Patients with Serious Mental Illness
  • Teaming in Interdisciplinary Chronic Pain Management Interventions in Primary Care: a Systematic Review of Randomized Controlled Trials
• Journal of Health Economics
  • Quality provision in hospital markets with demand inertia: The role of patient expectations
  • Investment and quality competition in healthcare markets
  • Hospital Pricing Following Integration with Physician Practices
  • Deterrence effects of antifraud and abuse enforcement in health care
• Journal of Healthcare Quality Research
  • The difficult resilience of the Spanish national health system in the XXI century: decentralization, austerity, and pandemics
  • ¿Cómo mejorar la calidad de los servicios de salud y la seguridad del paciente adoptando estrategias del sector de la aviación?
  • Assessing a care programme for complex and advanced chronic patients: Use of resources and costs
  • Quality improvement project to improve providers’ goal-setting activity for chronic disease self-management
• Journal of Public Health
• The Lancet
  • Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage
• Medical Decision Making
• Medicina Clínica
• Nature
• New England Journal of Medicine
• Pharmacoeconomics
  • Overuse of diagnostic testing in healthcare: a systematic review
  • Overdiagnosis and overuse of diagnostic and screening tests in low-income and middle-income countries: a scoping review
  • How to Reduce Antibiotic Overuse in Patients With COPD
  • Screening for Medication Overuse Headache Can Reduce Patients' Suffering From Chronic Daily Headache: A Case Report
  • Development and pilot testing of EHR-nudges to reduce overuse in older primary care patients
  • Antibiotic Overuse and Stewardship at Hospital Discharge: The Reducing Overuse of Antibiotics at Discharge Home Framework
  • Management of medication overuse (MO) and medication overuse headache (MOH) S1 guideline
• Plos Medicine
  • Cesarean section: More than a maternal health issue
• Precision and Future Medicine
  • Determination of cutoff values for biomarkers in clinical studies
• Revista Española de Salud Pública
• Revista Española Economía de la Salud
  • PERTE para la Salud de Vanguardia: el horizonte hacia el que camina la sanidad en España
• Social Science & Medicine
  • Doing more with less - How frugal innovations can contribute to improving healthcare systems
  • Innovation in health care through information technology (IT): The role of incentives
• The Office of Health Economics
• Therapeutics and Clinical Risk Management
• Value in Health
  • PCN120 Clinical and Economic Consequences of Delayed Care Due to the COVID-19 Pandemic- Focus on Mammograms and Breast Cancer
  • Value of Reducing Wait Times for Chimeric Antigen Receptor T-Cell Treatment: Evidence From Randomized Controlled Trial Data on Tisagenlecleucel for Diffuse Large B-Cell Lymphoma
  • Pilot Testing a Web-Based Mobile App Designed to Increase Communication and Care Coordination Among Patients, Physicians and Pharmacists
• Institute for Clinical and Economic Review (ICER)
• National Institure for Care and Excellence (NICE)
• Extra
  • The Value of Less: Improving Patient Care by Reducing Unnecessary Procedures
  • Combating Health Care Fraud and Abuse: Conceptualization and Prototyping Study of a Blockchain Antifraud Framework
  • Antibiotic Overuse and Stewardship at Hospital Discharge: The Reducing Overuse of Antibiotics at Discharge Home Framework
  • Reduction of hospital readmissions
  • What is in a form? Examining the complexity of application forms and administrative burden
  • Integration or Fragmentation of Health Care? Examining Policies and Politics in a Belgian Case Study
  • Methods to Reduce Medical Over-Testing of Patients
  • Reducing unnecessary red blood cell transfusion in hospitalised patients