Clinical Outcomes Role in The Healthcare Industry, The Complexity of Procurement and Applied Implications
Main Article Content
Abstract
“Clinical outcomes” has become a popular phrase among clinicians, hospital managers, government regulators, health insurers, policy makers and healthcare economy specialists. Compared to other sectors, the health care industry has a different approach to quality measurement since classic tools and basic principles such as economic profitability or human resources necessity in many occasions do not apply. Among other reasons, this is due to the complexities related to characterizing various aspects surrounding care and the fact that high-quality care is not always correlated with desired outcomes. Therefore, measures recommended by traditional methods sometimes simply cannot be implemented. Since the “end product” of the healthcare pipeline can be multifaceted and frequently hard to define, the most logical solution would be to measure it by clinical outcomes.
In this paper, we will review the literature on this issue and describe the process of extracting the data and defining which indices will be measures at Sheba Medical Center in order to evaluate clinical outcomes.
Article Details
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
2. Kruk ME, Gage AD, Arsenault C Et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob Health. 2018 Nov;6(11)
3. McCarthy SE, Jabakhanji SB, Martin J, Flynn MA, Sørensen J. Reporting standards, outcomes and costs of quality improvement studies in Ireland: a scoping review. BMJ Open Qual. 2021 Jul;10(3)
4. Donabedian A. The Definition of Quality and Approaches to Its Assessment. Ann Arbor: Health Administration Press; 1980
5. Brook RH, Vaiana ME. Using the Knowledge Base of Health Services Research to Redefine Health Care Systems. J Gen Intern Med. 2015 Oct;30(10):1547-56
6. Monda KL, Joseph PN, Neumann PJ, Bradbury BD, Rubin RJ. Comparative changes in treatment practices and clinical outcomes following implementation of a prospective payment system: the STEPPS study. BMC Nephrol. 2015 May 1; 16:67
7. Bove VM. Health care costs tied to many issues. Physician Exec. 1992 Sep-Oct;18(5):23-9
8. Haslam A, Crain T, Gill J, Herrera-Perez D, Prasad V. Where Does the Blame for High Health Care Costs Go? An Empirical Analysis of Newspaper and Journal Articles Criticizing Health Care Costs. Am J Med. 2019 Jun;132(6):718-721
9. Kotronoulas G, Kearney N, Maguire R, Harrow A, Di Domenico D, Croy S, MacGillivray S. What is the value of the routine use of patient-reported outcome measures toward improvement of patient outcomes, processes of care, and health service outcomes in cancer care? A systematic review of controlled trials. J Clin Oncol. 2014 May 10;32(14):1480-501
10. Katz IR, Resnick S, Hoff R. Associations between patient experience and clinical outcomes in general mental health clinics: Findings from the veteran's outcomes assessment survey. Psychiatry Res. 2021 Jan; 295:113554
11. Pastorino R, De Vito C, Migliara G, Glocker K, Binenbaum I, Ricciardi W, Boccia S. Benefits and challenges of Big Data in healthcare: an overview of the European initiatives. Eur J Public Health. 2019 Oct 1;29 (Supplement_3):23-27
12. Keim-Malpass J, Clark MT, Lake DE, Moorman JR. Towards development of alert thresholds for clinical deterioration using continuous predictive analytics monitoring. J Clin Monit Comput. 2020 Aug;34(4):797-804