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Value in Health Care - Accounting for Cost, Quality, Safety, Outcomes, and Innovation: Workshop Summary (Paperback)
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Value in Health Care - Accounting for Cost, Quality, Safety, Outcomes, and Innovation: Workshop Summary (Paperback)
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The United States has the highest per capita spending on health
care of any industrialized nation. Yet despite the unprecedented
levels of spending, harmful medical errors abound, uncoordinated
care continues to frustrate patients and providers, and U.S.
healthcare costs continue to increase. The growing ranks of the
uninsured, an aging population with a higher prevalence of chronic
diseases, and many patients with multiple conditions together
constitute more complicating factors in the trend to higher costs
of care. A variety of strategies are beginning to be employed
throughout the health system to address the central issue of value,
with the goal of improving the net ratio of benefits obtained per
dollar spent on health care. However, despite the obvious need, no
single agreed-upon measure of value or comprehensive, coordinated
systemwide approach to assess and improve the value of health care
exists. Without this definition and approach, the path to achieving
greater value will be characterized by encumbrance rather than
progress. To address the issues central to defining, measuring, and
improving value in health care, the Institute of Medicine convened
a workshop to assemble prominent authorities on healthcare value
and leaders of the patient, payer, provider, employer,
manufacturer, government, health policy, economics, technology
assessment, informatics, health services research, and health
professions communities. The workshop, summarized in this volume,
facilitated a discussion of stakeholder perspectives on measuring
and improving value in health care, identifying the key barriers
and outlining the opportunities for next steps.
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