Wasteful care [Neurosurgery Wiki]

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====== Wasteful care ======

{{rss>https://pubmed.ncbi.nlm.nih.gov/rss/search/1zsxOSDgJ2OvtHPEmVycAXhvwdMgVRppoUDp_BrU1J7Wi3ZMnv/?limit=15&utm_campaign=pubmed-2&fc=20240917170311}}

[[Wasteful]] [[care]] refers to healthcare [[practice]]s that do not provide [[value]] to patients and can include unnecessary [[test]]s, treatments, or procedures. This can be due to various factors such as:

[[Overuse]] of [[Resource]]s: Performing tests or treatments that are not needed or are unlikely to benefit the patient.

[[Inefficiency]]: Ineffective use of time or resources that do not contribute to improved patient [[outcome]]s.

[[Variability]] in Practice: Differences in care practices that lead to inconsistent patient outcomes without clear evidence of benefit.

Lack of [[Coordination]]: Fragmented care where different providers or services do not communicate effectively, leading to redundant or conflicting interventions.

Reducing wasteful care is important for improving the [[quality]] and [[efficiency]] of healthcare. Strategies to address it can include implementing evidence-based guidelines, improving care coordination, and utilizing decision-support tools to ensure that the care provided is appropriate and beneficial for the patient.
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Padula et al. in an article, examine how avoidable [[complication]]s, post-acute healthcare use, [[revision surgery]], and [[readmission]]s among [[spine surgery]] patients contribute to $67 million of wasteful spending on value defects. Furthermore, they estimated that almost $27 million of these [[cost]]s could be recuperated simply by redirecting patients to facilities referred to as centers of excellence. In total, [[quality improvement]] efforts are costly to implement but may only cost about $36 million to fully correct the $67 million in finances misappropriated to value defects. The objective of this article is to present an approach to eliminate defects in [[spine surgery]], including a [[center]] of [[excellence]] framework for eliminating defects specific to this group of procedures
((Padula WV, Smith GA, Gordon Z, Pronovost PJ. Value Defects in Spine Surgery: How to Reduce [[Wasteful Care]] and Improve Value. J Am Acad Orthop Surg. 2024 Sep 15;32(18):833-839. doi: 10.5435/JAAOS-D-23-00989. Epub 2024 May 24. PMID: 39240706; PMCID: PMC11384277.))