Monday, 10 February 2014

Blog presentation and first delivery (John Wennberg)

The purpose of this blog is to share with colleagues beyond the formative meetings, the advances in clinical management occurring in the world. Or perhaps it would be more appropriate to talk about the findings that I might be able to come across, or those that the blog readers may provide, thus turning this forum into something useful and entertaining.

To start the blog, I would like to discuss the categories of health care issues that John Wennberg describes in his latest book, a magnificent collection of the research work undertaken during his long career.

The first Wennberg category would be the unquestionably effective health care, such as most immunizations or many of the preventive interventions proven by their good results. According to the author, this group of health activity represents 15% of the total and in this category; health care systems should ensure the accessibility of the population to these facilities and logically, should fight the tendency of low usage of these services by the most disadvantaged people.

Preference-sensitive care represents the second group with an estimated 25% of health activity and corresponds to those diagnosed that have been assigned to a procedure, usually surgical, but require consent from the patient who can decide for or against the intervention. In case that he’s for it, he often has a range of several procedures with varying degrees of aggressiveness and results.

The third group is described as supply-sensitive care, which according to the author, represents 60% of health activity. To this group, chronic pathology and multi-pathology showing varied resource consumption is ascribed, but closely related to the supply of resources available in each territory.

Jordi Varela

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