Transforming hospital care for acute coronary syndrome: a journey towards a value-based care cycle – diagnostic phase
PDF (Español (España))

Keywords

Fase diagnóstica
enfermedades cardiovasculares
mortalidad
síndrome coronario agudo diagnostic phase
cardiovascular diseases
mortality
acute coronary syndrome

How to Cite

Cuéllar Segura, C. M., & Álvarez Moreno, C. A. . (2024). Transforming hospital care for acute coronary syndrome: a journey towards a value-based care cycle – diagnostic phase. Revista Médica Sanitas, 27(1), 1-8. https://doi.org/10.26852/01234250.698

Abstract

This is an article aimed at evaluating the diagnostic phase of the implementation of a TDABC project through a pilot project at the Universidad de la Clínica Colombia, focusing on one of the cardiovascular diseases as one of the leading causes of global mortality and a significant contributor to disability worldwide. The total number of prevalent cases of cardiovascular diseases almost doubled from 271 million in 1990 to 523 million in 2019, and the number of deaths steadily increased from 12.1 million in 1990 to 18.6 million in 2019. Acute Coronary Syndrome is the leading cause of death, considering only cardiovascular diseases, in Colombia. Therefore, there is an urgent need to focus on implementing existing cost-effective policies and interventions so that the world meets the Sustainable Development Goal targets and achieves a 30% reduction in premature mortality due to non-communicable diseases.

https://doi.org/10.26852/01234250.698
PDF (Español (España))

References

Lee, T. & Porter, M. The strategy that will fix healthcare. Vol. 91 (Harvard Business Review Boston, 2013).

Porter, M. E. & Teisberg, E. O. Redefining health care: creating value-based competition on results. (Harvard business press, 2006).

Fredriksson, J. J., Ebbevi, D. & Savage, C. Pseudo-understanding: an analysis of the dilution of value in healthcare. BMJ Qual Saf 24, 451-457. https://doi.org/10.1136/bmjqs-2014-003803.

Kaplan, R. S. & Anderson, S. R. Time-driven activity-based costing: a simpler and more powerful path to higher profits. (Harvard business press, 2007).

Keel, G., Savage, C., Rafiq, M. & Mazzocato, P. J. H. P. Time-driven activity-based costing in health care: a systematic review of the literature. Health Policy 121, 755-763. https://doi.org/10.1016/j.healthpol.2017.04.013

Chan, Y.-C. L. J. H. c. m. r. Improving hospital cost accounting with activity-based costing. Health Care Manage Rev 18, 71-77 (1993). https://doi.org/10.1097/00004010-199324000-00008

Jalalabadi, F., Milewicz, A. L., Shah, S. R., Hollier, L. H., Jr. & Reece, E. M. Activity-Based Costing. Seminars in plastic surgery 32, 182-186. https://doi.org/10.1055/s-0038-1672208

Demeere, N., Stouthuysen, K. & Roodhooft, F. Time-driven activity-based costing in an outpatient clinic environment: Development, relevance and managerial impact. Health Policy 92, 296-304, https://doi.org/10.1016/j.healthpol.2009.05.003

Lievens, Y., van den Bogaert, W. & Kesteloot, K. Activity-based costing: a practical model for cost calculation in radiotherapy. International Journal of Radiation Oncology*Biology*Physics 57, 522-535, https://doi.org/10.1016/S0360-3016(03)00579-0

Lipscomb, J., Yabroff, K. R., Brown, M. L., Lawrence, W. & Barnett, P. G. Introduction: Health Care Costing: Data, Methods, Current Applications. Medical Care 47, S1-S6 (2009). https://doi.org/10.1097/MLR.0b013e3181a7e401

George, M. L., Maxey, J., Rowlands, D. T. & Upton, M. Lean six sigma pocket toolbook. (McGraw-Hill Professional Publishing New York, NY, USA, 2004).

Alpi, K. M. & Evans, J. J. Distinguishing case study as a research method from case reports as a publication type. Journal of the Medical Library Association : JMLA 107, 1-5. https://doi.org/10.5195/jmla.2019.615

Akhavan, S., Ward, L. & Bozic, K. J. Time-driven Activity-based Costing More Accurately Reflects Costs in Arthroplasty Surgery. Clinical orthopaedics and related research 474, 8-15. https://doi.org/10.1007/s11999-015-4214-0

Roth, G. A. et al. Global Burden of Cardiovascular Diseases and Risk Factors, 1990-2019: Update From the GBD 2019 Study. Journal of the American College of Cardiology 76, 2982-3021. https://doi.org/10.1016/j.jacc.2020.11.010

Lindstrom, M. et al. Global Burden of Cardiovascular Diseases and Risks Collaboration, 1990-2021. Journal of the American College of Cardiology 80, 2372-2425. https://doi.org/10.1016/j.jacc.2022.11.001

Kouprie, M. & Visser, F. S. A framework for empathy in design: stepping into and out of the user's life. Journal of Engineering Design 20, 437-448. https://doi.org/10.1080/09544820902875033

Oliveira, M., Zancul, E. & Fleury, A. L. J. B. I. Design thinking as an approach for innovation in healthcare: systematic review and research avenues. 7 (2021). https://doi.org/10.1136/bmjinnov-2020-000428

Bozic, K. J., Ward, L., Vail, T. P. & Maze, M. Bundled payments in total joint arthroplasty: targeting opportunities for quality improvement and cost reduction. Clinical orthopaedics and related research 472, 188-193, https://doi.org/10.1007/s11999-013-3034-3

Lau, C. et al. Post-acute referral patterns for hospitals and implications for bundled payment initiatives. Healthcare (Amsterdam, Netherlands) 2, 190-195, https://doi.org/10.1016/j.hjdsi.2014.05.004

Stiegel, K. R., Harrington, M. A. & Halawi, M. J. Value-Based Care for Nonoperative Management of Hip and Knee Osteoarthritis: Current Landscape Not Ripe for Implementation. Arthroplasty today 9, 58-60, https://doi.org/10.1016/j.artd.2021.04.008

Granja, C., Janssen, W. & Johansen, M. A. J. J. o. m. I. r. Factors determining the success and failure of eHealth interventions: systematic review of the literature. 20, https://doi.org/10.2196/10235

Downloads

Download data is not yet available.