Reorienting Health Care and Business Sector Investment Priorities Toward Health and Well-Being Proceedings of a Workshop (2022) / Chapter Skim
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3 Evolving Values and Priorities in Health Care
3 Evolving Values and Priorities in Health Care
Pages 11-18
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From page 11... ...
that health care costs continue to increase, and that increased spending on health care often means that funding is being diverted from other priorities (e.g., addressing the social determinants of health)
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From page 12... ...
Another key milestone, he said, was the research that "laid the groundwork for understanding the importance of social determinants of health." Pham added that, early on, the idea that a health care provider should be accountable to a third party or to the public for the quality of care they provided was "revolutionary." She also mentioned the development of
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From page 13... ...
Patient movement from provider to provider and insurer to insurer also adds to the challenge of implementing a lifelong health and well-being approach. ENGAGING HEALTH SYSTEMS IN IMPROVING POPULATION HEALTH Magnan asked Knickman to discuss a recent diagram he developed of the key drivers of hospital investment in community health.1 To support the efforts of the Robert Wood Johnson Foundation (RWJF)
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From page 14... ...
The allocation of both accountability and resources for solving these issues is complex and involves multiple stakeholders. She said it is important to frame population health issues in terms that do not alienate stakeholders, and to facilitate "collective problem solving with everyone contributing proportionate to their means and their interests." A top-down approach would likely not be constructive, she said.
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From page 15... ...
She suggested that embracing a value-based path for the long term could ultimately allow organizations the freedom to invest creatively for health outcomes, rather than simply focusing on revenue-generating services. Beyond efficiency, Pham suggested that a "fundamental contribution that providers can make is collecting the data." Data are needed on the current social circumstances and needs of patients, especially qualitative data on interactions and causal pathways that contribute to overall health and health care, she said.
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From page 16... ...
Pham and Knickman both pointed out, however, that such an approach would require administered prices. Market Forces David Kindig of the University of Wisconsin–Madison mentioned a few examples of the progress made toward redirecting resources from the health care sphere toward health and well-being (e.g., ACOs, CMMI initiatives, shared savings)
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From page 17... ...
She suggested that the current health care system would seem to be what people want. Despite assertions that everyone values community health and wants community well-being, people also still want access to top-level providers and coverage of expensive treatments that might only provide incremental value to the patient.
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From page 18... ...
Knickman agreed with the importance of advocacy. He noted that there are many networks advocating in "relentless, quiet ways," engaging chief executive officers and chief financial officers to ensure they understand why community health and well-being is so important.
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