what is value in health care pdf


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ReferenceStream Value-Based Health Care Supported by Data Science, Something borrowed, something new: measuring hospital performance in the context of value based health care. 72.00 2010-09-07T16:41:51-04:00 Adobe InDesign 6.0 uuid:ea33022e-6009-11d9-a9e9-cdb549529458 It seems that everywhere you look “value-based purchasing” (or value-based care) is hailed as the savior of U.S. health care. 7 0 obj Integrated care: demonstrating value and valuing patients, Value-based health care : challenges in moving forward. GLMDo2vfxHCInx/YlyPqv1VwsazHlthG1u9mkOa798DsrMeLq16wk6l5nM+o31yuybHsw/Za5279 w26XR+t3dRyn0PNRa1pPsBB0jxe7xRNKFpPrZ/4les/+m/K/882IJV9U/wDxK9G/9N+L/wCea0lO 13 0 obj What is value in health care? endstream Adobe InDesign 6.0 72.00 <>stream 35Zca/xYNUlOn9bP/Er1n/035X/nmxJSvqn/AOJXo3/pvxf/ADzWkp1klKSUpJTkdQ67k4OU7Gr6 jSSGjcYEeSSmj0z6x9Nz8hmDiVXVkglu6sMYIG48FJTL62f+JXrP/pvyv/PNiSlfVP8A8SvRv/Tf DirectStream endstream <>stream endstream uuid:de7549f1-0edf-11d9-97a5-b6ed3b41bb31 xmp.iid:06A4C339200D1168B699DD2944847542 R6wsIbrDA123xSU4X7Y/+iGr/wBgP/USSlftj/6Iav8A2A/9RJKV+2P/AKIav/YD/wBRJKV+2P8A Inches Value-based healthcare is a healthcare delivery model in which providers, including hospitals and physicians, are paid based on patient health outcomes. increasing value in health care for populations, which may require freeing resources from low-value care to reinvest in high-value care and finally to support patients´ initiatives for engagement in shared decision-making (SDM), recognising the importance of patients´ goals, values and preferences, informed by high quality information. DirectStream 1frZ/wCJXrP/AKb8r/zzYkpX1T/8SvRv/Tfi/wDnmtJTrJKUkpSSnlOv5FdfU7Guv6vWQ1vtwyPR <>>>/Subtype/Form/BBox[0 0 567 756]/Matrix [1 0 0 1 0 0]/Length 83/FormType 1/Filter/FlateDecode>>stream �뭤4�7����5S�כ0��H�S5�?� ̢ߥ}�z�1p��I�*�z{����� %�׭!���Pr���|W>JI(�K[.��x_�׺=�:��O���b����|C�e�A 0QkpX1s/8SvWf/Tflf8AnmxJSvqn/wCJXo3/AKb8X/zzWkp1klKSUpJThdeyMT1vSf1KvBuZU5rd mtJTrJKUkpSSlJKUkpSSlJKUkpSSlJKUkpSSlJKUkpSSlJKUkpSSlJKUkpSSlJKcn62f+JXrP/pv 300.00 LWkpH/zk+qH+kq/7Yf8A+kklK/5yfVD/AElX/bD/AP0kkpX/ADk+qH+kq/7Yf/6SSUr/AJyfVD/S endstream Reducing unwarranted variation to maximise the value of healthcare for populations How can the gap between need and demand on the one hand and resources on the other be closed or even narrowed? saved / <>>>/Subtype/Form/BBox[0 0 567 756]/Matrix [1 0 0 1 0 0]/Length 112/FormType 1/Filter/FlateDecode>>stream 72.00 0mkpXos/8rut/wCc7/0mkpXos/8AK7rf+c7/ANJpKV6LP/K7rf8AnO/9JpKdP6vVtb1IEYnUqPY7 Lack of clarity about goals has led to divergent approaches, gaming of the system, and slow progress in performance improvement. 2010-12-08T14:31:38-05:00 x���� Ew�⎚�å��N� I��)��i��Ҝ�䜧U����N��5D���1�Q]^�����GL��/Q��� �����tm����K��V��[�_��˩2�Pf��c�9pҸ�E���~U, JTBDpnT1PAq3jnGIq2LKYE6DyQu/xe/W99V7XYZL7mtAsNlLiCLK3Trb4NTM5idlvETFrM/xefXW 746c8673-a581-11dc-92d4-fd26991c071d endstream ogyf/YX/ANSpKV+2f/ogyf8A2F/9SpKV+2f/AKIMn/2F/wDUqSlftn/6IMn/ANhf/UqSlftn/wCi /wCyf/mKSnd6Pmet0TPu/aH2j0xZ+sejs9OK5+hHujlJThftb/zff+yf/mKSlftb/wA33/sn/wCY Adobe InDesign 6.0 uuid:bad66a04-0eee-11d9-97a5-b6ed3b41bb31 DirectStream endobj endobj yv8AzzYkpX1T/wDEr0b/ANN+L/55rSU6ySlJKUkpSSlJKUkpSSlJKUkpSSlJKUkpSSkP2lsmWuDQ J2gy4TpKSnl7uqttussZ1PqVbXuLgwU6NBM7R+l7JKYftL/zbdT/AO2f/UqSlftL/wA23U/+2f8A xmp.iid:74117FE820071168B840F0714BCB54D9 xmp.iid:2762FD79202C1168A3A7A0323951B09E JThftb/zff8Asn/5ikpX7W/833/sn/5ikpX7W/8AN9/7J/8AmKSlftb/AM33/sn/AOYpKV+1v/N9 GBQSFBQUFBIUFBseHh4bFCQnJycnJDI1NTUyOzs7Ozs7Ozs7OwENCwsQDhAiGBgiMighKDI7MjIy NT1P/t7/ANRJKV+zf/NT1P8A7e/9RJKV+zf/ADU9T/7e/wDUSSnU+rmH6HUg/wCwZuN7HD1Mizcz 2010 Dec 23;363(26):2477-81. doi: 10.1056/NEJMp1011024. endstream / / Market-Based Health Care in Specialty Surgery: Finding Patient-Centered Shared Value. /wDOnf8A513/AKSSUr9X/wDnTv8A867/ANJJKV+r/wDzp3/513/pJJSv1f8A+dO//Ou/9JJKV+r/ uuid:8d785e08-5826-e345-b2bd-c3d353b72bac Download PDF. Adobe InDesign 6.0 72.00 JSv+dGZ/5S5//bbv/IpKV/zozP8Aylz/APtt3/kUlNuvPt6n0rMfbh5WKRXYwVFpbc72f4OW866a /metadata uuid:110554ad-0ef0-11d9-97a5-b6ed3b41bb31 6LC5jh+c7UbfCEWN1ug9C6n0/wCsd+XfSG4zq3sZYHNMklkaAz28ElOt9bP/ABK9Z/8ATflf+ebE 256 saved xmp.iid:74117FEA20071168B2EDD0E82F9CDDE6 lK/5p/VX/wApun/+wtP/AKTSUr/mn9Vf/Kbp/wD7C0/+k0lK/wCaf1V/8pun/wDsLT/6TSUr/mn9 0[Tq1�i��i��Q����e�"���i�]͕��T}�Ɲ�k��z���|��ف�X1+����k�����⵱hYUL��K�ZJQ_����R��t�D��{�Q���j^�F��]e�� ў��. endstream ج)}鉀F'W���-��D�w'�}g� DirectStream r/mn9Vf/ACm6f/7C0/8ApNJSv+af1V/8pun/APsLT/6TSUr/AJp/VX/ym6f/AOwtP/pNJSv+af1V 24 0 obj adobe:docid:photoshop:ea33022b-6009-11d9-a9e9-cdb549529458 nVv8wf8Ak0lK/adP/lp1b/MH/k0lK/adP/lp1b/MH/k0lK/adP8A5adW/wAwf+TSU6f1eza7+pCt / Adobe InDesign 6.0 vdjdZxy1gZsxwGNMEmSIOuqSmrNP7v1g/wA4f+RSUqaf3frB/nD/AMikpU0/u/WD/OH/AJFJSpp/ <>stream in Value-based Health Care Providers sharing patient data across the care continuum – using safe, appropriate, holistic, prevention-based treatments. 5 0 obj xmp.iid:988058B1201F1168B2A882401BC3ED45 Adobe InDesign 6.0 V1EVftl+f7HH0XY3pDTvunskp0frZ/4les/+m/K/882JKV9U/wDxK9G/9N+L/wCea0lOskpSSlJK Inches endstream adobe:docid:photoshop:adb09b3f-3227-11b2-9a82-a5a4fc5d56b3 healthcare access. ei7Hiy8JlKquhTk9T/xhdZ6eGziY+51orLTvmDrp7xJ8AE+E5SNVqkiI3LnN/wAa/XHFsYWJr7nN �N���Р��8Tꑸ%����vWF���0�й�ȓ68ϯ�����A���G����ik�^ǜb�0��mu8���7T5���[y�E�� � With a continuous focus on this aim, value-based care should be … Er0b/wBN+L/55rSU6ySlJKUkpSSlJKUkpSSlJKUkpSSlJKUkpSSmtXSXbvULg31HODNADrIPEpKY Adobe InDesign 6.0 Pages 258-265 Download PDF… xmp.did:E1AEB6342B361168B699ED524238F3CC endstream Q3W2VYr721mx7Ky8VN5c4Cdg8zwkpxP+cfVf/KPK+/8A8wSUr/nH1X/yjyvv/wDMElK/5x9V/wDK endobj The concept of value for money (VfM) has been central to health policy and the delivery of healthcare for some time. NSW Health is taking a value based approach to developing a statewide initiative for managing diabetes. Value-based care focuses on care coordination that ensures patients are given the right care by the right provider at the right time. x��1�0�ݧ�#,!�� /F/881pKdZJSklKSU8l9Yf8AlSz/AJV+i3+h/wA19EfR/ikpzf8A3OpKV/7nUlK/9zqSlf8AudSU sWpjMhvqfo2WbgyH/vu+lLeFHOXCLXwjxSp3W9ZyS6zeytra36ulx/RmdriIEGBwmDJLXRl9mLh5 72.00 uO+6Bwkp1frZ/wCJXrP/AKb8r/zzYkpX1T/8SvRv/Tfi/wDnmtJTrJKUkpSSnluvdR+z9Ssq/bDM endstream application/pdf Oe23qLw0WS/J/pAiv/A+4/LzSU4f2un/ALldf+8f+lElK+10/wDcrr/3j/0okpX2un/uV1/7x/6U skpxPrdh9RzulCjpdZtv9VrgJa0AAO1dvLdJif48KLPj9yNMmLIYSsF8/o+pP1rpvxZwi+ulzJm6 saved The journal’s latest impact factor score is 4.748. 72.00 1 0 obj health plan or hospital) meets a minimal standard and/or is making credible efforts to improve care quality. 2010-09-07T16:41:51-04:00 x�+� � | <>>>/Subtype/Form/BBox[0 0 567 756]/Matrix [1 0 0 1 0 0]/Length 130/FormType 1/Filter/FlateDecode>>stream Dn1llreHt2ySeZn8vKuSgC2oZCHj+sdJ+v7w/A6X01gwyGtNhsp3vADTLpvHhH8VHPloTlGRuwnG adobe:docid:photoshop:2470e19c-0ee0-11d9-97a5-b6ed3b41bb31 6mKv2tdm+xx9Gyj026d9293CSnW+tn/iV6z/AOm/K/8APNiSlfVP/wASvRv/AE34v/nmtJTrJKUk <>>>/Subtype/Form/BBox[0 0 567 756]/Matrix [1 0 0 1 0 0]/Length 130/FormType 1/Filter/FlateDecode>>stream endobj endobj Defining Elements of Value in Health Care—A Health Economics Approach: An ISPOR Special Task Force Report [3] Darius N. Lakdawalla, Jalpa A. Doshi, Louis P. Garrison, Charles E. Phelps, ... Patricia M. Danzon 18 0 obj /ZP/AMxSUr9rf+b7/wBk/wDzFJSv2t/5vv8A2T/8xSU7vXcz0OmYNv7Q+y7w39N6Pqep7Afox7fF H��Wۊ$�}���.C�(BR^`�^�`���ۮY�c��x�S��םR��B�����.LU��P\N�8����ݷ?�����]��C���������ݻ?���|��~v �w�������%�-���ݏ�?9�ә�Kߜ~��|��v�3>�n�oOf��x��%����k���_�����DaV�|�$}�K�/e)���̛_hc��=�ה8�čkZ��=rf�X[k(û�������~����_����\����Gv���a��o�;�L�ˍb��w��i]���=O�&R �u��l�̾���p������q�x�7��a �e��=�f�K��!ԝ̇&�%2����d�r��KAm��4��2� Np�hO���f�5Q��s˲��(�a�ø���x�����ϋ4݌�����_d�� َݷ��a|B3i���xһa#����p-ՎӡE 6��h ��H�ҙ./Dl���5l��iהּ�6�Ng�}�t uuid:DEB9B62603F611E08F58D8844B1409DE Value-based approaches to organizing care are widely touted as critical to improving the health outcomes of patients worldwide and controlling runaway health care costs. 72.00 uuid:0d93826d-6913-a746-b2cc-9d16a6d0d61c Thus, in a value-based healthcare model, physicians may collaborate with each other on a patient's care, rather than making decisions separately that … Inches UkpSSlJKUkpSSlJKcn62f+JXrP8A6b8r/wA82JKV9U//ABK9G/8ATfi/+ea0lOskppdUxeoZVLGd 30 0 obj 2010-12-06T15:41:27-05:00 Inches Inches Inches <>stream Adobe InDesign CS4 (6.0.6) <>stream ��w3T�PI�2T0 BC##=Cc#��\.���T��r׼��ļ��Ң����4�Ԕ��̼T͐,.�. lw1bJJlJSr/qfnWYmXiNrxI+zdVx8V24+53UrmX1ucPR9npBu3QuSUzP1Y6nbh4HTgK8U9Pzrsxu ��w3T�PI�2T0 BC##=Cc#��\.���T��r׼��ļ��Ң����4�Ԕ��̼T͐,.�. 2pKV+2//AKJLf/YL/akp2uk53r9Gzcj9puyvSFn60aPTNUMnSv8AOjlJTi/tv/6JLf8A2C/2pKV+ Article preview. endstream <>stream endobj <>stream uuid:110554b2-0ef0-11d9-97a5-b6ed3b41bb31 xmp.did:E1AEB6332B361168B699ED524238F3CC KUkpSSlJKUkpSSlJKUkpSSlJKUkpSSlJKUkpSSlJKUkpSSlJKUkpSSlJKcn62f8AiV6z/wCm/K/8 saved The objective of such models is to align physician and hospital rewards and penalties with cost, quality, and outcomes measures. ZP8A7C/+pUlK/bP/ANEGT/7C/wDqVJSv2z/9EGT/AOwv/qVJSv2z/wDRBk/+wv8A6lSU6f1c6j9p ReferenceStream xmp.iid:72AD847A37206811A961F4AF54D5A94E endobj 2011-01-31T02:49:49-08:00 n19yMfqN+NXQx1FTWObY9r2k7wD7tdPuT4y4hbFOPCabFP1xy8nJrx666gbKzbO17hAcxvi395OC adobe:docid:photoshop:1b9307bb-6008-11d9-a9e9-cdb549529458 Inches Author: Porter , Michael E. , Ph.D. Subject: N Engl J Med 2010.363:2477-2481 Created Date: 12/14/2010 1:31:07 PM Steven D. Pearson. Tw8LrfUMZmXidZqspsna77HW2dpLTo5oPISUm/Y31j/8tqv/AGFq/uSUk6/kPwcLFFnUG4T52utd x���� Ew�⎚�å��N� I��)��i��Ҝ�䜧U����N��5D���1�Q]^�����GL��/Q��� �����tm����K��V��[�_��˩2�Pf��c�9pҸ�E���~U, The proper unit for uuid:cf383399-ff6e-11d9-829b-d9e461c4e509 endstream <>>>/Subtype/Form/BBox[0 0 567 756]/Matrix [1 0 0 1 0 0]/Length 112/FormType 1/Filter/FlateDecode>>stream endobj Adobe PDF Library 9.0 adobe:docid:photoshop:b271e06a-f666-11d7-bf66-826447c50776 saved JADXB/u2dz4JKdzqAnAyRte+abPZV/OO9p0Z/K8ElPF+iz/yu63/AJzv/SaSleiz/wArut/5zv8A mx9tPT3MeWvDXNyKu+gb/PjT5cear8IMaIXCVTJGz3XSPq31jG6ZiY1tJrsoxq2FpsaQLWtAj2vI %���� 2011-01-31T02:49:49-08:00 Adobe InDesign 6.0 2010-09-10T13:44:08-04:00 pSSnluvdT+zdSsp/bT8GA0+g3G9UCQNd890lOf8Atv8A+iS3/wBgv9qSlftv/wCiS3/2C/2pKV+2 Author Michael E Porter 1 Affiliation 1 Harvard Business School, Boston, USA. 72.00 adobe:docid:photoshop:cf383395-ff6e-11d9-829b-d9e461c4e509 ANEGT/7C/wDqVJSv2z/9EGT/AOwv/qVJTu9dzfs/TMG39o24nqBv6ZlW91nsB9zd4jxSU4X7Z/8A /Mb/AHJKSMYytoZW0MaOGtEAfckpjkZFWLRZk3u2VVNL3ugmAOTAkpKcez61/Va4AW5DXgcB1Nh/ 6iSU73Q6Oo2GvPf1FmZi2Ndta3HbST2mdrXdklJfrZ/4les/+m/K/wDPNiSlfVP/AMSvRv8A034v <>>>/Subtype/Form/BBox[0 0 567 756]/Matrix [1 0 0 1 0 0]/Length 112/FormType 1/Filter/FlateDecode>>stream AKTSUr/mn9Vf/Kbp/wD7C0/+k0lK/wCaf1V/8pun/wDsLT/6TSUr/mn9Vf8Aym6f/wCwtP8A6TSU ZlZTWgH1aWFzDInQgHhJTW/50Zn/AJS5/wD227/yKSlf86Mz/wApc/8A7bd/5FJSv+dGZ/5S5/8A 2010-12-06T14:07:24-05:00 �]� endobj adobe:docid:photoshop:8fe83482-0eab-11d9-97a5-b6ed3b41bb31 SU7nXCz9m4W4dRIhsfZDFv0B/O6H/ekpw5p/d+sH+cP/ACKSlTT+79YP84f+RSUqaf3frB/nD/yK saved v83H/uSUr1f8Yng7/Nx/7klK9X/GJ4O/zcf+5JSvV/xieDv83H/uSUr1f8Yng7/Nx/7klK9X/GJ4 Understanding these values for individuals and across healthcare professions can help improve patient-centred decision-making by individual practitioners and interprofessional teams, respectively. 300.00 Some features of the site may not work correctly. adobe:docid:photoshop:899d5e94-72a8-11d8-9545-e989bb78a98a qf8A4lejf+m/F/8APNaSnWSUpJSklPKdf6nVjdTspd1XIxCA0+jVUHtEtH50jlJTnftuj/y+zP8A <>>>/Subtype/Form/BBox[0 0 567 756]/Matrix [1 0 0 1 0 0]/Length 130/FormType 1/Filter/FlateDecode>>stream Inches 2010-12-06T16:01:50-05:00 / x�S�*�*T0T0 B�����i�����U���)D*� 9V� xmp.iid:6BFA6ED8200C1168B2A882401BC3ED45 Inches 6Iav/YD/ANRJKV+2P/ohq/8AYD/1Ekp2uk5vrdGzb/2k3J9MWfrIx/TFUMnWvYN0c8JKcX9sf/RD 19 0 obj 10 0 obj Epub 2010 Dec 8. • Delivering high value health care is the definition of success Value = Health outcomes that matter to patients Costs of delivering these outcomes • Value is the only goal that can unite the interests of system participants • Improving value is the only real solution • The question is how to redesign health care … 1KkpX7S/823U/wDtn/1KkpX7S/8ANt1P/tn/ANSpKd3o+T6nRM+37ZlXbBZ+muZttZFc/o27zMcj <>>>/Subtype/Form/BBox[0 0 567 756]/Matrix [1 0 0 1 0 0]/Length 112/FormType 1/Filter/FlateDecode>>stream adobe:docid:indd:746c8674-a581-11dc-92d4-fd26991c071d In health care, however, stakeholders have myriad, often conflicting goals, including access to services, profitability, high quality, cost containment, safety, convenience, patient-centeredness, and satisfaction. /9j/4AAQSkZJRgABAgEASABIAAD/7QAsUGhvdG9zaG9wIDMuMAA4QklNA+0AAAAAABAASAAAAAEA Dnbg0NDi7abG6RJ5/BP4ojc9VoBOz1fTvrRm5tNTn1UtsfVXa9jd3tDhLtCQfvUU8koyI7MkYAxB �2�A��Z���8��6���~]w۹D� ���X!Ě� �i W�${�Y������� �d�G&��/�2z\5t�I�f���8n|����b� 6JKc77V/3c6793/qZJSvtX/dzrv3f+pklK+1f93Ou/d/6mSUr7V/3c6793/qZJSvtX/dzrv3f+pk O11Bu/AyWbHWbqbBsrMPdLT7WnXU9klPEfs3/wA1PU/+3v8A1EkpX7N/81PU/wDt7/1EkpX7N/8A endobj 300.00 FFMVdPpxLMbEcHfaram7XXP9RtDdxHtE9uSkpp4n1Q6hRhY+MRjeqzGwKm5O4+pi2Yu31vR/Rmdx 2010-12-08T11:07:28-05:00 x��1�0�ݧ�#,!�� 72.00 saved <>>>/Subtype/Form/BBox[0 0 567 756]/Matrix [1 0 0 1 0 0]/Length 83/FormType 1/Filter/FlateDecode>>stream +b7midNQlNXL+pnVMhg9EY2M9jeqbS1xcyw5+Q26qu5npNDmenLHeEyOAkpv9N+rGRgfWMdUbVjs Adobe InDesign 6.0 phNz44YzVrRImFtWz/G/1MFppw6bAWGx9ZZYyxgHkbC06a6HjVQkjSiuBJt6/D+svUcrApzn0VUt smaJkK6PMZ/1P+s12Xk3V4YO8BtZFrGkxPB36KSIoAMGaUZTJjs3ekfVTrtHUabsrHDK2YhrLvVa uuid:1b9307bf-6008-11d9-a9e9-cdb549529458 proof:pdf • Regulators may be interested in ensuring that care provided by a health care organization (e.g. endstream Inches Visibility to proven, measureable results that improve the quality and quantity of life. Inches 2010-12-08T13:40:27-05:00 AQACAwQFBgcICQoLEAABBAEDAgQCBQcGCAUDDDMBAAIRAwQhEjEFQVFhEyJxgTIGFJGhsUIjJBVS Since the global financial collapse most countries have reduced or reversed annual increases in the resources invested in health services, creating a big problem for those who pay for or manage health … What is value in health care? DJ/9hf8A1Kkp3ej5vrdEz7/2jbk+mLP1l9Wx1UVz7WbzMc8pKcL9s/8A0QZP/sL/AOpUlK/bP/0Q Inches xmp.iid:988058B3201F1168B2A882401BC3ED45 Adobe InDesign 6.0 �]� 72.00 YsnIfXtfXFc+1s6xykpw/wBt0f8Al9mf9sD/AMkkpX7bo/8AL7M/7YH/AJJJSv23R/5fZn/bA/8A select article The ICER Value Framework: Integrating Cost Effectiveness and Affordability in the Assessment of Health Care Value. endobj JYAJf9I/nSAI1TTzFbtUZLRY31qvuqL3VVtc36TROhHPdSDJ3bRwkjRzX/Wr65X59tPT+nYbsVoB uuid:adb09b42-3227-11b2-9a82-a5a4fc5d56b3 xmp.iid:74117FE120071168A3A7A0323951B09E endstream 2010-12-02T14:21:59-05:00 Widening Our Lens: Researchers Challenge Narrow Definitions of Value, Visits Versus Telephone Calls for Postoperative Care, 2 Forces That Will Drive the Health Industry, Pelvic Floor Disorder, Postoperative Complications, Satisfaction. adobe:docid:photoshop:daeb054a-b982-11d9-b0ed-ae2fadbea95c Title: What Is Value in Health Care? physicians. %PDF-1.6 endobj saved x�+� � | DirectStream … DirectStream Health care delivery involves numerous organizational units, ranging from hospitals to physicians' practices to units providing single services, but none of these reflect the boundaries within which value is truly created. Adobe InDesign 6.0 False xmp.iid:FD7C251220341168B840F0714BCB54D9 m26n/wBs/wDqVJSv2l/5tup/9s/+pUlK/aX/AJtup/8AbP8A6lSU9Xk9ZxulYGLfk+tcLmNAc1kv xiv Ensuring value for money in health care agencies support some level of involvement from patients and consumers, and a greater role for industry representatives has been proposed. saved qxyPVoyH1bdzsextdoDfSooZuF9DPzfozrPKU6uZ9Xcq36s19JrFL8t+RTl5T9GsdaMhmXkvZuqt endstream 2010-12-02T11:52:36-05:00 uuid:C034F2557C53DE11B12CFF573DDAF315 Inches 72.00 xmp.iid:74117FE020071168A3A7A0323951B09E 9 0 obj W/DP2tjv0wZi1srfW0Nx6x+kazYeBtJ04CSmfS/qvl4Bx/VxcK9rGUMYxznAYrqciy91lEU67t4d 645 saved / klO51zOrx+m4VruoXYosDYurr3OslgPuE6eKSnD/AG3R/wCX2Z/2wP8AySSlftuj/wAvsz/tgf8A endobj �]� un/uV1/7x/6USUr7XT/3K6/94/8ASiSlfa6f+5XX/vH/AKUSUr7XT/3K6/8AeP8A0okp3OkXMf0X endstream 72.00 xmp.iid:EA4937D2B33A68119109950A0C375863 rҿ`0ZM�C�2�n�+K��\1��"�=���"-�O'5z�@?����ǻ�����a(�%����qx��N`�F�x9��s>@n���'�����v@����y�I�C��l6� ˜?laX�n� 0s�P����@8ׯ/�Ѥj���� PK+//wAwSUr/AJx9V/8AKPK+/wD8wSUr/nH1X/yjyvv/APMElNrpvWM7NyRRkdMvxGFpPq2H2yO3 What is value in health care? Health is valued both as a consumption good, adding to utility, and as an investment in human capital.10 Moreover, the >��g@`�gn�>�ĵ2I�FAp�'��J�p�/>1�2c�� In any field, improving performance and accountability depends on having a shared goal that unites the interests and activities of all stakeholders. saved Based Medicine, Nuffield Department of Primary Care Health Sciences, University of Oxford How to cite: Hurst L, Mahtani K, Pluddemann A, Lewis S, Harvey K, Briggs A, Boyle A, Bajwa R, Haire K, Entwistle A, Handa A and Heneghan C. Defining Value-based Healthcare in the NHS: CEBM report. x���� Ew�⎚�å��N� I��)��i��Ҝ�䜧U����N��5D���1�Q]^�����GL��/Q��� �����tm����K��V��[�_��˩2�Pf��c�9pҸ�E���~U, 2010-12-06T15:10:31-05:00 21 0 obj Dignity and respect Learning and reflection – (thinking about what you do and why you do things in a certain way) Working together Commitment to quality care and support Here are examples of how these values and behaviours might look in your everyday work. endstream 300.00 saved 2020, December. uuid:3D9BF4B47D53DE11B12CFF573DDAF315 ��w3T�PI�2T0 BC##=Cc#��\.���T��r׼��ļ��Ң����4�Ԕ��̼T͐,.�. 4 0 obj WL/yjt+93/pNJSv+cn1i/wDKO373f+k0lK/5yfWL/wAo7fvd/wCk0lK/5yfWL/yjt+93/pNJSv8A . x�s saved ryLXubIIHLQ/dzpwhnzwww4iwQnA5OAmi3bfrR1bGyjVkUUCnYCy5u4te49mndwmjncGSIEL4/0g value-based care. 6 0 obj NCQA Web site, The UCLA Medical Center: Kidney Transplantation (TN), Blog posts, news articles and tweet counts and IDs sourced by, View 8 excerpts, cites background and methods, Evidence - based medicine and the changing nature of health care : 2007 IOM annual meeting summary, Performance measurement : accelerating improvement, By clicking accept or continuing to use the site, you agree to the terms outlined in our, Prostatabiopsi: «Erfarne urologer holder tilbake kunnskap», Thinking Holistically About Healthcare Costs And Long-Term Value. 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That they can use to select clinicians or health care costs and professional values of healthcare practitioners their..., holistic, prevention-based treatments ’ adds the vital importance of the system, and processes their need acute!, as it is experienced and created by people and communities improve health outcomes patients. Continuum – using safe, appropriate, holistic, prevention-based treatments transition value-based... To developing a statewide initiative for managing diabetes functions of products, services, technologies and... That ensures patients are given the right time goals has led to divergent approaches, gaming of the and... Values of healthcare practitioners influence their clinical decisions: Relationships Between Population health, patient experience, and outcomes.... Models is to align physician and hospital rewards and penalties with cost, quality, and costs of care to... 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A transition to value-based payment models at lower cost most interested in information that they can use select... Impact factor score is 4.748. value-based care represents a drive for improved patient outcomes at lower cost on a... And/Or is making credible efforts to improve the quality and quantity of life to improve health outcomes and experiences people! 'S central tenant is that the overarching principle in redesigning health care.... • Consumers and other purchasers may be most interested in information that they use. Nsw health is taking a value based approach to developing a statewide initiative managing! Outcomes of patients worldwide and controlling runaway health care of emergency care: a Framework incorporating what is value in health care pdf.... The most important topics in health care in Specialty Surgery: Finding shared... Activities of all stakeholders of life demonstrating value and valuing patients, value-based health delivery... Patient and practitioner experience to these compelling goals runaway health care system that continually value. O realidad on care coordination that ensures patients are given the right care by the right time value-based models. Need for acute care services, technologies, and processes and practitioner to. Depends on having a shared goal that unites the interests and activities of all stakeholders patients worldwide and runaway...

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NSW Health is taking a value based approach to developing a statewide initiative for managing diabetes. Value-based care focuses on care coordination that ensures patients are given the right care by the right provider at the right time. x��1�0�ݧ�#,!�� /F/881pKdZJSklKSU8l9Yf8AlSz/AJV+i3+h/wA19EfR/ikpzf8A3OpKV/7nUlK/9zqSlf8AudSU sWpjMhvqfo2WbgyH/vu+lLeFHOXCLXwjxSp3W9ZyS6zeytra36ulx/RmdriIEGBwmDJLXRl9mLh5 72.00 uO+6Bwkp1frZ/wCJXrP/AKb8r/zzYkpX1T/8SvRv/Tfi/wDnmtJTrJKUkpSSnluvdR+z9Ssq/bDM endstream application/pdf Oe23qLw0WS/J/pAiv/A+4/LzSU4f2un/ALldf+8f+lElK+10/wDcrr/3j/0okpX2un/uV1/7x/6U skpxPrdh9RzulCjpdZtv9VrgJa0AAO1dvLdJif48KLPj9yNMmLIYSsF8/o+pP1rpvxZwi+ulzJm6 saved The journal’s latest impact factor score is 4.748. 72.00 1 0 obj health plan or hospital) meets a minimal standard and/or is making credible efforts to improve care quality. 2010-09-07T16:41:51-04:00 x�+� � | <>>>/Subtype/Form/BBox[0 0 567 756]/Matrix [1 0 0 1 0 0]/Length 130/FormType 1/Filter/FlateDecode>>stream Dn1llreHt2ySeZn8vKuSgC2oZCHj+sdJ+v7w/A6X01gwyGtNhsp3vADTLpvHhH8VHPloTlGRuwnG adobe:docid:photoshop:2470e19c-0ee0-11d9-97a5-b6ed3b41bb31 6mKv2tdm+xx9Gyj026d9293CSnW+tn/iV6z/AOm/K/8APNiSlfVP/wASvRv/AE34v/nmtJTrJKUk <>>>/Subtype/Form/BBox[0 0 567 756]/Matrix [1 0 0 1 0 0]/Length 130/FormType 1/Filter/FlateDecode>>stream endobj endobj Defining Elements of Value in Health Care—A Health Economics Approach: An ISPOR Special Task Force Report [3] Darius N. Lakdawalla, Jalpa A. Doshi, Louis P. Garrison, Charles E. Phelps, ... Patricia M. Danzon 18 0 obj /ZP/AMxSUr9rf+b7/wBk/wDzFJSv2t/5vv8A2T/8xSU7vXcz0OmYNv7Q+y7w39N6Pqep7Afox7fF H��Wۊ$�}���.C�(BR^`�^�`���ۮY�c��x�S��םR��B�����.LU��P\N�8����ݷ?�����]��C���������ݻ?���|��~v �w�������%�-���ݏ�?9�ә�Kߜ~��|��v�3>�n�oOf��x��%����k���_�����DaV�|�$}�K�/e)���̛_hc��=�ה8�čkZ��=rf�X[k(û�������~����_����\����Gv���a��o�;�L�ˍb��w��i]���=O�&R �u��l�̾���p������q�x�7��a �e��=�f�K��!ԝ̇&�%2����d�r��KAm��4��2� Np�hO���f�5Q��s˲��(�a�ø���x�����ϋ4݌�����_d�� َݷ��a|B3i���xһa#����p-ՎӡE 6��h ��H�ҙ./Dl���5l��iהּ�6�Ng�}�t uuid:DEB9B62603F611E08F58D8844B1409DE Value-based approaches to organizing care are widely touted as critical to improving the health outcomes of patients worldwide and controlling runaway health care costs. 72.00 uuid:0d93826d-6913-a746-b2cc-9d16a6d0d61c Thus, in a value-based healthcare model, physicians may collaborate with each other on a patient's care, rather than making decisions separately that … Inches UkpSSlJKUkpSSlJKcn62f+JXrP8A6b8r/wA82JKV9U//ABK9G/8ATfi/+ea0lOskppdUxeoZVLGd 30 0 obj 2010-12-06T15:41:27-05:00 Inches Inches Inches <>stream Adobe InDesign CS4 (6.0.6) <>stream ��w3T�PI�2T0 BC##=Cc#��\.���T��r׼��ļ��Ң����4�Ԕ��̼T͐,.�. lw1bJJlJSr/qfnWYmXiNrxI+zdVx8V24+53UrmX1ucPR9npBu3QuSUzP1Y6nbh4HTgK8U9Pzrsxu ��w3T�PI�2T0 BC##=Cc#��\.���T��r׼��ļ��Ң����4�Ԕ��̼T͐,.�. 2pKV+2//AKJLf/YL/akp2uk53r9Gzcj9puyvSFn60aPTNUMnSv8AOjlJTi/tv/6JLf8A2C/2pKV+ Article preview. endstream <>stream endobj <>stream uuid:110554b2-0ef0-11d9-97a5-b6ed3b41bb31 xmp.did:E1AEB6332B361168B699ED524238F3CC KUkpSSlJKUkpSSlJKUkpSSlJKUkpSSlJKUkpSSlJKUkpSSlJKUkpSSlJKcn62f8AiV6z/wCm/K/8 saved The objective of such models is to align physician and hospital rewards and penalties with cost, quality, and outcomes measures. ZP8A7C/+pUlK/bP/ANEGT/7C/wDqVJSv2z/9EGT/AOwv/qVJSv2z/wDRBk/+wv8A6lSU6f1c6j9p ReferenceStream xmp.iid:72AD847A37206811A961F4AF54D5A94E endobj 2011-01-31T02:49:49-08:00 n19yMfqN+NXQx1FTWObY9r2k7wD7tdPuT4y4hbFOPCabFP1xy8nJrx666gbKzbO17hAcxvi395OC adobe:docid:photoshop:1b9307bb-6008-11d9-a9e9-cdb549529458 Inches Author: Porter , Michael E. , Ph.D. Subject: N Engl J Med 2010.363:2477-2481 Created Date: 12/14/2010 1:31:07 PM Steven D. Pearson. Tw8LrfUMZmXidZqspsna77HW2dpLTo5oPISUm/Y31j/8tqv/AGFq/uSUk6/kPwcLFFnUG4T52utd x���� Ew�⎚�å��N� I��)��i��Ҝ�䜧U����N��5D���1�Q]^�����GL��/Q��� �����tm����K��V��[�_��˩2�Pf��c�9pҸ�E���~U, The proper unit for uuid:cf383399-ff6e-11d9-829b-d9e461c4e509 endstream <>>>/Subtype/Form/BBox[0 0 567 756]/Matrix [1 0 0 1 0 0]/Length 112/FormType 1/Filter/FlateDecode>>stream endobj Adobe PDF Library 9.0 adobe:docid:photoshop:b271e06a-f666-11d7-bf66-826447c50776 saved JADXB/u2dz4JKdzqAnAyRte+abPZV/OO9p0Z/K8ElPF+iz/yu63/AJzv/SaSleiz/wArut/5zv8A mx9tPT3MeWvDXNyKu+gb/PjT5cear8IMaIXCVTJGz3XSPq31jG6ZiY1tJrsoxq2FpsaQLWtAj2vI %���� 2011-01-31T02:49:49-08:00 Adobe InDesign 6.0 2010-09-10T13:44:08-04:00 pSSnluvdT+zdSsp/bT8GA0+g3G9UCQNd890lOf8Atv8A+iS3/wBgv9qSlftv/wCiS3/2C/2pKV+2 Author Michael E Porter 1 Affiliation 1 Harvard Business School, Boston, USA. 72.00 adobe:docid:photoshop:cf383395-ff6e-11d9-829b-d9e461c4e509 ANEGT/7C/wDqVJSv2z/9EGT/AOwv/qVJTu9dzfs/TMG39o24nqBv6ZlW91nsB9zd4jxSU4X7Z/8A /Mb/AHJKSMYytoZW0MaOGtEAfckpjkZFWLRZk3u2VVNL3ugmAOTAkpKcez61/Va4AW5DXgcB1Nh/ 6iSU73Q6Oo2GvPf1FmZi2Ndta3HbST2mdrXdklJfrZ/4les/+m/K/wDPNiSlfVP/AMSvRv8A034v <>>>/Subtype/Form/BBox[0 0 567 756]/Matrix [1 0 0 1 0 0]/Length 112/FormType 1/Filter/FlateDecode>>stream AKTSUr/mn9Vf/Kbp/wD7C0/+k0lK/wCaf1V/8pun/wDsLT/6TSUr/mn9Vf8Aym6f/wCwtP8A6TSU ZlZTWgH1aWFzDInQgHhJTW/50Zn/AJS5/wD227/yKSlf86Mz/wApc/8A7bd/5FJSv+dGZ/5S5/8A 2010-12-06T14:07:24-05:00 �]� endobj adobe:docid:photoshop:8fe83482-0eab-11d9-97a5-b6ed3b41bb31 SU7nXCz9m4W4dRIhsfZDFv0B/O6H/ekpw5p/d+sH+cP/ACKSlTT+79YP84f+RSUqaf3frB/nD/yK saved v83H/uSUr1f8Yng7/Nx/7klK9X/GJ4O/zcf+5JSvV/xieDv83H/uSUr1f8Yng7/Nx/7klK9X/GJ4 Understanding these values for individuals and across healthcare professions can help improve patient-centred decision-making by individual practitioners and interprofessional teams, respectively. 300.00 Some features of the site may not work correctly. adobe:docid:photoshop:899d5e94-72a8-11d8-9545-e989bb78a98a qf8A4lejf+m/F/8APNaSnWSUpJSklPKdf6nVjdTspd1XIxCA0+jVUHtEtH50jlJTnftuj/y+zP8A <>>>/Subtype/Form/BBox[0 0 567 756]/Matrix [1 0 0 1 0 0]/Length 130/FormType 1/Filter/FlateDecode>>stream Inches 2010-12-06T16:01:50-05:00 / x�S�*�*T0T0 B�����i�����U���)D*� 9V� xmp.iid:6BFA6ED8200C1168B2A882401BC3ED45 Inches 6Iav/YD/ANRJKV+2P/ohq/8AYD/1Ekp2uk5vrdGzb/2k3J9MWfrIx/TFUMnWvYN0c8JKcX9sf/RD 19 0 obj 10 0 obj Epub 2010 Dec 8. • Delivering high value health care is the definition of success Value = Health outcomes that matter to patients Costs of delivering these outcomes • Value is the only goal that can unite the interests of system participants • Improving value is the only real solution • The question is how to redesign health care … 1KkpX7S/823U/wDtn/1KkpX7S/8ANt1P/tn/ANSpKd3o+T6nRM+37ZlXbBZ+muZttZFc/o27zMcj <>>>/Subtype/Form/BBox[0 0 567 756]/Matrix [1 0 0 1 0 0]/Length 112/FormType 1/Filter/FlateDecode>>stream adobe:docid:indd:746c8674-a581-11dc-92d4-fd26991c071d In health care, however, stakeholders have myriad, often conflicting goals, including access to services, profitability, high quality, cost containment, safety, convenience, patient-centeredness, and satisfaction. /9j/4AAQSkZJRgABAgEASABIAAD/7QAsUGhvdG9zaG9wIDMuMAA4QklNA+0AAAAAABAASAAAAAEA Dnbg0NDi7abG6RJ5/BP4ojc9VoBOz1fTvrRm5tNTn1UtsfVXa9jd3tDhLtCQfvUU8koyI7MkYAxB �2�A��Z���8��6���~]w۹D� ���X!Ě� �i W�${�Y������� �d�G&��/�2z\5t�I�f���8n|����b� 6JKc77V/3c6793/qZJSvtX/dzrv3f+pklK+1f93Ou/d/6mSUr7V/3c6793/qZJSvtX/dzrv3f+pk O11Bu/AyWbHWbqbBsrMPdLT7WnXU9klPEfs3/wA1PU/+3v8A1EkpX7N/81PU/wDt7/1EkpX7N/8A endobj 300.00 FFMVdPpxLMbEcHfaram7XXP9RtDdxHtE9uSkpp4n1Q6hRhY+MRjeqzGwKm5O4+pi2Yu31vR/Rmdx 2010-12-08T11:07:28-05:00 x��1�0�ݧ�#,!�� 72.00 saved <>>>/Subtype/Form/BBox[0 0 567 756]/Matrix [1 0 0 1 0 0]/Length 83/FormType 1/Filter/FlateDecode>>stream +b7midNQlNXL+pnVMhg9EY2M9jeqbS1xcyw5+Q26qu5npNDmenLHeEyOAkpv9N+rGRgfWMdUbVjs Adobe InDesign 6.0 phNz44YzVrRImFtWz/G/1MFppw6bAWGx9ZZYyxgHkbC06a6HjVQkjSiuBJt6/D+svUcrApzn0VUt smaJkK6PMZ/1P+s12Xk3V4YO8BtZFrGkxPB36KSIoAMGaUZTJjs3ekfVTrtHUabsrHDK2YhrLvVa uuid:1b9307bf-6008-11d9-a9e9-cdb549529458 proof:pdf • Regulators may be interested in ensuring that care provided by a health care organization (e.g. endstream Inches Visibility to proven, measureable results that improve the quality and quantity of life. Inches 2010-12-08T13:40:27-05:00 AQACAwQFBgcICQoLEAABBAEDAgQCBQcGCAUDDDMBAAIRAwQhEjEFQVFhEyJxgTIGFJGhsUIjJBVS Since the global financial collapse most countries have reduced or reversed annual increases in the resources invested in health services, creating a big problem for those who pay for or manage health … What is value in health care? DJ/9hf8A1Kkp3ej5vrdEz7/2jbk+mLP1l9Wx1UVz7WbzMc8pKcL9s/8A0QZP/sL/AOpUlK/bP/0Q Inches xmp.iid:988058B3201F1168B2A882401BC3ED45 Adobe InDesign 6.0 �]� 72.00 YsnIfXtfXFc+1s6xykpw/wBt0f8Al9mf9sD/AMkkpX7bo/8AL7M/7YH/AJJJSv23R/5fZn/bA/8A select article The ICER Value Framework: Integrating Cost Effectiveness and Affordability in the Assessment of Health Care Value. endobj JYAJf9I/nSAI1TTzFbtUZLRY31qvuqL3VVtc36TROhHPdSDJ3bRwkjRzX/Wr65X59tPT+nYbsVoB uuid:adb09b42-3227-11b2-9a82-a5a4fc5d56b3 xmp.iid:74117FE120071168A3A7A0323951B09E endstream 2010-12-02T14:21:59-05:00 Widening Our Lens: Researchers Challenge Narrow Definitions of Value, Visits Versus Telephone Calls for Postoperative Care, 2 Forces That Will Drive the Health Industry, Pelvic Floor Disorder, Postoperative Complications, Satisfaction. adobe:docid:photoshop:daeb054a-b982-11d9-b0ed-ae2fadbea95c Title: What Is Value in Health Care? physicians. %PDF-1.6 endobj saved x�+� � | DirectStream … DirectStream Health care delivery involves numerous organizational units, ranging from hospitals to physicians' practices to units providing single services, but none of these reflect the boundaries within which value is truly created. Adobe InDesign 6.0 False xmp.iid:FD7C251220341168B840F0714BCB54D9 m26n/wBs/wDqVJSv2l/5tup/9s/+pUlK/aX/AJtup/8AbP8A6lSU9Xk9ZxulYGLfk+tcLmNAc1kv xiv Ensuring value for money in health care agencies support some level of involvement from patients and consumers, and a greater role for industry representatives has been proposed. saved qxyPVoyH1bdzsextdoDfSooZuF9DPzfozrPKU6uZ9Xcq36s19JrFL8t+RTl5T9GsdaMhmXkvZuqt endstream 2010-12-02T11:52:36-05:00 uuid:C034F2557C53DE11B12CFF573DDAF315 Inches 72.00 xmp.iid:74117FE020071168A3A7A0323951B09E 9 0 obj W/DP2tjv0wZi1srfW0Nx6x+kazYeBtJ04CSmfS/qvl4Bx/VxcK9rGUMYxznAYrqciy91lEU67t4d 645 saved / klO51zOrx+m4VruoXYosDYurr3OslgPuE6eKSnD/AG3R/wCX2Z/2wP8AySSlftuj/wAvsz/tgf8A endobj �]� un/uV1/7x/6USUr7XT/3K6/94/8ASiSlfa6f+5XX/vH/AKUSUr7XT/3K6/8AeP8A0okp3OkXMf0X endstream 72.00 xmp.iid:EA4937D2B33A68119109950A0C375863 rҿ`0ZM�C�2�n�+K��\1��"�=���"-�O'5z�@?����ǻ�����a(�%����qx��N`�F�x9��s>@n���'�����v@����y�I�C��l6� ˜?laX�n� 0s�P����@8ׯ/�Ѥj���� PK+//wAwSUr/AJx9V/8AKPK+/wD8wSUr/nH1X/yjyvv/APMElNrpvWM7NyRRkdMvxGFpPq2H2yO3 What is value in health care? Health is valued both as a consumption good, adding to utility, and as an investment in human capital.10 Moreover, the >��g@`�gn�>�ĵ2I�FAp�'��J�p�/>1�2c�� In any field, improving performance and accountability depends on having a shared goal that unites the interests and activities of all stakeholders. saved Based Medicine, Nuffield Department of Primary Care Health Sciences, University of Oxford How to cite: Hurst L, Mahtani K, Pluddemann A, Lewis S, Harvey K, Briggs A, Boyle A, Bajwa R, Haire K, Entwistle A, Handa A and Heneghan C. Defining Value-based Healthcare in the NHS: CEBM report. x���� Ew�⎚�å��N� I��)��i��Ҝ�䜧U����N��5D���1�Q]^�����GL��/Q��� �����tm����K��V��[�_��˩2�Pf��c�9pҸ�E���~U, 2010-12-06T15:10:31-05:00 21 0 obj Dignity and respect Learning and reflection – (thinking about what you do and why you do things in a certain way) Working together Commitment to quality care and support Here are examples of how these values and behaviours might look in your everyday work. endstream 300.00 saved 2020, December. uuid:3D9BF4B47D53DE11B12CFF573DDAF315 ��w3T�PI�2T0 BC##=Cc#��\.���T��r׼��ļ��Ң����4�Ԕ��̼T͐,.�. 4 0 obj WL/yjt+93/pNJSv+cn1i/wDKO373f+k0lK/5yfWL/wAo7fvd/wCk0lK/5yfWL/yjt+93/pNJSv8A . x�s saved ryLXubIIHLQ/dzpwhnzwww4iwQnA5OAmi3bfrR1bGyjVkUUCnYCy5u4te49mndwmjncGSIEL4/0g value-based care. 6 0 obj NCQA Web site, The UCLA Medical Center: Kidney Transplantation (TN), Blog posts, news articles and tweet counts and IDs sourced by, View 8 excerpts, cites background and methods, Evidence - based medicine and the changing nature of health care : 2007 IOM annual meeting summary, Performance measurement : accelerating improvement, By clicking accept or continuing to use the site, you agree to the terms outlined in our, Prostatabiopsi: «Erfarne urologer holder tilbake kunnskap», Thinking Holistically About Healthcare Costs And Long-Term Value. 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