For our next session on Monday November 3rd, our meeting will consist of peer review of someone’s work in progress (seeking volunteers!) and discussion of the following editorial, “What Is Value in Health Care?” (N Engl J Med 2010). Here’s a snippet:
Value — neither an abstract ideal nor a code word for cost reduction — should define the framework for performance improvement in health care. Rigorous, disciplined measurement and improvement of value is the best way to drive system progress. Yet value in health care remains largely unmeasured and misunderstood.
I hope we can discuss Porter’s conceptualization of “value.” Do you agree with the commenters who argue that a payer-centred perspective of value ignores patient-centred, lifespan, and non-acute care outcomes? How does this editorial relate to other HSR literature you’ve been reading recently?