A CALL FOR PARTICIPATION

The Connection is an open conversation, a group blog, and a nonpartisan effort to spark a rich discourse on fundamental values in health reform. Anyone can submit a post, and a selection of posts will appear here, on the Health Affairs blog, and in an upcoming volume.

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Posts on Quality


11.16.09

Values on NPR’s Talk of the Nation Science Friday

| From NPR Science Friday

Tom Murray, president of The Hastings Center, discussed how and why health reform should reflect our values in an interview on NPR’s Science Friday.

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value: Accountability, Efficiency, Fairness, Freedom, Health, Honesty, Integrity, Justice, Liberty, Medical Progress, Pragmatism, Privacy, Quality, Responsibility, Solidarity, Stewardship, Subsidiarity | Comments (1)


10.6.09

Honest Debate – and Pragmatic Solutions

Joanne Kenen | From New Health Dialogue

Liberty. Justice, Responsibility, Solidarity.

These are some of the American Values highlighted in the Hasting Centers report on “Connecting American Values with Health Reform”.

Watching health reform unfold here in Washington, however, that “Connection” is painfully elusive. The debate is not a careful calibration of competing rights, values and obligations. It’s a political moshpit. Instead of values, we have vitriol…

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value: Efficiency, Honesty, Pragmatism, Quality | Comments (7)


9.30.09

Quality: Where it Came From and Why it Matters

Frank Davidoff | From Institute for Healthcare Improvement

A movement has emerged within health care over the past several decades that sees quality as the combined and unceasing efforts of everyone involved in health care—professionals, patients and their families, researchers, payers, planners, and educators—to make the changes that will lead to better outcomes, better system performance, and better professional development; in other words, better health, better care, and better learning. This sweeping view recognizes that the pursuit of quality and safety is a dynamic process, not a static and narrowly focused endpoint. People associated with the quality movement accept this pursuit as both a moral responsibility and a serious applied science. They also believe unequivocally that everyone in health care has two jobs when they go to work every day: to provide care, and to make it better—a view that is entirely congruent with the idea that “unceasing movement toward new levels of performance” lies at the very heart of professionalism.

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value: Quality | Comments (0)


9.29.09

Values: The Beating Heart of Health Reform

Thomas H. Murray | From The Hastings Center

The atmosphere was tense. Representatives of the insurance industry were huddled in one corner. The other members of the Task Force on Genetic Information and Insurance, mostly academics and consumer representatives, were bunched across the room. As chair of the task force, I was in the middle, trying to make sense of the disagreement, which was growing more intense by the minute.

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value: Efficiency, Fairness, Health, Integrity, Justice, Liberty, Medical Progress, Privacy, Quality, Responsibility, Solidarity, Stewardship | Comments (2)


Featured Posts

Efficiency: Getting Clear on Our Goals

Some major fault lines in the current health reform debate arise out of conflicting notions about the definition and goals of efficiency. There is, however, a simple and intuitively appealing concept of efficiency that I believe should be a central virtue of any health reform effort: To be efficient means to use our resources in the best possible way to achieve our ends. This makes “efficiency” an instrumental ideal—a goal whose meaning depends on whatever substantive ends we embrace.

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9.30.09 | Comments (0)

value: Efficiency