Evidence map›Paper›PMID 34141903›Full record

ReviewHealth science reports2021

Testing cost containment of future healthcare with maintained or improved quality-The COSTCARES project.

Karl Swedberg, Desmond Cawley, Inger Ekman, Heather L Rogers, Darijana Antonic, Daiga Behmane, Ida Björkman, Nicky Britten, Sandra C Buttigieg, Vivienne Byers and 12 more

Abstract readReview
In one paragraph

Review in Health science reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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  13. Commentary: how person-centred is pharmaceutical care?International journal of clinical pharmacy · 2022
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  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Karl SwedbergCentre for Person Centred Care University of Gothenburg Gothenburg Sweden.ORCID https://orcid.org/0000-0002-6358-2154
Desmond CawleyDepartment of Nursing and Healthcare, Faculty of Science and Health Athlone Institute of Technology Athlone Ireland.
Inger EkmanCentre for Person Centred Care University of Gothenburg Gothenburg Sweden.
Heather L RogersBiocruces Bizkaia Health Research Institute Barakaldo Spain.
Darijana AntonicPublic Health Institute Banja Luka Bosnia and Herzegovina.
Daiga BehmaneInstitute of Public Health Riga Stradins University Riga Latvia.
Ida BjörkmanCentre for Person Centred Care University of Gothenburg Gothenburg Sweden.
Nicky BrittenInstitute of Health and Care Sciences University of Gothenburg Gothenburg Sweden.
Sandra C ButtigiegDepartment of Health Services Management, Faculty of Health Sciences University of Malta Msida Malta.
Vivienne ByersEnvironmental Sustainability & Health Institute Technological University Dublin Dublin Ireland.
Mats BörjessonDepartment of Neuroscience and Physiology University of Gothenburg Gothenburg Sweden.
Kirsten CorazziniDuke University School of Nursing Durham North Carolina.
Andreas ForsCentre for Person Centred Care University of Gothenburg Gothenburg Sweden.
Bradi GrangerDuke University Heart and Vascular Services Durham North Carolina.
Boban JoksimoskiFaculty of Computer Science and Engineering Skopje North Macedonia.
Roman LewandowskiManagement Faculty University of Social Sciences Lodz Poland.
Virgilijus SakalauskasVilnius University Vilnius Lithuania.
Einav SruloviciDepartment of Nursing University of Haifa Haifa Israel.
Jan TörnellCentre for Person Centred Care University of Gothenburg Gothenburg Sweden.
Sara WallströmCentre for Person Centred Care University of Gothenburg Gothenburg Sweden.
Axel WolfCentre for Person Centred Care University of Gothenburg Gothenburg Sweden.ORCID https://orcid.org/0000-0001-6111-8377
Helen M LloydFaculty of Health and Human Sciences, School of Psychology University of Plymouth Plymouth United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncreasing healthcare costs need to be contained in order to maintain equality of access to care for all EU citizens. A cross-disciplinary consortium of experts was supported by the EU FP7 research programme, to produce a roadmap on cost containment, while maintaining or improving the quality of healthcare. The roadmap comprises two drivers: person-centred care and health promotion; five critical enablers also need to be addressed: information technology, quality measures, infrastructure, incentive systems, and contracting strategies.

methodIn order to develop and test the roadmap, a COST Action project was initiated: COST-CARES, with 28 participating countries. This paper provides an overview of evidence about the effects of each of the identified enablers. Intersections between the drivers and the enablers are identified as critical for the success of future cost containment, in tandem with maintained or improved quality in healthcare. This will require further exploration through testing.

conclusionCost containment of future healthcare, with maintained or improved quality, needs to be addressed through a concerted approach of testing key factors. We propose a framework for test lab design based on these drivers and enablers in different European countries.

Indexed as

cost containmenthealth economicshealth policyhealth promotionhealth service preventiveperson‐centred carequality of care

Identifiers

PMID34141903
PMCPMC8180514

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.