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Friday, September 4, 2020

Healthcare Diagnostics

The post Healthcare Diagnostics appeared first on healthcare nt sickcare™.


9 Benefits of Value Of Diagnostic Information For Patients
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Future Of Healthcare Diagnostics

Health systems around the world seek to address patients’ unmet health needs for a range of acute and chronic diseases. Simultaneously, governments strive to keep healthcare spending sustainable, while providing equal access to high-quality care. This has fueled debate around what constitutes a valuable healthcare intervention in a health system and the corollary consideration of what governments are willing to pay for a certain health intervention. Until recently, the value of information in general, and the value of diagnostic information specifically, was not part of the discussion. However, investment in diagnostic information can be a key development as information may guide more effective and efficient healthcare and help maintain an affordable health system.

This article from healthcare nt sickcare explores ways to best define, evaluate, and reward the value created from diagnostics in healthcare and how to include these value considerations in decision-making processes for diagnostics. We at healthcare nt sickcare, ultimately call for a holistic framework that accounts for the full range of potential benefits of diagnostic testing, beyond the traditional clinical and health economic domains, and that is essential to recognize, measure, and fully leverage the benefits of diagnostics for patients, health systems, and society.

Healthcare and Diagnostics

It is recognized that patients can live healthier and longer lives when disease progression is prevented or delayed or when patients recover through timely diagnosis, followed by appropriate clinical management. Diagnostics deliver information that can benefit patients by enabling the selection of the right treatment, helping doctors to choose appropriate preventive interventions, and providing vital prognostic data that can optimize care pathways and management. The diagnostic information may also enable informed choices regarding, for example, reproduction, nutrition, and changes in lifestyle.

Furthermore, diagnostic information may help to avoid or shorten hospitalization, decrease inappropriate medication use, or shorten the length of sick leave, thereby bringing economic value in terms of cost-containment as well as fostering improved health outcomes, ultimately leading to more efficient use of resources.

Unlike therapeutics, for which direct clinical effects can often be straightforwardly demonstrated, diagnostics provide information that indirectly influences patient management as well as the economic efficiency of healthcare systems. It is often more difficult to generate evidence to demonstrate the full potential of diagnostic information, as compared to generating such evidence for therapeutics, and may require a different approach.

We introduce the value of diagnostic information, which goes beyond conventional cost-effectiveness metrics by including the “value of knowing” as well as the quality of life improvements arising from this knowledge gain. Diagnostic information is valued across multiple dimensions with each dimension being weighted differently by different stakeholders. This might explain why diagnostics are generally considered only in the context of a specific treatment or circumstance, while the broader value of diagnostic information is frequently overlooked.

A holistic framework for VODI (value of diagnostic information) that accounts for the full range of potential benefits of diagnostic testing, beyond the traditional clinical and health economic domains, is essential to recognize, measure, and fully leverage the benefits of diagnostics for patients, health systems, and society.

Value Of Diagnostic Information

A healthcare “value chain” is triggered when screening, or the suspicion of the disease leads to the application of a diagnostic test. The information obtained from the test may provide more certainty about the best course of action and thus improve patient management (i.e., the intrinsic value of information). The information obtained may lead to further testing or, on the contrary, to no further action. It may also lead to treatment, or to a better choice of the most (cost-)effective treatment for a specific patient, thereby potentially avoiding the use of an ineffective treatment. The diagnostic information may also support decisions about family planning, future plans, or end-of-life patient care.

These actions all refer to different dimensions of VODI and may be valued differently from the different perspectives of the relevant stakeholders. For example, improved patient management resulting in better clinical outcomes may be one dimension of the VODI concept (e.g., the “clinical utility” of the test-treatment combination). Other dimensions could include patient empowerment through greater knowledge of their condition, the improvement of the effectiveness of other interventions (e.g., personalized medicine) after the test is applied, and guidance towards population risk stratification and the best use of resources.

Although the importance of the different dimensions of VODI may vary according to the perspective considered, the value assessment needs to be comprehensive, covering a time horizon long enough to account for all the outcomes and total costs during the expected healthcare pathway (which could be a lifelong time horizon in many cases). The assessment of the various dimensions might require different methodological approaches. For example, patient satisfaction can be assessed with interviews or questionnaires, whereas assessing lifelong health benefits and costs often requires simulation modeling.

Value Of Diagnostic Information For Doctors

Diagnostic information provides value to healthcare professionals and doctors by directly guiding appropriate care decisions and related clinical behavior. Diagnostics generate data (e.g., a blood glucose level, the presence of infection, or a cardiac or oncology marker at the genetic level) that can be transformed into knowledge (information), thereby supporting clinical decisions. For example, blood glucose levels (derived from a laboratory or point-of-care test, or blood glucose meter) can be stored and shared in real-time with doctors who advise on the appropriate therapeutic action to take (e.g., modify insulin therapy).

This may not only result in the desired health outcome for the patient, but it may also avoid the need for subsequent or more invasive tests, the occurrence of adverse events, and/or delays in implementing the best possible therapy.

Efficiency gains can also be obtained from well-informed decisions: by selecting the group of patients most likely to benefit from a specific therapy. Another example is rapid detection of the presence of a marker of acute coronary heart disease allowing a prompt indication of the patient’s risk, followed by rapid diagnostic workup and if needed, initiation of life-saving interventions.

Efficiency gains can also be obtained from well-informed decisions: by selecting the group of patients most likely to benefit from a specific therapy. Another example is rapid detection of the presence of a marker of acute coronary heart disease allowing a prompt indication of the patient’s risk, followed by rapid diagnostic workup and if needed, initiation of life-saving interventions.

Value Of Diagnostic Information For Patients

From the patient and family perspective, diagnostic information has value both by promoting clinical benefit and through the “value of knowing.” The clinical benefit comes from decisions about patient management made after testing. These management decisions affect patients’ health outcomes. Hence, diagnostic information can provide clinical utility and medical benefits.

This will depend on contextual factors in the healthcare pathway, including the availability of treatment after the diagnostic information, the effectiveness of treatments and management strategies for the diagnosed condition, standards of care, prevalence and other specific disease characteristics, and the experience of the person who interprets and uses the information.

Assessing the clinical utility of diagnostic tests requires an integrated approach that considers all the contextual factors and multiple outcomes, including interactions with, and impact on, subsequent interventions, along the treatment pathway. This may require the use of mathematical or simulation modeling of these relationships.

With respect to the value of knowing, patients may, for example, have greater peace of mind knowing that they do or do not have a condition and may benefit from treatment if it exists. Patients or parents of young patients can derive value from information on their (child’s) health status, disease, or prognosis regardless of whether that information would affect a treatment decision. Furthermore, knowing the risk or chances of having a disease may enable informed decision-making.

Beneficial effects on mental health and well-being are reported, with benefits including a sense of personal control, from patients receiving results of a genetic test for Huntington disease. The well-being value comes from the reassurance or the sense of self-control provided by knowing. Research suggests that the dimension of “knowledge and understanding” is the most cited reason for taking the test (38%), followed by life planning (17%).

Families and caregivers may benefit from early access to diagnostic information. For example, early and rapid diagnosis of a condition such as diabetes can help avoid or delay the progression of the disease and thus lessen or avoid a family’s emotional and/or financial burden. Or the diagnosis of a genetic condition or predisposition (e.g., cancer with a genetic component) might be very important for the prevention, surveillance, or early management of disease in relatives, including their reproductive planning and adequate clinical management.

Caregivers may benefit from home or point-of-care monitoring of disease (e.g., coagulation or glucose monitoring) as most of the patient care may be provided at home or in the community. This may lessen or avoid interference with activities of daily living both to patients and caregivers (e.g., they can go back to work, study) as fewer visits to the hospital or clinic would be needed when most of the management can be readily done near patients’ homes.

The diagnostic information may also allow patients to understand their prognosis and plan their lives accordingly, including, in the case of genetic disease, making reproductive decisions. This “planning value” or ability to inform patients about choices on disease surveillance (for “at-risk” individuals), reproduction, work, retirement, and long-term health is another important domain of VODI.

9 Benefits of Value Of Diagnostic Information For Patients

  1. Reported relevant outcomes to patients including the clinical benefit of more favorable treatment or management strategy.
  2. Knowing health status or prognosis empowers patients’ choices about their own health status, and on reproduction, work, retirement, long-term health, and end-of-life management (“value of knowing and deciding”).
  3. Reassurance regarding the absence of disease (“rule-out” value).
  4. Empowerment and an increased sense of well-being and satisfaction due to being in charge of their health.
  5. Future usefulness from current information (“option value”).
  6. Improved adherence to treatment and care.
  7. Positive behavioral change.
  8. Connecting with others with the same condition for peer support.
  9. Seeking education and social care.

Healthcare Diagnostics in Pune

healthcare nt sickcare is a Medical and Diagnostic Center Serving in Pune And Pimpri Chinchwad. It is one of its kinds in Pune having Pathology & Full Body Check-ups under one roof. At healthcare nt sickcare, we are committed to providing world-class healthcare in a comprehensive and seamless manner. From medical excellence to a warm, reassuring environment, everything we do is governed by one overriding objective – the welfare of our patients.

healthcarentsickcare.com is designed with emphasis on excellence in clinical services and diagnostic facilities. As a truly world-class institution, healthcare nt sicckare offers doctors and patients cutting edge diagnostic solutions as well as the latest in IT systems.

Our Speciality: At healthcare nt sickcare we have special ALLERGY TEST Packages And Comprehensive Early Detection Cancer Blood Test Packages.

You May Also Interested To Learn About: Healthcare in India

All material copyright healthcare nt sickcare. 2017 – 2020. Terms and conditions & Privacy Policy of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. Source: This article inspired by various online articles and our own offline experiences. The content meant for public awareness and regular posts to the clientele of healthcare nt sickcare.

Credit vismithams.in

The post Healthcare Diagnostics appeared first on healthcare nt sickcare™.



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