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1 – 10 of over 203000Yunwei Gai, Alia Crocker, Candida Brush and Wiljeana Jackson Glover
Research has examined how new ventures strengthen local economic outcomes; however, limited research examines health-oriented ventures and their impact on social outcomes…
Abstract
Purpose
Research has examined how new ventures strengthen local economic outcomes; however, limited research examines health-oriented ventures and their impact on social outcomes, including health outcomes. Increased VC investment in healthcare service start-ups signals more activity toward this end, and the need for further academic inquiry. We examine the relationship between these start-ups and county-level health outcomes, health factors, and hospital utilization.
Design/methodology/approach
Data on start-ups funded via institutional venture capital from PitchBook were merged with US county-level outcomes from the County Health Rankings and Area Health Resources Files for 2010 to 2019. We investigated how the number of VC-funded healthcare service start-ups, as well as a subset defined as innovative, were associated with county-level health measures. We used panel models with two-way fixed effects and Propensity Score Matched (PSM), controlling for demographics and socioeconomic factors.
Findings
Each additional VC-funded healthcare service start-up was related to a significant 0.01 percentage point decrease in diabetes prevalence (p < 0.01), a decrease of 1.54 HIV cases per 100,000 population (p < 0.1), a 0.02 percentage point decrease in obesity rates (p < 0.01), and a 0.03 percentage point decrease in binge drinking (p < 0.01). VC-funded healthcare service start-ups were not related to hospital utilization.
Originality/value
This work expands our understanding of how industry-specific start-ups, in this case healthcare start-ups, relate to positive social outcomes. The results underscore the importance of evidence-based evaluation, the need for expanded outcome measures for VC investment, and the possibilities for integration of healthcare services and entrepreneurship ecosystems.
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David Walton, Michael Fullerton and Seraphim Patel
This paper seeks to discuss the collaborative development and piloting of joint user outcome measures for older adults with mental health problems (OAMH) and their carers. Outcome…
Abstract
Purpose
This paper seeks to discuss the collaborative development and piloting of joint user outcome measures for older adults with mental health problems (OAMH) and their carers. Outcome measures are crucial to measuring the impact of services on people's lives and are central to the new NHS and Adult Social Care (ASC) Outcome Frameworks.
Design/methodology/approach
The paper describes the development of a joint user outcome measure based on ASC User Experience Surveys (UES) and User Outcome Measures, and NHS Patient Reported Outcome Measures (PROMS) and Patient Reported Experience Measures (PREMS).
Findings
The aim was to supplement existing clinical outcome measures (HONOS65+) with holistic measures of the impact of services on the lives of patients, easy to administer, covering a range of health and social care outcomes and meeting both health and social care outcome requirements.
Originality/value
As far as is known this is one of the first tests of a joint patient reported experience and outcome measure. Such measures may enable joint services to: measure wider outcomes as well as clinical outcomes; meet the new focus on outcomes; and enable more systematic collection of outcome and effectiveness/Value for Money (VFM) data. There are also lessons about collaborative working and development.
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Kirsten Gooday and Ailsa Stewart
This article will examine the potential gap between the rhetoric of reducing bureaucracy to achieve better outcomes for individuals, and the reality for community care in the…
Abstract
This article will examine the potential gap between the rhetoric of reducing bureaucracy to achieve better outcomes for individuals, and the reality for community care in the framework of the introduction of a single reporting system focused on a Single Outcome Agreement (SOA), developed between local and central government in Scotland. The article will provide a description of current arrangements in Scotland and draw on a major analysis of all 32 08/09 SOAs conducted by Community Care Providers Scotland to examine whether or not this framework could be a driver or barrier to better outcomes.
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Gillian Fairfield and Andrew F. Long
Discusses measuring outcomes in the context of disease management and provides a single framework in the form of a key question checklist. Identifies key stakeholders. Outlines…
Abstract
Discusses measuring outcomes in the context of disease management and provides a single framework in the form of a key question checklist. Identifies key stakeholders. Outlines levels of outcome monitoring, measurement and date type and source. The development of an evaluative culture is essential to successful outcome measurements.
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This paper aims to deal with place management, not as an additional function to traditional silo organisations, but as a core part of a government that has been restructured to…
Abstract
Purpose
This paper aims to deal with place management, not as an additional function to traditional silo organisations, but as a core part of a government that has been restructured to achieve complex outcomes, such as place management. The work is based on the author's experience over the last couple of decades, both as a departmental head and a change management consultant.
Design/methodology/approach
Instead of government consisting essentially of functional departments, each one consisting of a different group of professionals pursuing specialist inputs and outputs, an outcomes focused government is structured around the three core aspects of governance – effectiveness (outcomes), efficiency (services) and transparency (standards). The three parts have different ways of operating and different types of performance measure.
Findings
Place management along with systems management are the essential responsibilities of the outcomes organisation.
Research limitations/implications
Rather than advocate traditional inputs and outputs, outcome managers are free to pursue a wide range of solutions from a number of different providers. Being highly visible to the community place managers especially provide a clear point of contact for all those with an interest in the place, whilst buck passing opportunities are limited. Budgeting can be shifted to the funding of outcomes rather than inputs or outputs, with increased power for elected officials to review a wider range of expenditure. Outcomes management provides opportunities for bottom‐up solutions, rather than reliance on top‐down coordinating committees of silo organisations.
Originality/value
The paper should provide those struggling with the limitations of place management in traditional structures with a model for the more effective governance of places.
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Stephen Ball, Judith Mudd, Marie Oxley, Mike Pinnock, Hazel Qureshi and Elinor Nicholas
This paper explores how a research‐based understanding of outcomes in social care can be incorporated into practice. Drawing on research by the Social Policy Research Unit and the…
Abstract
This paper explores how a research‐based understanding of outcomes in social care can be incorporated into practice. Drawing on research by the Social Policy Research Unit and the practical experience of North Lincolnshire Social Services Department, this paper highlights how culture change and the involvement of stakeholders are key to using outcomes ideas as a motivational framework for service improvement.
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Sean McCartney and Reva Berman Brown
The paper explores the literature concerning outcome measures used in health services. The need to measure outcomes subsequent to encounters with health services has been…
Abstract
The paper explores the literature concerning outcome measures used in health services. The need to measure outcomes subsequent to encounters with health services has been identified and occurs as a result of the current “value for money” approaches being used within the NHS. Provider units are required to establish the effects which interventions have had on the health of each individual using their services, despite the fact that definitions of health outcomes used by both professionals and managers are problematic. It is suggested here, however, that outcome measures which answer all requirements will remain elusive, and their effectiveness will vary according to the circumstances of their generation and use. Moreover, the very use of outcome measures as management tools can lead to a subversion of the meaning which led to their selection in the first place. Managing by (outcome measure) numbers is not a realistic way forward.
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Emma Miller, Margaret Whoriskey and Ailsa Cook
There is currently much policy emphasis on both partnership working between health and social services in the UK and on the outcomes delivered by services. This article provides…
Abstract
There is currently much policy emphasis on both partnership working between health and social services in the UK and on the outcomes delivered by services. This article provides an account of two consecutive projects centred on these two themes. The first project, at the University of Glasgow, sought to address the lack of evidence about the outcomes delivered to service users by partnerships. Following from this project, the Joint Improvement Team of the Scottish Government commissioned the researchers to develop a toolkit to involve users and unpaid carers in performance management in community care in Scotland. The remit of this second project expanded during 2007 as it became linked with the development of the emerging National Outcomes Framework for community care in Scotland. This article outlines the outcomes‐based piloting work currently under way in Scotland.
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Statements of outcomes have recently become part of the educational agendas in many countries as a means of ensuring greater school accountability. This article accounts for the…
Abstract
Statements of outcomes have recently become part of the educational agendas in many countries as a means of ensuring greater school accountability. This article accounts for the emergence of outcomes as the predominant statements of educational intent in Australian schools, and synthesises the findings of two studies which investigated the extent to which teachers are incorporating outcomes into their teaching planning and practice in New South Wales. The findings indicate that outcomes are instrumental in teachers’ planning; that they are stated differentially according to subject; that they are stated more in relation to skills than knowledge or values; that they are stated for short‐term intent rather than long‐term intent, and that they have not significantly changed the nature of classroom pedagogy.
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Joanne Greenhalgh, Andrew F. Long, Alison Brettle and Maria J. Grant
Reports on the first phase of an evaluation of the UK Clearing House on Health Outcomes (UKCHHO) undertaken by a sample survey of purchasers and providers on its mailing list and…
Abstract
Reports on the first phase of an evaluation of the UK Clearing House on Health Outcomes (UKCHHO) undertaken by a sample survey of purchasers and providers on its mailing list and users of its enquiry service. Explores user satisfaction with the services and publications of the project, uses made of the information provided and perceptions of the future role of a UKCHHO. Reports overwhelming satisfaction with the enquiry service and agreement about the usefulness of Outcomes Briefing. States that the main areas of use for the information provided were within clinical audit, guidelines and the exploration of outcomes within routine clinical practice. Also that the findings provide evidence of the need for an expanded brief for a UKCHHO, to include the provision of an enquiry service on study design and demonstrations of the value of the collection of outcomes data. Notes there is an urgent need to show that the systematic collection and use of outcomes data makes a difference to the quality of care provided to patients and to the purchase of services.
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