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Finally, our predictive model is based on outcomes that can be obtained in developed countries with access to the necessary resources such as antibiotic treatment and revascularisation; our results, therefore, are most relevant for diabetic foot ulcer patients in developed countries.
A reason why AoL may predict a higher level of risk compared with IHC4+C is that it is based on clinical data that was mainly collected in the era preceding breast screening, and may disproportionately convey risk statistics associated with breast cancers that are biologically more aggressive, whereas IHC4+C is based on outcomes from a low-risk breast cancer population.
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In a world where provider reimbursement is based on outcome, rather than activity, this is a recipe for reimbursement disaster.
This finding may differ when quality information is based on outcome indicators with a clinically relevant difference, as shown by our indicators for breast cancer treatment.
The calculation of DCI and linearity was based on outcomes of conflicts in which at least one individual was ready to escalate.
About two-thirds of the government's new performance indicator targets are based on outcomes rather than outputs.
Provider quality and cost should be plainly available to consumers, and payment systems should be based on outcomes, not volume.
And, indeed, some of the ideas do sound good: more information technology, comparative effectiveness research, conducting experiments to bundle hospital payments so they are based on outcomes.
Yet another issue is that all analytic approaches to picking candidates are backward looking, in the sense that they are based on outcomes that have already happened.
This is hardly surprising since the former is focussed on improving the health status in populations while medical care measures are based on outcomes in individuals.
To date, clinical trials on osteoporosis have been based on outcomes measured by imaging tests.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com