{"id":34657,"date":"2015-07-08T11:39:19","date_gmt":"2015-07-08T10:39:19","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=34657"},"modified":"2015-07-08T11:42:20","modified_gmt":"2015-07-08T10:42:20","slug":"the-bmj-today-money-and-medicine","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/07\/08\/the-bmj-today-money-and-medicine\/","title":{"rendered":"The BMJ Today: Money and medicine"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/07\/pounds-507x338.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-34634\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/07\/pounds-507x338-150x150.jpg\" alt=\"pounds (507x338)\" width=\"150\" height=\"150\" \/><\/a><strong>\u2022\u00a0<\/strong>A report by the Kings Fund <a href=\"http:\/\/www.bmj.com\/content\/351\/bmj.h3698\">finds that \u201cclinicians can do more to deliver better health outcomes at a lower cost.\u201d<\/a>\u00a0The report points out examples of successful cost-savings and efficiency, such as increases in generic prescribing and day surgery, but finds that more needs to be done and points out opportunities to save more in clinical practice, an area it suggests has been mostly overlooked by those wishing to cut costs.<!--more--><\/p>\n<p>Motivation for those cuts, of course, comes not just from a desire to make healthcare systems more effective, but to meet the huge challenge set by the Conservative government of saving \u00a322bn in the NHS during the next five years.<\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/07\/ebola_burial_guinea.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-34658\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/07\/ebola_burial_guinea-150x150.jpg\" alt=\"ebola_burial_guinea\" width=\"150\" height=\"150\" \/><\/a><strong>\u2022\u00a0<\/strong>In Guinea, Liberia, and Sierra Leone, <a href=\"http:\/\/www.bmj.com\/content\/351\/bmj.h3699\">the focus is on rebuilding health systems by increasing, rather than reducing, funding<\/a>. Under-funded health systems decimated by Ebola collectively need nearly $1.5 billion to rebuild according to their governments. Matshidiso Moeti, WHO\u2019s regional director for Africa, explained how increased funding was already working. When asked about three new reported cases of Ebola, including one death, she said \u201cWhat we are very pleased about is that all the investment that had been made in improving surveillance systems was able to pick up this case relatively quickly. We have to live with the reality that there may be other cases before we get to zero.\u201d<\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/07\/us_dollars.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-34659\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/07\/us_dollars-150x150.jpg\" alt=\"us_dollars\" width=\"150\" height=\"150\" \/><\/a><strong>\u2022\u00a0<\/strong>In the US, meanwhile, the first full-year\u2019s data from the new Open Payments system has been made available, showing <a href=\"http:\/\/www.bmj.com\/content\/351\/bmj.h3697\">that drug and medical device makers paid $6.49bn (\u00a34.2bn; \u20ac5.9bn) to physicians and teaching hospitals over the past year<\/a>. The open-access database, created by the 2010 Affordable Care Act, requires drug and device manufacturers to report all \u201ctransfers of value.\u201d Individual physicians received $2.02bn in general payments and all of the $703m in payments relating to ownership or investment interest.<\/p>\n<p>The American Medical Association issued a statement condemning \u201cinappropriate, unethical interactions between physicians and industry,\u201d but said that being reported as receiving payment from the industry could \u201cwrongly imply\u201d that a physician has done something improper, pointing out that \u201csome relationships with industry can help drive innovation in patient care.\u201d<\/p>\n<p><em><strong>Rebecca Winson<\/strong> is publishing executive at <\/em>The BMJ<em>.\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2022\u00a0A report by the Kings Fund finds that \u201cclinicians can do more to deliver better health outcomes at a lower cost.\u201d\u00a0The report points out examples of successful cost-savings and efficiency, [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/07\/08\/the-bmj-today-money-and-medicine\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5750],"tags":[],"class_list":["post-34657","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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