2013 NOV 4 (NewsRx) -- By a News Reporter-Staff News Editor at AIDS Weekly -- Current study results on Immune System Diseases and Conditions have been published. According to news reporting originating in Boston, Massachusetts, by NewsRx journalists, research stated, "Initiatives to address the unmet needs of those facing both poverty and serious illness have expanded signifi cantly over the past decade. But many of them are designed in an ad-hoc manner to address one health problem among many; they are too rarely assessed; best practices spread slowly."
The news reporters obtained a quote from the research from Harvard University, "When assessments of delivery do occur, they are often narrow studies of the cost-eff ectiveness of a single intervention rather than the complex set of them required to deliver value to patients and their families. We propose a framework for global health-care delivery and evaluation by considering eff orts to introduce HIV/AIDS care to resource-poor settings. The framework introduces the notion of care delivery value chains that apply a systems-level analysis to the complex processes and interventions that must occur, across a health-care system and over time, to deliver high-value care for patients with HIV/AIDS and cooccurring conditions, from tuberculosis to malnutrition. To deliver value, vertical or stand-alone projects must be integrated into shared delivery infrastructure so that personnel and facilities are used wisely and economies of scale reaped. Two other integrative processes are necessary for delivering and assessing value in global health: one is the alignment of delivery with local context by incorporating knowledge of both barriers to good outcomes (from poor nutrition to a lack of water and sanitation) and broader social and economic determinants of health and wellbeing (jobs, housing, physical infrastructure). The second is the use of eff ective investments in care delivery to promote equitable economic development, especially for those struggling against poverty and high burdens of disease."
According to the news reporters, the research concluded: "We close by reporting our own shared experience of seeking to move towards a science of delivery by harnessing research and training to understand and improve care delivery."
For more information on this research see: Redefining global health-care delivery. Lancet, 2013;382(9897):1060-1069. Lancet can be contacted at: Elsevier Science Inc, 360 Park Ave South, New York, NY 10010-1710, USA. (Elsevier - www.elsevier.com; Lancet - www.elsevier.com/wps/product/cws_home/680968)
Our news correspondents report that additional information may be obtained by contacting J.Y. Kim, Harvard University, Harvard Business Sch, Boston, MA 02115, United States. Additional authors for this research include P. Farmer and M.E. Porter (see also Immune System Diseases and Conditions).
Keywords for this news article include: Boston, Massachusetts, United States, North and Central America, Immune System Diseases and Conditions
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