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Concepts of acceptability that have been widely studied include acceptable risk in situations affecting human health, and acceptable loss in particularly dire situations. The idea of not increasing lifetime risk by more than one in a million has become commonplace in public health discourse and policy. [7] It is a heuristic measure.
Unwarranted variations in medical practice refer to the differences in care that cannot be explained by the illness/medical need or by patient preferences. The term “unwarranted variations” was first coined by Dr. John Wennberg when he observed small area (geographic) and practice style variations, which were not based on clinical rationale. [5]
The Andersen healthcare utilization model is a conceptual model aimed at demonstrating the factors that lead to the use of health services. According to the model, the usage of health services (including inpatient care, physician visits, dental care etc.) is determined by three dynamics: predisposing factors, enabling factors, and need.
Health policy can be defined as the "decisions, plans, and actions that are undertaken to achieve specific healthcare goals within a society". [1] According to the World Health Organization, an explicit health policy can achieve several things: it defines a vision for the future; it outlines priorities and the expected roles of different groups; and it builds consensus and informs people.
The first step for the policy analyst is to identify the space in which the policy problem exists. This is generally a broad policy space, such as health policy or environmental policy. Next the analyst defines the specific policy issue area. In keeping with the example, the narrower policy issue area is renewable energy.
Acceptability This factor can be integrated with the balance of the benefits and harms and burden. The greater the acceptability of an option to all or most stakeholders, the more likely is a strong recommendation. Feasibility This factor includes considerations about values and preferences, and resource implications.
The tools of health informatics and health information technology are continually improving to bring greater efficiency to information management in the health care sector. Health information management professionals plan information systems, develop health policy, and identify current and future
Increasing or decreasing one results in changes to one or both of the other two. For example, a policy that increases access to health services would lower quality of health care and/or increase cost. The desired state of the triangle, high access and quality with low cost represents value in a health care system. [3]