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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.
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]
acceptable; sensible; popular; policy; The Overton window is an approach to identifying the ideas that define the spectrum of acceptability of governmental policies. The premise of the concept Overton defined was that politicians typically act freely only within a window seen as acceptable.
In this Act, three distinct existing programs were consolidated: Hill-Burton; Regional Medical Program; Comprehensive Health Planning Act; Congress realized that the provision of federal funds for the construction of new health care facilities was contributing to increasing health care costs by generating duplication of facilities.
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]
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.
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Implementation research is the systematic study of methods that support the application of research findings and other evidence-based knowledge into policy and practice. [1] It aims to understand the most effective pathways from research to practical application, particularly in areas such as health, education, psychology and management. [ 2 ]