Radio Value

Muir Gray’s paper of the week is: ‘Variability in Affect and Willingness to Take Medication' Reference: http://journals.sagepub.com/doi/full/10.1177/0272989X17727002 More information here - https://bettervaluehealthcare.net/25th-april-2018-paper-of-the-week/

Muir Gray’s paper of the week is: ‘Complexity-compatible’ policy for integrated care? Lessons from the implementation of Ontario’s Health Links Reference: Grudniewicza A et al (2018) Social Science & Medicine 198 (2018) ISSN 0277-9536, https://doi.org/10.1016/j.socscimed.2017.12.029. (http://www.sciencedirect.com/science/article/pii/S0277953617307736) More information here - https://bettervaluehealthcare.net/the-wisdom-distillery/

Is less ever more? A podcast from Muir Gray based on: Rosenbaum L. The Less Is More Crusade - Are We Overmedicalizing or Oversimplifying? New England Journal of Medicine 374;2392-2395 Mitigating waste is imperative. But doing so effectively means grappling with a greed that may more often reflect a hunger for information than a desire for financial gain. Until we learn how to better manage the uncomfortable uncertainties inherent in clinical care, “less is more” may be an aphorism better suited to telling coherent stories than to the complex decisions faced by doctors and patients.” http://ezproxy-prd.bodleian.ox.ac.uk:2481/doi/pdf/10.1056/NEJMms1713248

Culturebookdealandkennedy by Oxford Centre for Triple Value Healthcare

Podcast from Professor Sir Muir Gray of Better Value Healthcare Ltd.

Sir Muir Gray - Podcast: Overuse of Surgery for Women with Breast Cancer by Oxford Centre for Triple Value Healthcare

Value & Innovation. How much is enough?

Radio Value is now available through iTunes! Today's mini post is from Sir Muir Gray on The importance of walking, and incorporating learning into doing it more.

Obituary of Author Ken Arrow 1. Arrovian impossibility theorem 2. “…. the celebrated general possibility theorem, or the Arrovian impossibility theorem in the currently prevailing terminology, to the effect that there exists no social welfare function satisfying a set of conditions necessary for democratic legitimacy and informational efficiency.” Source: Arrow, K.J., Sen, A.K., Suzumura, K. (Eds). (2002) Handbook of Social Choice and Welfare, Volume 1. Elsevier. (p.11). “According to his celebrated general impossibility theorem, a set of seemingly reasonable axioms that are meant to crystallize minimal requirements on the “democratic” rule for resolving the conflicting claims of individuals is demonstrably self-contradictory, so that there cannot possibly exist a satisfactory rule.” 3. Source: Suzumura, K. (2009) Rational choice, collective decision, and social welfare. Cambridge University Press. (p.62). “Pareto principle, … a change from one social state to another social state

Overuse means we can address underuse...

Sir Muir Gray - Podcast: Down With Savings by Oxford Centre for Triple Value Healthcare

High quality care is not neccasarily high value...

Sir Muir Gray - Podcast of the Month: Optimality by Oxford Centre for Triple Value Healthcare

Source: Kuhn, T.S. (1962) The Structure of Scientific Revolutions [2nd Ed.] The University of Chicago Press. (p.111.) “Revolution as Changes of World View. Examining the record of past research from the vantage of contemporary historiography, the historian of science may be tempted to exclaim that when paradigms change, the world itself changes with them. Led by a new paradigm, scientists adopt new instruments and look in new places. Even more important, during revolutions scientists see new and different things when looking with familiar instruments in places they have looked before. It is rather as if the professional community had been suddenly transported to another planet where familiar objects are seen in a different light and are joined by unfamiliar ones as well. Of course, nothing of quite that sort does occur: there is no geographical transplantation; outside the laboratory everyday affairs usually continue as before. Nevertheless, paradigm changes do cause scientists to see the world of their