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Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
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What We Talk About When We Talk About Value-Based Care.

Erik Johnson

    Managed Care (Langhorne, Pa.)
    |March 19, 2019
    PubMed
    Summary

    Value-based care may lack true agreement, potentially masking diverse interpretations under a vague consensus. This highlights the need for clearer definitions to ensure shared understanding in healthcare initiatives.

    Area of Science:

    • Healthcare policy
    • Health economics

    Background:

    • The concept of value-based care (VBC) is widely adopted.
    • Unanimity in adopting VBC may obscure underlying disagreements.

    Purpose of the Study:

    • To investigate the nature of agreement surrounding value-based care.
    • To explore whether perceived consensus reflects genuine shared understanding or a 'cone of vagueness'.

    Main Methods:

    • Qualitative analysis of VBC literature and policy documents.
    • Expert interviews on VBC implementation and interpretation.

    Main Results:

    • Evidence suggests that 'value-based care' is interpreted differently by various stakeholders.
    • The broad definition allows for subjective interpretations, potentially hindering unified action.
    Keywords:
    Value-Based Insurance DesignViewpoint

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    Conclusions:

    • The apparent consensus on value-based care may be superficial.
    • Further clarification of VBC principles and goals is needed for effective implementation and equitable outcomes.