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Chronic care suppliers

Laxmaiah Manchikanti, Amol Soin, Dharam P Mann, Sanjay Bakshi, Vidyasagar Pampati, Joshua A Hirsch
BACKGROUND: Over the past 2 decades, the increase in the utilization of interventional techniques has been a cause for concern. Despite multiple regulations to reduce utilization of interventional techniques, growth patterns continued through 2009. A declining trend was observed in a previous evaluation; however, a comparative analysis of utilization patterns of interventional techniques has not been performed showing utilization before and after the enactment of the Affordable Care Act (ACA)...
November 2017: Pain Physician
Taylor Jennelle Fitch, Jacxelyn Moran, Gabriela Villanueva, Hari Krishna Raju Sagiraju, Mohammad Morshedul Quadir, Hasanat Alamgir
BACKGROUND: Depression is a growing health issue in both developed and developing countries. General unawareness at the population level, lack of training among health care providers and scarcity of resources including treatment opportunities may conceal the real burden of depression in developing countries, and more epidemiological studies on its prevalence and risk factors are critically needed. AIM: This study reports the prevalence of depression and its associated risk factors among female garment factory workers in Bangladesh - a major supplier country of clothes for the Western market...
May 2017: International Journal of Social Psychiatry
David Font, Joan Escarrabill, Mónica Gómez, Rafael Ruiz, Belén Enfedaque, Xavier Altimiras
The Integrated Health Area "Barcelona Esquerra" (Área Integral de Salud de Barcelona Esquerra - AIS-BE), which covers a population of 524,000 residents in Barcelona city, is running a project to improve healthcare quality and efficiency based on co-ordination between the different suppliers in its area through the participation of their professionals. Endowed with an Organisational Model that seeks decision-taking that starts out from clinical knowledge and from Information Systems tools that facilitate this co-ordination (an interoperability platform and a website) it presents important results in its structured programmes that have been implemented such as the Reorganisation of Emergency Care, Screening for Colorectal Cancer, the Onset of type 2 Diabetes Mellitus, Teledermatology and the Development of Cross-sectional Healthcare Policies for Care in Chronicity...
2016: International Journal of Integrated Care
Laxmaiah Manchikanti, Vidyasagar Pampati, Joshua A Hirsch
BACKGROUND: The increase in the utilization of various techniques in managing chronic pain, including interventional techniques, is a major concern for policy-makers and the public at large. Consequently, multiple regulations have been instituted to reduce health care expenditures in general and expenditures related to interventional techniques in particular. Previous investigations have shown significant increases of utilization of interventional techniques across the board with minor decreases noted in 2007, 2010, 2012 and 2013...
May 2016: Pain Physician
Wenxi Tang, Xiaowei Sun, Yan Zhang, Ting Ye, Liang Zhang
BACKGROUND: While integrated health care system has been proved an effective way to help improving patient health and system efficiency, the exact behaviour model and motivation approach are not so clear in poor rural areas where health human resources and continuous service provision are urgently needed. To gather solid evidence, we initiated a comprehensive intervention project in Qianjiang District, southwest part of rural China in 2012. And after one-year's pilot, we developed an intervention package of team service, comprehensive pathway and prospective- and performance-based payment system...
January 2015: International Journal of Integrated Care
Laxmaiah Manchikanti, Vidyasagar Pampati, Frank J E Falco, Joshua A Hirsch
BACKGROUND: The rapid increase in the prevalence of chronic pain and disability, and the explosion of interventional pain management associated health care costs are a major concern for our community. Further, the increasing utilization of numerous modalities of treatments in managing chronic pain, continue to escalate at a pace which may not be sustainable. There are multiple regulations in place to control the growth of health care expenditures which seem to have been largely ineffective...
March 2015: Pain Physician
Lynda J Redwood-Campbell, Sharonya N Sekhar, Christine R Persaud
INTRODUCTION: Violence against humanitarian health care workers and facilities in situations of armed conflict is a serious humanitarian problem. Targeting health care workers and destroying or looting medical facilities directly or indirectly impacts the delivery of emergency and life-saving medical assistance, often at a time when it is most needed. PROBLEM: Attacks may be intentional or unintentional and can take a range of forms from road blockades and check points which delay or block transport, to the direct targeting of hospitals, attacks against medical personnel, suppliers, patients, and armed entry into health facilities...
October 2014: Prehospital and Disaster Medicine
Richard J Milne, Hans Hockey, Harry Rea
OBJECTIVE: To establish the cost-effectiveness of long-term humidification therapy (LTHT) added to usual care for patients with moderate or severe chronic obstructive pulmonary disease or bronchiectasis. METHODS: Resource usage in a 12-month clinical trial of LTHT was estimated from hospital records, patient diaries, and the equipment supplier. Health state utility values were derived from the St. Georges Respiratory Questionnaire (SGRQ) total score. All patients who remained in the trial for 12 months and who had at least 90 days of diary records were included (87 of 108)...
June 2014: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Laxmaiah Manchikanti, Hans Hansen, Vidyasagar Pampati, Frank J E Falco
BACKGROUND:   The high prevalence of persistent low back pain and growing number of diagnostic and therapeutic modalities employed to manage chronic low back pain and the subsequent impact on society and the economy continue to hold sway over health care policy. Among the multiple causes responsible for chronic low back pain, the contributions of the sacroiliac joint have been a subject of debate albeit a paucity of research. At present, there are no definitive conservative, interventional or surgical management options for managing sacroiliac joint pain...
July 2013: Pain Physician
Laxmaiah Manchikanti, Vidyasagar Pampati, Frank J E Falco, Joshua A Hirsch
BACKGROUND: Among the many diagnostic and therapeutic interventions available for the management of chronic pain, epidural steroid injections are one of the most commonly used modalities. The explosive growth of this technique is relevant in light of the high cost of health care in the United States and abroad, the previous literature assessing the effectiveness of epidural injections has been sparse with highly variable outcomes based on technique, outcome measures, patient selection, and methodology...
July 2013: Pain Physician
Nadine Hachach-Haram, Marco Gregori, Niall Kirkpatrick, Richard Young, Jonathan Collier
Facial rejuvenation seeks to reverse the negative sequelae of multiple factors but most importantly of genetic predisposition, sun damage and smoking. With the advent of the so-called 'non-surgical' techniques, and perhaps fuelled by these austere times, volumetric facial augmentation using dermal fillers has soared in popularity among both patients and practitioners. However, legislation has yet to keep pace with the change in clinical practices leaving patients poorly informed and with no protection against unscrupulous suppliers and unregulated practitioners...
2013: BMJ Case Reports
(no author information available yet)
This final rule updates and makes revisions to the end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2013. This rule also sets forth requirements for the ESRD quality incentive program (QIP), including for payment year (PY) 2015 and beyond. In addition, this rule implements changes to bad debt reimbursement for all Medicare providers, suppliers, and other entities eligible to receive Medicare payment for bad debt and removes the cap on bad debt reimbursement to ESRD facilities...
November 9, 2012: Federal Register
Oluseun Adeogun, Ashutosh Tiwari, Jeffrey R Alcock
OBJECTIVE: Proprietary intermediate telehealth devices are those which are specifically designed as connectors between the entities of telehealth systems. This article seeks to understand what are the capabilities of such devices and then to investigate how these are clustered on the current generation of devices. MATERIALS AND METHODS: Fourteen current-generation devices available from 12 device providers were selected and analyzed. Four categories of questions were composed to evaluate the devices: setup/configuration, available features, inputs, and outputs...
November 2011: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Carl R May, Tracy L Finch, James Cornford, Catherine Exley, Claire Gately, Sue Kirk, K Neil Jenkings, Janice Osbourne, A Louise Robinson, Anne Rogers, Robert Wilson, Frances S Mair
BACKGROUND: Telecare could greatly facilitate chronic disease management in the community, but despite government promotion and positive demonstrations its implementation has been limited. This study aimed to identify factors inhibiting the implementation and integration of telecare systems for chronic disease management in the community. METHODS: Large scale comparative study employing qualitative data collection techniques: semi-structured interviews with key informants, task-groups, and workshops; framework analysis of qualitative data informed by Normalization Process Theory...
2011: BMC Health Services Research
Carolien de Blok, Katrien Luijkx, Bert Meijboom, Jos Schols
BACKGROUND: As in most fields of health care, societal and political changes encourage suppliers of long-term care to put their clients at the center of care and service provision and become more responsive towards client needs and requirements. However, the diverse, multiple and dynamic nature of demand for long-term care complicates the movement towards demand-based care provision. This paper aims to advance long-term care practice and, to that end, examines the application of modularity...
2010: BMC Health Services Research
Joan E DaVanzo, Audrey M El-Gamil, Allen Dobson, Namrata Sen
Medicare skilled nursing facility (SNF) residents with chronic wounds require more resources and have relatively high healthcare expenditures compared to Medicare patients without wounds. A retrospective cohort study was conducted using 2006 Medicare Chronic Condition Warehouse claims data for SNF, inpatient, outpatient hospital, and physician supplier settings along with 2006 Long-Term Care Minimum Data Set (MDS) information to compare Medicare expenditures between two groups of SNF residents with a diagnosis of pressure, venous, ischemic, or diabetic ulcers whose wounds healed during the 10-month study period...
September 2010: Ostomy/wound Management
Allan J Collins, Shu-Cheng Chen, David T Gilbertson, Robert N Foley
The US Renal Data System Coordinating Center identifies patients with chronic kidney disease (CKD) in administrative data sets and determines the overall size of the population with a diagnosis of CKD, with such major comorbid conditions as diabetes and congestive heart failure, and associated expenditures. A 2-year observation period is used to define individuals with at least 1 International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis code from inpatient claims or at least 2 from outpatient claims or physician and supplier service claims for kidney disease and comorbid conditions...
March 2009: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
R Leutgeb, C Mahler, G Laux, Artenetz Weschnetz, J Szecsenyi
BACKGROUND AND OBJECTIVE: The German federal Health Insurance law to strengthen competition between the pharmaceutical companies commits pharmacies to hand out drugs from discount contract drug suppliers of a patient's health insurance company. Thus patients are confronted with constantly changing drug packets. This study aimed at exploring whether patients have been properly informed about the new discount contracts and if they have experienced changes and problems in their long- term medications...
January 2009: Deutsche Medizinische Wochenschrift
Keshwar Baboolal, Philip McEwan, Seema Sondhi, Piotr Spiewanowski, Jaroslaw Wechowski, Karen Wilson
BACKGROUND: The UK National Health Service (NHS) will fund renal services using Payment by Results (PbR), from 2009. Central to the success of PbR will be the creation of tariffs that reflect the true cost of medical services. We have therefore estimated the cost of different dialysis modalities in the Cardiff and Vale NHS Trust and six other hospitals in the UK. METHODS: We used semi-structured interviews with nephrologists, head nurses and business managers to identify the steps involved in delivering the different dialysis modalities...
June 2008: Nephrology, Dialysis, Transplantation
G Millot
Establishment of programs to assist procurement of antiretrovirals (ARV), antimalarials (ACT) and antituberculosis drugs led to careful evaluation of the performance of national central medical stores purchasing essential medicines. Substandard central medical stores were excluded from support programs and procurement was carried out under the responsibility of UN agencies. This situation underscores the need to develop local competencies and to consolidate national procurement infrastructures. The Association of Central Medical Stores for Essential Drugs (French acronym, ACAME) with the support of the French Cooperation Agency is working to improve the performance of national central medical stores...
December 2006: Médecine Tropicale: Revue du Corps de Santé Colonial
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