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Nina Rieckmann, Christoph Schwarzbach, Marc Nocon, Stefanie Roll, Christoph Vauth, Stefan N Willich, Wolfgang Greiner
INTRODUCTION: Today there are approximately one million people with dementia in Germany. If current demographic trends continue, this number is likely to rise substantially in the coming years. In the older population, dementia is the most frequent reason for long-term care. Because most forms of dementia cannot be cured, the aim of treatment is to delay disease progression and to maintain functioning and quality of life. RESEARCH QUESTIONS: What is the evidence on different approaches to the long-term usual care of patients with dementia in terms of common endpoints such as quality of life, and social behaviour? How is the cost-effectiveness of these concepts to be evaluated? Which ethical, social, or legal issues are discussed in this context? METHODS: Based on a systematic literature review, we include randomized, controlled studies that had at least 30 participants and investigated one or more of the following approaches of dementia care: validation therapy/emotion-oriented usual care, ergotherapy, sensory stimulation, relaxation techniques, reality orientation therapy, and reminiscence therapy...
2009: GMS Health Technology Assessment
Naoki Ikegami
Naoki Ikegami is Professor and Chair of the Department of Health Policy and Management at the Keio University School of Medicine (Tokyo, Japan), from which he received his MD and PhD. He also received a Master of Arts degree in health services studies with Distinction from Leeds University (UK). During 1990-1991, he was a visiting Professor at the University of Pennsylvania's Wharton School and Medical School (PA, USA). His publications include "The Art of Balance in Health Policy--Maintaining Japan's Low-Cost Egalitarian System" (Cambridge University Press, 1998) with John C Campbell, and "Measuring the quality of long-term care in institutional and community settings...
June 2009: Expert Review of Pharmacoeconomics & Outcomes Research
G A A Hubben, J M Bos, D M Glynn, A van der Ende, L van Alphen, M J Postma
We have developed a web-based user-interface (web interface) to enhance the usefulness of health-economic evaluations to support decision making ( It allows the user to interact with a health-economic model to evaluate predefined and customized scenarios and perform sensitivity analysis. To explore its usefulness, it was applied to an evaluation of cost-effectiveness of nation-wide infant vaccination with the 7-valent pneumococcal conjugate vaccine (PCV7), that was used to support a policy decision on the inclusion of PCV7 in the national vaccination program (NVP) of the Netherlands...
May 4, 2007: Vaccine
N Zethraeus, F Borgström, O Ström, J A Kanis, B Jönsson
OBJECTIVE: The purpose of the paper is to update and review the latest developments related to modelling and economic evaluation of osteoporosis in the period 2002-2005 and further to present a reference model for the assessment of the cost-effectiveness of the prevention and treatment of osteoporosis. DISCUSSION: The reference model is intended to be used for fracture specific interventions affecting the risk of fracture. An interface version and an extensive description of the model is available on the internet ( http://www...
January 2007: Osteoporosis International
C F Larsen, H R Jørgensen, J R Nielsen, O Skov, H Lybecker, P Hole, H Nielsen, T Haghfelt
No legislation exists about ambulance services in Denmark. The present Danish prehospital treatment is undertaken by Falcks Redningskorps A/S and the municipal fire services. During a period of 12 months (1.2.1988-31.1.1989) a prospective investigation was carried out in Odense concerning the effect of medical support to the ambulance service, partly in the form of a medically staffed ambulance, partly in the form of an arrangement in which an independent doctor's car (rendez-vous arrangement) was sent together with the nearest ambulance...
June 25, 1990: Ugeskrift for Laeger
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