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https://www.readbyqxmd.com/read/29457233/market-language-moral-language
#1
Susan Dorr Goold
Those who advocate higher out-of-pocket spending, especially high deductibles, to keep health care costs better controlled without losing quality use market language to talk about how people should think about health care. Consumers-that is, patients-should hunt for bargains. Clip coupons. Shop around. Patients need to have more "skin in the game." Consumer-patients will then choose more carefully and prudently and use less unnecessary health care. Unfailingly, "skin" refers to having money at stake...
January 2018: Hastings Center Report
https://www.readbyqxmd.com/read/29456782/other-people-s-money-the-role-of-reciprocity-and-social-uncertainty-in-decisions-for-others
#2
Ivo Vlaev, Brian Wallace, Nicholas Wright, Antoinette Nicolle, Paul Dolan, Raymond Dolan
Many important decisions are taken not by the person who will ultimately gain or lose from the outcome, but on their behalf, by somebody else. We examined economic decision-making about risk and time in situations in which deciders chose for others who also chose for them. We propose that this unique setting, which has not been studied before, elicits perception of reciprocity that prompts a unique bias in preferences. We found that decision-makers are less patient (more discounting), and more risk averse for losses than gains, with other peoples' money, especially when their choices for others are more uncertain...
June 2017: Journal of Neuroscience, Psychology, and Economics
https://www.readbyqxmd.com/read/29456591/gender-money-and-professional-identity-medical-social-work-and-the-coming-of-the-british-national-health-service
#3
George Campbell Gosling
The arrival of the British National Health Service (NHS) in 1948 heralded significant changes for all health workers, but the establishment of a 'free' health service was especially meaningful for the hospital almoners-or medical social workers, as they were starting to be known-who had previously been responsible for the assessment and collection of patient payments. It was on this basis they had gained a foothold in the hospital, capitalising on gendered assumptions of financial understanding and behaviour...
2018: Women's History Review
https://www.readbyqxmd.com/read/29454211/seasonality-water-use-and-community-management-of-water-systems-in-rural-settings-qualitative-evidence-from-ghana-kenya-and-zambia
#4
Emma Kelly, Katherine F Shields, Ryan Cronk, Kristen Lee, Nikki Behnke, Tori Klug, Jamie Bartram
The sustainability of rural, community-managed water systems in sub-Saharan Africa depends in part on the ability of local water committees to repair breakdowns and carry out the operation and maintenance (O&M) of the system. Much of sub-Saharan Africa has two distinct seasons that affect the availability of water sources and how people use water. Little is known about how seasonality affects water system management. This qualitative study is based on 320 interviews and focus group discussions and examines the effects of season on community water use and management in Ghana, Kenya and Zambia...
February 14, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29454101/venous-thromboembolism-after-inpatient-surgery-in-administrative-data-vs-nsqip-a-multi-institutional-study
#5
David A Etzioni, Cynthia Lessow, Liliana G Bordeianou, Hiroko Kunitake, Sarah E Deery, Evie Carchman, Christina M Papageorge, George Fuhrman, Rachel L Seiler, James Ogilvie, Elizabeth B Habermann, Yu-Hui H Chang, Samuel R Money
BACKGROUND: Previous studies have documented significant differences between administrative data and registry data in the determination of postoperative venous thromboembolism (VTE). The goal of this study is to characterize discordance between administrative and registry data in the determination of postoperative VTE. STUDY DESIGN: This study was performed using data from the American College of Surgeons NSQIP merged with administrative data from 8 different hospitals (5 different medical centers) between 2013 and 2015...
February 14, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29452054/community-resources-support-adherence-to-treatment-for-childhood-cancer-in-el-salvador
#6
Nuria Rossell, Carmen Salaverria, Angelica Hernandez, Soad Alabi, Roberto Vasquez, Miguel Bonilla, Catherine G Lam, Raul Ribeiro, Ria Reis
OBJECTIVE: In order to reduce nonadherence and treatment abandonment of children with cancer in El Salvador, institutions located nearby the patients' homes were involved to provide support. Methodological approach: Health clinics and municipality offices in the patients' communities were asked to assist families who were not promptly located after missing hospital appointments, or those whose financial limitations were likely to impede continuation of treatment. Data was collected about the number of contacted institutions, the nature of help provided, staff's time investments, and parents' perceptions about the intervention...
February 16, 2018: Journal of Psychosocial Oncology
https://www.readbyqxmd.com/read/29451886/which-preferences-associate-with-school-performance-lessons-from-an-exploratory-study-with-university-students
#7
Daniel Horn, Hubert Janos Kiss
Success in life is determined to a large extent by school performance so it is important to understand the effect of the factors that influence it. In this exploratory study, in addition to cognitive abilities, we attempt to link measures of preferences with outcomes of school performance. We measured in an incentivized way risk, time, social and competitive preferences and cognitive abilities of university students to look for associations between these measures and two important academic outcome measures: exam results and GPA...
2018: PloS One
https://www.readbyqxmd.com/read/29450450/technique-to-repair-total-septal-perforation-with-a-pericranial-flap-the-money-box-approach
#8
Isam Alobid, Cristobal Langdon, Alfonso Santamaría
No abstract text is available yet for this article.
February 15, 2018: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/29449962/patient-and-public-involvement-in-reducing-health-and-care-research-waste
#9
REVIEW
Virginia Minogue, Mary Cooke, Anne-Laure Donskoy, Penny Vicary, Bill Wells
Plain English summary: As much as 85 % of health research is believed to be wasted because it is not published or reported, the design is poor or does not consider what is already known in the topic area. Although a great deal of work has been done in the UK to reduce research waste, the role of patients and the public has not been discussed.This paper describes a survey, on the role of patients in reducing research waste, which was carried out as part of a larger piece of work on reducing waste in healthcare...
2018: Research Involvement and Engagement
https://www.readbyqxmd.com/read/29448061/allocation-rules-for-global-donors
#10
Alec Morton, Ashwin Arulselvan, Ranjeeta Thomas
In recent years, donors such as the Bill and Melinda Gates Foundation have made an enormous contribution to the reduction of the global burden of disease. It has been argued that such donors should prioritise interventions based on their cost-effectiveness, that is to say, the ratio of costs to benefits. Against this, we argue that the donor should fund not the most cost-effective interventions, but rather interventions which are just cost-ineffective for the country, thus encouraging the country to contribute its own domestic resources to the fight against disease...
February 8, 2018: Journal of Health Economics
https://www.readbyqxmd.com/read/29447839/consensus-statement-on-the-need-for-innovation-transition-and-implementation-of-developmental-neurotoxicity-dnt-testing-for-regulatory-purposes
#11
Ellen Fritsche, Philippe Grandjean, Kevin M Crofton, Michael Aschner, Alan Goldberg, Tuula Heinonen, Ellen V S Hessel, Helena Hogberg, Susanne Hougaard Bennekou, Pamela J Lein, Marcel Leist, William R Mundy, Martin Paparella, Aldert H Piersma, Magdalini Sachana, Gabriele Schmuck, Roland Solecki, Andrea Terron, Florianne Monnet-Tschudi, Martin F Wilks, Hilda Witters, Marie-Gabrielle Zurich, Anna Bal-Price
This consensus statement voices the agreement of scientific stakeholders from regulatory agencies, academia and industry that a new framework needs adopting for assessment of chemicals with the potential to disrupt brain development. An increased prevalence of neurodevelopmental disorders in children has been observed that cannot solely be explained by genetics and recently pre- and postnatal exposure to environmental chemicals has been suspected as a causal factor. There is only very limited information on neurodevelopmental toxicity, leaving thousands of chemicals, that are present in the environment, with high uncertainty concerning their developmental neurotoxicity (DNT) potential...
February 12, 2018: Toxicology and Applied Pharmacology
https://www.readbyqxmd.com/read/29444954/invite-your-representative-to-work-change-the-world-here-s-how
#12
Denise J Montell
Today's political climate can seem hostile to science. Alternative facts, climate change denial, and relabeling of actual news as fake news are discouraging phenomena for sure. But these trends make it more important than ever to engage our politicians. Take heart! There is something you can do. You can show your representatives firsthand the amazing things you do, evidence of the economic engine that your activities generate, and the real people behind the discoveries. I did, and it was fun. We invited our congressman to the University of California, Santa Barbara (UCSB), and he accepted! For 2 hours, we explained and demonstrated efforts to cure blindness using stem cells, the medical implications of the discovery that cells can recover from the brink of death, a mosquito lab striving to eliminate insect-borne disease, and an Alzheimer's disease laboratory...
February 15, 2018: Molecular Biology of the Cell
https://www.readbyqxmd.com/read/29444660/volunteers-in-ethiopia-s-women-s-development-army-are-more-deprived-and-distressed-than-their-neighbors-cross-sectional-survey-data-from-rural-ethiopia
#13
Kenneth Maes, Svea Closser, Yihenew Tesfaye, Yasmine Gilbert, Roza Abesha
BACKGROUND: Many Community Health Workers (CHWs) experience the same socioeconomic and health needs as their neighbors, given that they are by definition part of their communities. Yet very few studies aim to measure and characterize experiences of deprivation, poverty, and wellbeing among community health workers. This study quantitatively examines deprivation and wellbeing in Ethiopia's Women's Development Army (WDA), a massive unpaid community health workforce intended to improve population health and modernize the country...
February 14, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29442463/knowledge-and-selected-variables-as-determinants-of-the-quality-of-life-and-general-health-of-patients-with-rheumatoid-arthritis
#14
Aleksandra Pytel, Iwona Demczyszak, Edyta Sutkowska, Joanna Rosińczuk, Izabela Kuberka, Aleksandra Kołtuniuk
BACKGROUND: Rheumatoid arthritis (RA) is an incurable disease resulting in progressive disability, which is associated with the loss of productivity and the inability to earn money, which might lead to a financial burden on the patient's family. Undoubtedly, the clinical picture of the disease and its consequences lead to the reduction of the quality of life. OBJECTIVES: The aim of this study is to evaluate the influence of selected factors on the subjective assessment of the quality of life and general health of patients with RA...
December 2017: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/29442336/handling-missing-data-in-within-trial-cost-effectiveness-analysis-a-review-with-future-recommendations
#15
REVIEW
Andrea Gabrio, Alexina J Mason, Gianluca Baio
Cost-effectiveness analyses (CEAs) alongside randomised controlled trials (RCTs) are increasingly designed to collect resource use and preference-based health status data for the purpose of healthcare technology assessment. However, because of the way these measures are collected, they are prone to missing data, which can ultimately affect the decision of whether an intervention is good value for money. We examine how missing cost and effect outcome data are handled in RCT-based CEAs, complementing a previous review (covering 2003-2009, 88 articles) with a new systematic review (2009-2015, 81 articles) focussing on two different perspectives...
June 2017: PharmacoEconomics Open
https://www.readbyqxmd.com/read/29441501/choosing-between-unicompartmental-and-total-knee-replacement-what-can-economic-evaluations-tell-us-a-systematic-review
#16
REVIEW
Edward Burn, Alexander D Liddle, Thomas W Hamilton, Sunil Pai, Hemant G Pandit, David W Murray, Rafael Pinedo-Villanueva
BACKGROUND AND OBJECTIVE: Patients with anteromedial arthritis who require a knee replacement could receive either a unicompartmental knee replacement (UKR) or a total knee replacement (TKR). This review has been undertaken to identify economic evaluations comparing UKR and TKR, evaluate the approaches that were taken in the studies, assess the quality of reporting of these evaluations, and consider what they can tell us about the relative value for money of the procedures. METHODS: A search of MEDLINE, EMBASE and the Centre for Reviews and Dissemination National Health Service Economic Evaluation Database was undertaken in January 2016 to identify relevant studies...
December 2017: PharmacoEconomics Open
https://www.readbyqxmd.com/read/29441496/differences-in-incremental-cost-effectiveness-ratios-for-common-versus-rare-conditions-a-case-from-oncology
#17
Kavisha Jayasundara, Murray Krahn, Muhammad Mamdani, Jeffrey S Hoch, Paul Grootendorst
BACKGROUND: Incremental cost-effectiveness ratios (ICERs) are used to assess the value for money of new drugs. Many believe that ICERs for drugs that treat rare diseases are much higher than those of common drugs. Our objective was to compare the proportion of ICERs that are cost effective for rare and common cancers. METHODS: We used the Tufts Medical Center Cost-Effectiveness Analysis (CEA) Registry to identify cost-effectiveness studies of pharmaceutical interventions for cancers...
September 2017: PharmacoEconomics Open
https://www.readbyqxmd.com/read/29439895/adding-value-to-total-joint-arthroplasty-care-in-an-academic-environment-the-utah-experience
#18
Christopher E Pelt, Mike B Anderson, Jill A Erickson, Jeremy M Gililland, Christopher L Peters
BACKGROUND: Adding value in a university-based academic health care system provides unique challenges when compared to other health care delivery models. Herein, we describe our experience in adding value to joint arthroplasty care at the University of Utah, where the concept of value-based health care reform has become an embraced and driving force. METHODS: To improve the value, new resources were needed for care redesign, physician leadership, and engagement in alternative payment models...
February 10, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29436801/comment-l-employeur-peut-il-soutenir-la-formation-continue-et-le-d%C3%A3-veloppement-professionnel-infirmier%C3%A2-r%C3%A3-sultats-d-une-%C3%A3-tude-qualitative-canadienne-aupr%C3%A3-s-d-infirmi%C3%A3-res-de-soutien-%C3%A3-domicile
#19
Jérôme Ouellet, Joséphine Mukamurera
INTRODUCTION: this article provides a new knowledge on employer's support for home care nurses' continuing education. CONTEXT: so far, literature has sustained that providing support to nurses in continuing education is mainly a matter of money. However, only few researchers have been interested in home care, especially in continuing education. OBJECTIVE: one of the objectives of the survey was to identify factors that could influence nurses' commitment, participation and choice in the matter of continuing education activities...
February 2, 2018: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/29436294/health-dynamics-in-camps-and-on-campuses-stressors-and-coping-strategies-for-wellbeing-among-labourers-and-students-in-cameroon
#20
Valerie Makoge, Harro Maat, Lenneke Vaandrager, Maria Koelen
PURPOSE: For many people living in low-income countries, poverty implies an increased exposure to conditions that threaten health and wellbeing as well as reduced capacity to maintain health. Despite the challenging conditions caused by poverty, people may consider themselves healthy because they have learned to cope with their situation probably as a result of life experiences which expose people to both challenges and potential solutions. In this paper we present results from studying health and wellbeing challenges and mechanisms to cope with challenges among two different groups of people who are living under conditions of poverty: workers of the Cameroon Development Corporation (CDC) and students of the university of Buea and the university of Yaoundé...
December 2018: International Journal of Qualitative Studies on Health and Well-being
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