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https://www.readbyqxmd.com/read/29228917/evaluation-of-the-economic-burden-of-leprosy-among-migrant-and-resident-patients-in-guangdong-province-china
#1
Mingzhou Xiong, Ming Li, Daocheng Zheng, Xiaohua Wang, Ting Su, Yongfeng Chen, Bin Yang
BACKGROUND: A lot of time and money was needed during the diagnosis and treatment process of leprosy, the delayed leprosy would also impair the labor capability of patients as well, and these put a heavy burden for the leprosy patients. The migrant leprosy patient is a special group and need more concern. Our goal was to assess the economic burden of leprosy on migrant and resident patient populations in Guangdong province, China. METHODS: We conducted a population-based cross-sectional survey from February to July of 2016...
December 11, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29226443/lessons-from-analyzing-the-medical-costs-of-civilian-terror-victims-planning-resources-allocation-for-a-new-era-of-confrontations
#2
Eytan Ellenberg, Mark I Taragin, Jay R Hoffman, Osnat Cohen, Daniella Luft-Afik, Zvia Bar-On, Ishay Ostfeld
Policy Points: Across the globe, the threat from terrorist attacks is rising, which requires a careful assessment of long-term medical support. We found 3 major sources of costs: hospital expenditures, mental health services dedicated to acute stress reactions, and ambulatory follow-up. During the first year, most of the costs were related to hospitalization and support for stress relief. During the second year, ambulatory and rehabilitation costs continued to grow. Public health specialists should consider these major components of costs and their evolution over time to properly advise the medical and social authorities on allocating resources for the medical and nonmedical support of civilian casualties resulting from war or terror...
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29221297/current-status-of-asthma-care-in-south-korea-nationwide-the-health-insurance-review-and-assessment-service-database
#3
Joon Young Choi, Hyoung Kyu Yoon, Jae Ha Lee, Kwang Ha Yoo, Bo Yeon Kim, Hye Won Bae, Young Kyoon Kim, Chin Kook Rhee
Background: Quality control is important for patients with asthma because of its prevalence and because the social burden is substantial. This study analyzed the Health Insurance Review and Assessment Service (HIRA) database to assess asthma quality control in South Korea. Methods: We investigated the HIRA nationwide database for reimbursed insurance claims from all medical institutions in South Korea from July 2013 to June 2014. The number of patients with asthma were evaluated and the medical institutions were categorized by type of medical institution...
September 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29208253/socioeconomic-psychosocial-and-behavioral-characteristics-of-patients-hospitalized-with-cardiovascular-disease
#4
Matthew E Dupre, Alicia Nelson, Scott M Lynch, Bradi B Granger, Hanzhang Xu, Erik Churchill, Janese M Willis, Lesley H Curtis, Eric D Peterson
BACKGROUND: Recent studies have drawn attention to nonclinical factors to better understand disparities in the development, treatment and prognosis of patients with cardiovascular disease. However, there has been limited research describing the nonclinical characteristics of patients hospitalized for cardiovascular care. METHODS: Data for this study come from 520 patients admitted to the Duke Heart Center from January 1, 2015 through January 10, 2017. Electronic medical records and a standardized survey administered before discharge were used to ascertain detailed information on patients' demographic (age, sex, race, marital status and living arrangement), socioeconomic (education, employment and health insurance), psychosocial (health literacy, health self-efficacy, social support, stress and depressive symptoms) and behavioral (smoking, drinking and medication adherence) attributes...
December 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/29192747/-situational-diagnosis-of-cancer-care-at-the-instituto-mexicano-del-seguro-social
#5
Sonia Patricia de Santillana-Hernández, María Teresa García-Flores, Héctor Galván-Oseguera, Gilberto Pérez-Rodríguez, Héctor David Martínez-Chapaca
Cancer is a public health problem with an impact on Health Services in Mexico; it is also, one of the leading causes of mortality (mortality rate: 610.6 / 100 000) and is expected to double the total number of new cases by 2035 (GLOBOCAN). The most frequent neoplasms are the malignant tumor of breast, prostate, cervix and uterin, colorectal and pulmonary. The most affected groups are the female, and by age the 65 years and older (INEGI). At the IMSS, the mortality rate for malignant tumors has varied, with a sustained decline since 2010...
2017: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/29191138/differential-reimbursement-of-psychiatric-services-by-psychiatrists-and-other-medical-providers
#6
Tami L Mark, William Olesiuk, Mir M Ali, Laura J Sherman, Ryan Mutter, Judith L Teich
OBJECTIVE: Given low psychiatrist participation in insurance networks, this study examines how psychiatrists are reimbursed in network and out of network under commercial insurance relative to other providers for the same diagnoses and services. METHODS: Paid private insurance claims from the 2014 Truven Health Analytics MarketScan Commercial Claims and Encounters Database were analyzed. The sample included all services billed for 3.8 million individuals with a mental disorder as the primary diagnosis by psychiatrists, nonpsychiatrist medical doctors, psychologists, social workers, or psychiatric nurses...
December 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29190843/practicing-medicine-in-1917-rhode-island
#7
Todd M Olszewski
Using editorials published in the Rhode Island Medical Journal's inaugural year, this article examines what it meant to practice medicine in Rhode Island in 1917. One hundred years ago, the state's medical community was undergoing rapid transformation epitomized by a turn toward the germ theory of disease, ongoing education and hospital reform, and a growing sense of the profession's political and social role. In many ways, the social and professional concerns of Rhode Island physicians in 1917 continue to resonate today...
December 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29190360/barriers-to-transition-from-pediatric-to-adult-care-a-systematic-review
#8
Wendy N Gray, Megan R Schaefer, Alana Resmini-Rawlinson, Scott T Wagoner
Objective: Transition research in each disease group is developing in its own "silo." A comprehensive review of barriers to transition within and across chronic illness groups is needed to facilitate information sharing and larger-scale efforts to overcome barriers and improve patient care. This study systematically reviews and identifies the barriers to transition from pediatric to adult care across pediatric illness populations. Methods: Medline, CINAHL, PsychINFO, Social Services Abstracts, Web of Science, and the Cochrane library databases were searched...
November 28, 2017: Journal of Pediatric Psychology
https://www.readbyqxmd.com/read/29189440/patient-safety-activity-under-the-social-insurance-medical-fee-schedule-in-japan-an-overview-of-the-2010-nationwide-survey
#9
Masahiro Hirose, Toshihiko Kawamura, Mikio Igawa, Yuichi Imanaka
OBJECTIVES: Little is known about patient safety performance under the social insurance medical fee schedule in Japan. The Health Ministry in Japan introduced the preferential patient safety countermeasure fee (PPSCF) to promote patient safety in 2006 and revised the PPSCF system in 2010. This study aims to address the patient safety performance status at hospitals implementing the PPSCF. METHODS: A nationwide questionnaire survey targeting 2674 hospitals with the PPSCF was performed in 2010 to 2011...
November 16, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/29185553/neurologists-should-endorse-active-transportation-for-their-patients
#10
Daniel Foster
It has been well-established that social determinants prevent far more deaths than medical care. Both behavior and social circumstance are closely linked to transportation. The connection between health and transportation is both direct (pedestrian injury, for example) and indirect (commuting access to work leading to employer-based health insurance, for example). Thus, transportation policy and health policy are interrelated. Neurologists should join community partnerships to promote safe and healthy transportation options for all people but especially for their patients...
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29184969/out-of-pocket-health-expenditures-in-patients-with-bipolar-disorder-anxiety-schizophrenia-and-other-psychotic-disorders-findings-from-a-study-in-a-psychiatry-outpatient-clinic-in-turkey
#11
Duygu Islek, Bulent Kilic, Berna Binnur Akdede
PURPOSE: The aim of this study is to explore the amount of OOP health expenditures and their determinants in patients with bipolar disorder, anxiety, schizophrenia and other psychotic disorders in a psychiatry outpatient clinic of Turkey. METHODS: The study group was 191 patients who attended to the Psychiatry Outpatient Clinic in June 2014. All patients were previously diagnosed with either 'bipolar disorder', 'anxiety disorder' or 'schizophrenia and other psychotic disorders'...
November 28, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/29166693/-the-biased-expert-an-unknown-quantity
#12
Wolfgang Meins
Academic publications have so far hardly paid any attention to the topic of biased medical experts or expert opinions. This is the first attempt to systematically describe and analyze the issue, drawing on the author's many years of giving expert opinions as a neuropsychiatrist on matters relating to social legislation and civil law. In addition to dealing with questions of definition, this article outlines the features of biased expert opinions, particularly focusing on the role of insurance and private experts...
November 2017: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/29165172/cross-sectional-association-between-medical-expenses-and-intellectual-activity-in-community-dwelling-older-adults
#13
Kimiko Tomioka, Norio Kurumatani, Hiroshi Hosoi
BACKGROUND: Little is known concerning the lifestyle habits and health conditions in community-dwelling elderly who do not get medical care. We investigated the cross-sectional association between medical expenses (ME) and intellectual activity (IA) in community-dwelling older Japanese. METHODS: Self-administered questionnaires were mailed to all residents born between 1945 and 1949 and covered by A City's medical insurance system (n = 19,354). Independent variables including health behaviors, oral health, social capital, neighborhood environment, and physical and mental functioning were included in the questionnaires...
August 25, 2017: Environmental Health and Preventive Medicine
https://www.readbyqxmd.com/read/29148342/undiagnosed-and-uncontrolled-chronic-conditions-in-china-could-social-health-insurance-consolidation-make-a-change
#14
Xing Lin Feng
Policy makers in China are considering consolidating the country's fragmented health insurance programs. This system consists of three components. The Urban Employee Basic Medical Insurance (UEBMI) covers formal employees, the New Cooperative Medical Scheme (NCMS) covers rural residents, and the Urban Resident Basic Medical Insurance (URBMI) covers urban residents. Consolidation could, in theory, create a more efficient health system that is better able to address noncommunicable diseases. Using national survey data during 2011 to 2013, I found that 44% to 76% cases of hypertension, diabetes, and dyslipidemia went undiagnosed among Chinese adults aged 45 and older...
February 1, 2017: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/29142907/social-effects-of-health-care-reform-medicaid-expansion-under-the-affordable-care-act-and-changes-in-volunteering
#15
Heeju Sohn, Stefan Timmermans
Do public health policy interventions result in pro-social behaviors? The Affordable Care Act (ACA)'s Medicaid expansions were responsible for the largest gains in public insurance coverage since its inception in 1965. These gains were concentrated in states that opted to expand Medicaid eligibility and provide a unique opportunity to study not just medical but also social consequences of increased public health coverage. This article examines the association between Medicaid and volunteer work. Volunteerism is implicated in individuals' health and well-being yet it is highly correlated with a person's existing socioeconomic resources...
January 2017: Socius: Sociological Research for a Dynamic World
https://www.readbyqxmd.com/read/29136247/behavioral-mental-health-an-emerging-field-of-service-or-an-oxymoron
#16
Christopher G Hudson
Proliferation in the use of the terminology around behavioral mental health suggests, on one hand, an emerging field of service that integrates psychiatric, substance abuse, and related services. On the other hand, this development also raises questions about the coherence of this approach. This review explores the history, definitional issues, current trends, and available data on the impact of this field. It considers a variety of critiques of behavioral mental health, such as possibility that the field attempts to integrate fundamentally incompatible domains, that the term "behavioral mental health" is thus an oxymoron, and that it represents a co-optation by the insurance industry of traditional ideals of mental health and of behavioral medicine or as code for the implementation of a medical model that emphasizes short-term, behavioral, and psychopharmacological treatments at the expense of a truly biopsychosocial orientation...
November 9, 2017: Social Work
https://www.readbyqxmd.com/read/29134767/availability-and-approval-of-cannabis-based-medicines-for-chronic-pain-management-and-palliative-supportive-care-in-europe-a-survey-of-the-status-in-the-chapters-of-the-european-pain-federation
#17
N Krcevski-Skvarc, C Wells, W Häuser
BACKGROUND: There is considerable public and political interest in the use of cannabis products for medical purposes. METHODS: The task force of the European Pain Federation (EFIC) conducted a survey with its national chapters representatives on the status of approval of all types of cannabis-based medicines, the covering of costs and the availability of a position paper of a national medical association on the use of medical cannabis for chronic pain and for symptom control in palliative/supportive care...
November 13, 2017: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/29127225/exploring-the-characteristics-of-the-high-cost-population-from-the-family-perspective-a-cross-sectional-study-in-jiangsu-province-china
#18
Yudong Miao, Dongfu Qian, Sandeep Sandeep, Ting Ye, Yadong Niu, Dan Hu, Liang Zhang
BACKGROUND: Across a range of healthcare settings, 5% of the population accounts for half of healthcare spending: these patients are identified as a 'high-cost population'. Characterising high-cost users is essential for predicting potential high-cost patients and the development of appropriate interventions to improve the management and financing of these patients. OBJECTIVE: This cross-sectional study aimed to explore the characteristics of this high-cost population from a family perspective in China and provide suggestions for social health insurance policy development...
November 9, 2017: BMJ Open
https://www.readbyqxmd.com/read/29124417/oncology-navigators-perceptions-of-cancer-related-financial-burden-and-financial-assistance-resources
#19
Jennifer C Spencer, Cleo A Samuel, Donald L Rosenstein, Katherine E Reeder-Hayes, Michelle L Manning, Jean B Sellers, Stephanie B Wheeler
INTRODUCTION: As the cost of cancer treatment continues to rise, many patients are faced with significant emotional and financial burden. Oncology navigators guide patients through many aspects of care and therefore may be especially aware of patients' financial distress. Our objective was to explore navigators' perception of their patients' financial burden and their role in addressing financial needs. MATERIALS AND METHODS: We conducted a real-time online survey of attendees at an oncology navigators' association conference...
November 9, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29121292/preadmission-statin-use-improves-the-outcome-of-less-severe-sepsis-patients-a-population-based-propensity-score-matched-cohort-study
#20
M G Lee, C-C Lee, C-C Lai, T-C Hsu, L Porta, M Lee, S-S Chang, K-L Chien, Y-M Chen
Background: Randomized controlled trials on the post-admission use of statins in sepsis patients have not shown a survival benefit. Whether preadmission use of statins would confer any beneficial effects in sepsis patients has not been well studied. Methods: We conducted a population-based cohort study on a national health insurance claims database between 1999 and 2011. Sepsis patients were identified by ICD-9 codes compatible with the third International consensus definitions for sepsis...
October 1, 2017: British Journal of Anaesthesia
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