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https://www.readbyqxmd.com/read/29907323/taking-the-measure-of-the-profession-physician-associations-in-the-measurement-age
#1
REVIEW
Baruch Levi, Amos Zehavi, David Chinitz
Systematic measurement of healthcare services enables evaluation of health professionals' quality of work. Whereas policy makers find measurement a useful mechanism for quality improvement, a public choice perspective implies that physicians would resent such an initiative, which undermines their professional autonomy. In this article, we compare two healthcare systems of economically developed countries - Israel and the UK. Both systems share common features such as universal coverage, strong state intervention, and enthusiasm for New Public Management...
June 8, 2018: Health Policy
https://www.readbyqxmd.com/read/29907231/socioeconomics-affecting-quality-outcomes-in-asian-trauma-patients-within-the-united-states
#2
Krista L Haines, Suresh Agarwal, Hee Soo Jung
INTRODUCTION: Asian-Americans and Pacific Islanders are often considered as a uniform group when examining race in health outcomes. However, the generally favorable economic outcomes in this group belie significant socioeconomic variance between its heterogeneous subgroups. This study evaluates the impact of socioeconomic status on the health outcomes of Asian trauma patients. METHODS: From 2012 to 2015, 52,704 Asians who presented to trauma centers were registered with the National Trauma Data Bank with known disposition...
August 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29906429/death-or-debt-national-estimates-of-financial-toxicity-in-persons-with-newly-diagnosed-cancer
#3
Adrienne M Gilligan, David S Alberts, Denise J Roe, Grant H Skrepnek
PURPOSE: To evaluate the impact of cancer upon a patient's depletion of net worth and incursion of debt in the U.S. METHODS: This longitudinal study used the Health and Retirement Study (HRS) from 1998-2014. Persons ≥50 years with newly-diagnosed malignancies were included, excluding minor skin cancers. Multivariable generalized linear models were employed to assess changes in net worth and debt (consumer, mortgage, home equity) at two-and four-years following diagnosis (Year+2 , Year+4 ) after controlling for demographic and clinically-related variables, cancer-specific attributes, economic factors, and mortality...
June 12, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/29904805/economic-evaluation-of-patient-navigation-programs-in-colorectal-cancer-care-a-systematic-review
#4
REVIEW
Chloé Gervès-Pinquié, Anne Girault, Serena Phillips, Sarah Raskin, Mandi Pratt-Chapman
Patient navigation has expanded as a promising approach to improve cancer care coordination and patient adherence. This paper addresses the need to identify the evidence on the economic impact of patient navigation in colorectal cancer, following the Health Economic Evaluation Publication Guidelines. Articles indexed in Medline, Cochrane, CINAHL, and Web of Science between January 2000 and March 2017 were analyzed. We conducted a systematic review of the literature using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines...
June 14, 2018: Health Economics Review
https://www.readbyqxmd.com/read/29904243/quality-of-care-in-inflammatory-bowel-diseases-what-is-the-best-way-to-better-outcomes
#5
REVIEW
Matthew Strohl, Lorant Gonczi, Zsuzsanna Kurt, Talat Bessissow, Peter L Lakatos
Inflammatory bowel disease (IBD) is a lifelong, progressive disease that has disabling impacts on patient's lives. Given the complex nature of the diagnosis of IBD and its management there is consequently a large economic burden seen across all health care systems. Quality indicators (QI) have been created to assess the different façades of disease management including structure, process and outcome components. Their development serves to provide a means to target and measure quality of care (QoC). Multiple different QI sets have been published in IBD, but all serve the same purpose of trying to achieve a standard of care that can be attained on a national and international level, since there is still a major variation in clinical practice...
June 14, 2018: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/29904224/the-global-burden-of-kidney-disease-and-the-sustainable-development-goals
#6
Valerie A Luyckx, Marcello Tonelli, John W Stanifer
Kidney disease has been described as the most neglected chronic disease. Reliable estimates of the global burden of kidney disease require more population-based studies, but specific risks occur across the socioeconomic spectrum from poverty to affluence, from malnutrition to obesity, in agrarian to post-industrial settings, and along the life course from newborns to older people. A range of communicable and noncommunicable diseases result in renal complications and many people who have kidney disease lack access to care...
June 1, 2018: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/29904156/contrasting-effectiveness-and-cost-effectiveness-of-colorectal-cancer-screening-under-commercial-insurance-vs-medicare
#7
Uri Ladabaum, Ajitha Mannalithara, Joel V Brill, Zachary Levin, M Kate Bundorf
OBJECTIVES: Most cost-effectiveness analyses of colorectal cancer (CRC) screening assume Medicare payment rates and a lifetime horizon. Our aims were to examine the implications of differential payment levels and time horizons for commercial insurers vs. Medicare on the cost-effectiveness of CRC screening. METHODS: We used our validated Markov cohort simulation of CRC screening in the average risk US population to examine CRC screening at ages 50-64 under commercial insurance, and at ages 65-80 under Medicare, using a health-care sector perspective...
June 15, 2018: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/29903799/the-silkie-skin-grafting-low-friktion-environment-study-a-non-randomised-proof-of-concept-and-feasibility-study-on-the-impact-of-low-friction-nursing-environment-on-skin-grafting-success-rates-in-adult-and-paediatric-burns
#8
Linda Hollén, Rosemary Greenwood, Rebecca Kandiyali, Jenny Ingram, Chris Foy, Susan George, Sandra Mulligan, Francesca Spickett-Jones, Simon Booth, Anthony Sack, Alan Emond, Ken Dunn, Amber Young
OBJECTIVES: To evaluate the impact of low-friction (LF) bedding on graft loss in an acute burn care setting, and to examine the feasibility and costs of using LF bedding compared with standard care. DESIGN: Proof of concept before and after study with feasibility of delivering the intervention. SETTING: Three burns services within two UK hospital trusts. PARTICIPANTS: Inclusion criteria were patients older than 4 weeks, who received a skin graft after burn injury and were admitted overnight...
June 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29903792/realist-evaluation-of-the-use-of-patient-experience-data-to-improve-the-quality-of-inpatient-mental-health-care-euripides-in-england-study-protocol
#9
Scott Weich, Sarah-Jane Hannah Fenton, Kamaldeep Bhui, Sophie Staniszewska, Jason Madan, Michael Larkin, Elizabeth Newton, David Crepaz-Keay, Alastair Canaway, Charlotte Croft, Frances Griffiths
INTRODUCTION: Inpatient mental healthcare continues to be an area of high risk and where patients report negative experiences. To ensure the patient voice is heard, National Health Service (NHS) Trusts are required to collect feedback from patients routinely. We do not know what kinds of feedback are most important or what management processes are needed to translate this into effective action plans. Further, we do not know if this makes any difference to the patients themselves. This study seeks to explore which of the many different approaches to collecting and using patient experience data are the most useful for supporting improvements in inpatient mental healthcare...
June 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29903541/endoscopic-versus-open-carpal-tunnel-release-a-detailed-analysis-using-time-driven-activity-based-costing-at-an-academic-medical-center
#10
Daniel M Koehler, Ramji Balakrishnan, Ericka A Lawler, Apurva S Shah
PURPOSE: In order to effectively improve value in health care delivery, providers must thoroughly understand cost drivers. Time-driven activity-based costing (TDABC) is a novel accounting technique that may allow for precise characterization of procedural costs. The purpose of the present study was to use TDABC to characterize costs in a high-volume, low-complexity ambulatory procedure (endoscopic vs open carpal tunnel release [CTR]), identify cost drivers, and inform opportunities for clinical improvement...
June 11, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29903353/cardiovascular-outcomes-reported-in-hemodialysis-trials
#11
REVIEW
Emma O'Lone, Andrea K Viecelli, Jonathan C Craig, Allison Tong, Benedicte Sautenet, David Roy, William G Herrington, Charles A Herzog, Tazeen Jafar, Meg Jardine, Vera Krane, Adeera Levin, Jolanta Malyszko, Michael V Rocco, Giovanni Strippoli, Marcello Tonelli, Angela Yee Moon Wang, Christoph Wanner, Faiez Zannad, Wolfgang C Winkelmayer, Angela C Webster, David C Wheeler
Patients on long-term hemodialysis are at very high risk for cardiovascular disease but are usually excluded from clinical trials conducted in the general population or in at-risk populations. There are no universally agreed cardiovascular outcomes for trials conducted specifically in the hemodialysis population. In this review, we highlight that trials reporting cardiovascular outcomes in hemodialysis patients are usually of short duration (median 3 to 6 months) and are small (59% of trials have <100 participants)...
June 19, 2018: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/29903036/migrants-access-to-healthcare-services-within-the-european-union-a-content-analysis-of-policy-documents-in-ireland-portugal-and-spain
#12
REVIEW
Céline Ledoux, Eva Pilot, Esperanza Diaz, Thomas Krafft
BACKGROUND: The current migration flow into Europe is leading to a growing ethnically diverse population in many European countries. Now more than ever, those populations have different healthcare needs, languages, traditions, and previous level of care. This higher level of diversity is likely to increase health inequalities that might challenge healthcare systems if not addressed. In this context, this study aims at reviewing the policy framework for migrants' access to healthcare in Spain, Portugal and Ireland, countries with a long history of immigration, to identify lessons to be learned for policies on migrants' health...
June 15, 2018: Globalization and Health
https://www.readbyqxmd.com/read/29902259/the-economic-burden-of-inpatient-care-of-depression-in-poznan-poland-and-kiel-germany-in-2016
#13
Tomasz Zaprutko, Robert Göder, Krzysztof Kus, Wiktor Pałys, Filip Rybakowski, Elżbieta Nowakowska
Depression is a global health problem associated with a significant public health burden and costs. Although studies on costs of diseases are being considered as an increasingly important factor for health policies, information concerning costs of inpatient care of depression is still insufficient. Thus, the main aim of this study was to evaluate costs of hospitalization of patients treated in 2016 in psychiatric clinics in Poznan (Poland) and in Kiel (Germany) and to analyze treatment used in these centers...
2018: PloS One
https://www.readbyqxmd.com/read/29902032/use-of-the-who-s-perceived-well-being-index-who-5-as-an-efficient-and-potentially-valid-screen-for-depression-in-a-low-income-country
#14
Ann F Garland, Negussie Deyessa, Menelik Desta, Atalay Alem, Tigist Zerihun, Kristopher G Hall, Nicole Goren, Irving Fish
Introduction : Depression is associated with negative social, economic, and family outcomes and the majority of individuals with depression in low and middle income countries (LMICs) are untreated. A critical first step in bridging the treatment gap is accurate, feasible, and culturally appropriate screening to identify those who need treatment. The WHO's Perceived Well-Being Index (WHO-5) well-being instrument can potentially meet the screening needs of LMICs in primary care and community-based settings. This study tested the feasibility and validity of this tool to identify depression among adult parents of young children in Addis Ababa, Ethiopia...
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29901862/narrowband-uvb-treatment-for-psoriasis-is-highly-economical-and-causes-significant-savings-in-cost-for-topical-treatments
#15
K Boswell, H Cameron, J West, C Fleming, S Ibbotson, R Dawe, J Foerster
BACKGROUND: Narrowband - UVB (NB-UVB) treatment for psoriasis is considered expensive. However, existing data are based on estimates and do not consider indirect cost savings. OBJECTIVES: To define actual costs of NB-UVB incurred by the service provider, as well as treatment-associated cost savings. METHODS: Data linkage of (i) comprehensive treatment records, (ii) prescribing data for all NB-UVB treatment episodes spanning six years in a population of 420,000...
June 14, 2018: British Journal of Dermatology
https://www.readbyqxmd.com/read/29900916/trends-in-dental-caries-in-indian-children-for-the-past-25-years
#16
Abhishek Mehta
Background: The economic liberalization which was started 25 years back in India has led to a rising gross domestic product and per capita income and a decline in poverty. There has been an improvement in various health status indicators in the Indian population. As oral health is an integral part of general health, a retrospective study was designed to assess the effect of economic liberalization on dental caries experience in Indian children. Materials and Methods: A systematic literature search was conducted to find studies done on dental caries prevalence in children in India from the year 1992-2016...
May 2018: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/29900849/-health-data
#17
Dominique Polton
Healthcare is considered as one of the most promising areas where big data can be applied to foster innovation for the benefit of patients and of the whole system. Healthcare analytics have the potential to accelerate R&D, increase knowledge on diseases and risk factors, improve treatments, develop personalised medicine, help physicians with decision support systems… The access to data is also a driving force for patients' empowerment and for the democratic debate. However, there are also concerns about the societal, economic and ethic impacts of this wave of digitization and of the growing use of data, algorithms and artificial intelligence...
May 2018: Médecine Sciences: M/S
https://www.readbyqxmd.com/read/29900412/the-economic-burden-of-stroke-care-in-england-wales-and-northern-ireland-using-a-national-stroke-register-to-estimate-and-report-patient-level-health-economic-outcomes-in-stroke
#18
Xiang-Ming Xu, Emma Vestesson, Lizz Paley, Anita Desikan, David Wonderling, Alex Hoffman, Charles DA Wolfe, Anthony G Rudd, Benjamin D Bray
Introduction: Stroke registries are used in many settings to measure stroke treatment and outcomes, but rarely include data on health economic outcomes. We aimed to extend the Sentinel Stroke National Audit Programme registry of England, Wales and Northern Ireland to derive and report patient-level estimates of the cost of stroke care. Methods: An individual patient simulation model was built to estimate health and social care costs at one and five years after stroke, and the cost-benefits of thrombolysis and early supported discharge...
March 2018: European stroke journal
https://www.readbyqxmd.com/read/29899980/magnitude-and-pattern-of-hypertension-in-the-niger-delta-a-systematic-review-and-meta-analysis-of-community-based-studies
#19
Martinsixtus Ezejimofor, Olalekan Uthman, Yen-Fu Chen, Benedeth Ezejimofor, Aloysius Ezeabasili, Saverio Stranges, Ngianga-Bakwin Kandala
Background: Emerging evidence found that health inequality in the Niger Delta region in Nigeria has continued to worsen due to epidemiological and environmental risks transitions. This study aims to provide an up-to-date review and the secular trends of hypertension prevalence in Niger Delta. Methods: We systematically searched databases of MEDLINE, EMBASE, African index Medicus and African Journal online from inception to December 30, 2016 for population-based studies providing prevalence estimates of hypertension in the Niger Delta...
June 2018: Journal of Global Health
https://www.readbyqxmd.com/read/29898604/the-district-health-information-system-dhis2-a-literature-review-and-meta-synthesis-of-its-strengths-and-operational-challenges-based-on-the-experiences-of-11-countries
#20
Reza Dehnavieh, AliAkbar Haghdoost, Ardeshir Khosravi, Fahime Hoseinabadi, Hamed Rahimi, Atousa Poursheikhali, Nahid Khajehpour, Zahra Khajeh, Nadia Mirshekari, Marziyeh Hasani, Samera Radmerikhi, Hajar Haghighi, Mohammad Hossain Mehrolhassani, Elaheh Kazemi, Saeide Aghamohamadi
BACKGROUND: Health information systems offer many potential benefits for healthcare, including financial benefits and for improving the quality of patient care. The purpose of District Health Information Systems (DHIS) is to document data that are routinely collected in all public health facilities in a country using the system. OBJECTIVE: The aim of this study was to examine the strengths and operational challenges of DHIS2, with a goal to enable decision makers in different counties to more accurately evaluate the outcomes of introducing DHIS2 into their particular country...
January 1, 2018: Health Information Management: Journal of the Health Information Management Association of Australia
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