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https://www.readbyqxmd.com/read/29756521/cost-analysis-of-initial-treatment-with-endovascular-revascularization-open-surgery-or-primary-major-amputation-in-patients-with-peripheral-artery-disease
#1
Linda Tang, Sharath C V Paravastu, Shannon D Thomas, Elaine Tan, Eric Farmer, Ramon L Varcoe
PURPOSE: To compare the total initial treatment costs for open surgery, endovascular revascularization, and primary major amputation within a single-payer healthcare system. METHODS: A multicenter, retrospective analysis was undertaken to evaluate 1138 patients with symptomatic peripheral artery disease (PAD) who underwent 1017 endovascular procedures, 86 open surgeries, and 35 major amputations between 2013 and 2016. A cost-mix analysis was performed on individual patient data generated for selected diagnosis-related groups...
May 1, 2018: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29730247/health-expenditure-growth-under-single-payer-systems-comparing-south-korea-and-taiwan
#2
Shou-Hsia Cheng, Hyun-Hyo Jin, Bong-Min Yang, Robert H Blank
OBJECTIVE: Achieving universal health coverage has been an important goal for many countries worldwide. However, the rapid growth of health expenditures has challenged all nations, both those with and without such universal coverage. Single-payer systems are considered more efficient for administrative affairs and may be more effective for containing costs than multipayer systems. However, South Korea, which has a typical single-payer scheme, has almost the highest growth rate in health expenditures among industrialized countries...
May 3, 2018: Value in Health Regional Issues
https://www.readbyqxmd.com/read/29710152/single-payer-health-care-opportunities-and-vulnerabilities
#3
Larry Levitt
No abstract text is available yet for this article.
April 24, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29648637/medium-and-long-term-emergency-department-utilization-after-oesophagectomy-a-population-based-analysis
#4
Biniam Kidane, Binu Jacob, Vaibhav Gupta, John Peel, Refik Saskin, Thomas K Waddell, Gail E Darling
OBJECTIVES: Oesophagectomy is a complex operation with the potential for prolonged recovery. The aim of this study was to evaluate healthcare resource utilization, specifically emergency department (ED) visits within 1 year of oesophagectomy, and to identify risk factors for ED visits and frequent ED use (FEDU). METHODS: A retrospective cohort study of consecutive oesophagectomies for cancer in all Ontario hospitals was conducted using linked health data (2000-2012) including the ability to identify ED visits at non-index hospitals...
April 10, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29626237/the-utility-of-outpatient-commitment-acute-medical-care-access-and-protecting-health
#5
Steven P Segal, Stephania L Hayes, Lachlan Rimes
OBJECTIVES: This study considers whether, in an easy access single-payer health care system, patients placed on outpatient commitment-community treatment orders (CTOs) in Victoria Australia-are more likely to access acute medical care addressing physical illness than voluntary patients with and without severe mental illness. METHOD: For years 2000 to 2010, the study compared acute medical care access of 27,585  severely mentally ill psychiatrically hospitalized patients (11,424 with and 16,161 without CTO exposure) and 12,229 never psychiatrically hospitalized outpatients (individuals with less morbidity risk as they were not considered to have severe mental illness)...
April 6, 2018: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/29603492/demand-for-neurological-services-in-central-eastern-europe-a-10-year-national-survey-in-hungary
#6
Ferenc Oberfrank, András Ajtay, Dániel Bereczki
BACKGROUND: To plan neurological capacities at a national level for the next decade the current use of neurological services should be evaluated. We analyze the utilization of neurological services in Hungary, a country with a single-payer health insurance system covering the whole population. METHODS: We created a database from medical reports submitted to the National Health Insurance Fund from all hospitals and outpatient services between 2004 and 2013. The number of subjects presenting in the neurological healthcare system, and their major diagnoses by ICD-10 categories are analyzed...
March 30, 2018: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/29598807/the-affordable-care-act-and-the-faltering-revolution-in-behavioral-health-care
#7
David A Rochefort
Often described in such terms as a "revolution" and a "game-changer" for the behavioral health sector in the United States, the Affordable Care Act has helped to enhance coverage for mental health and substance use disorders while encouraging service system innovations at the organizational level. However, tens of millions of Americans still lack health insurance, insurance companies are resisting the implementation of parity coverage rules, and inequalities in the financing and organization of care continue to worsen in key respects...
January 1, 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/29576023/a-successful-charter-challenge-to-medicare-policy-options-for-canadian-provincial-governments
#8
Colleen M Flood, Bryan Thomas
In September 2016, a case went to trial in British Columbia that seeks to test the constitutionality of provincial laws that (1) ban private health insurance for medically necessary hospital and physician services; (2) ban extra-billing (physicians cannot charge patients more than the public tariff); and (3) require physicians to work solely for the public system or 'opt-out' and practice privately. All provinces have similar laws that have been passed to meet the requirements of federal legislation, the Canada Health Act (and thus qualify for federal funds)...
March 26, 2018: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/29548564/managing-health-expenditure-inflation-under-a-single-payer-system-taiwan-s-national-health-insurance
#9
Winnie C Yip, Yue-Chune Lee, Shu-Ling Tsai, Bradley Chen
As nations strive to achieve and sustain universal health coverage (UHC), they seek answers as to what health system structures are more effective in managing health expenditure inflation. A fundamental macro-level choice a nation has to make is whether to adopt a single- or a multiple-payer health system. Using Taiwan's National Health Insurance (NHI) as a case, this paper examines how a single-payer system manages its health expenditure growth and draws lessons for other countries whose socioeconomic development is similar to Taiwan's...
November 16, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29547372/the-national-health-service-nhs-at-70-some-comparative-reflections
#10
Carolyn H Tuohy
As the National Health Service (NHS) turns 70, it bears comparison with another universal system celebrating an anniversary this year: Canada's 50-year-old medicare model. Each system is iconically popular, and each revolves around a profession-state accommodation. Both the popularity and the central axis of each system have been tested by external shocks in the form of periodic fiscal cycles of investment and austerity, and internal stresses generating organizational cycles of centralization and decentralization...
March 16, 2018: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/29513573/single-payer-plan-for-new-york-could-lead-the-country
#11
Richard N Gottfried
No abstract text is available yet for this article.
April 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29506041/medical-research-using-governments-health-claims-databases-with-or-without-patients-consent
#12
Feng-Jen Tsai, Valérie Junod
Taking advantage of its single-payer, universal insurance system, Taiwan has leveraged its exhaustive database of health claims data for research purposes. Researchers can apply to receive access to pseudonymized (coded) medical data about insured patients, notably their diagnoses, health status and treatments. In view of the strict safeguards implemented, the Taiwanese government considers that this research use does not require patients' consent (either in the form of an opt-in or in the form of an opt-out)...
March 1, 2018: Journal of Public Health
https://www.readbyqxmd.com/read/29489495/health-service-utilization-and-medical-costs-among-patients-with-schizophrenia-receiving-long-acting-injectable-risperidone-versus-oral-risperidone-a-nationwide-retrospective-matched-cohort-study-in-taiwan
#13
Szu-Jui Fan, Ning Lu, Hui-Chih Chang, Chao-Hsiun Tang, Kuo-Cherh Huang
The aim of the nationwide retrospective matched cohort study was to evaluate health service utilization and medical costs between patients with schizophrenia who received long-acting injectable (LAI) risperidone and those who took risperidone orally. Data were sourced from the 2008 to 2013 Psychiatric Inpatient Medical Claim Dataset in Taiwan. The sample selection process was performed by propensity score matching. Finally, there were 691 patients in the exposed cohort and 1382 patients in the unexposed cohort...
February 27, 2018: International Clinical Psychopharmacology
https://www.readbyqxmd.com/read/29477389/an-overview-of-value-perspective-and-decision-context-a-health-economics-approach-an-ispor-special-task-force-report-2
#14
Louis P Garrison, Mark V Pauly, Richard J Willke, Peter J Neumann
The second section of our Special Task Force builds on the discussion of value and perspective in the previous article of the report by 1) defining a health economics approach to the concept of value in health care systems; 2) discussing the relationship of value to perspective and decision context, that is, how recently proposed value frameworks vary by the types of decisions being made and by the stakeholders involved; 3) describing the patient perspective on value because the patient is a key stakeholder, but one also wearing the hat of a health insurance purchaser; and 4) discussing how value is relevant in the market-based US system of mixed private and public insurance, and differs from its use in single-payer systems...
February 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/29435572/why-internists-might-want-single-payer-health-care
#15
Paul Sorum
No abstract text is available yet for this article.
March 20, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29428152/assessing-burn-care-in-brazil-an-epidemiologic-cross-sectional-nationwide-study
#16
Isabelle Citron, Julia Amundson, Saurabh Saluja, Aline Guilloux, Hillary Jenny, Mario Scheffer, Mark Shrime, Nivaldo Alonso
BACKGROUND: The aim of this study was to describe the national epidemiology of burns in Brazil and evaluate regional access to care by defining the contribution of out-of-hospital mortality to total burn deaths. METHODS: We reviewed admissions data for Brazil's single-payer, free-at-point-of-care, public-sector provider and national death registry data abstracted from DATASUS for 2008-2014. Admissions, in-hospital mortality, hospital reimbursement, and total deaths from the death registry were assessed for records coded under ICD-10 codes corresponding to flame, scald, contact, and electrical burns...
February 8, 2018: Surgery
https://www.readbyqxmd.com/read/29330310/social-determinants-of-community-level-human-papillomavirus-vaccination-coverage-in-a-school-based-vaccination-programme
#17
Stephen Jean, Malak Elshafei, Alison Buttenheim
OBJECTIVE: To assess social patterns in human papillomavirus (HPV) vaccine coverage in a school-based, government-funded vaccination programme located within a single-payer universal healthcare system. DESIGN: We conducted a cross-sectional analysis of HPV vaccine uptake data for the 2013-2014 school year for 131 local authorities in England, and then evaluated the association between vaccine uptake and socioeconomic status at the aggregate level. DATA SOURCES: HPV vaccination coverage data from Public Health England's vaccine uptake guidance and the UK's March 2011 Census...
January 12, 2018: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/29310703/management-of-persistent-epistaxis-using-floseal-hemostatic-matrix-vs-traditional-nasal-packing-a-prospective-randomized-control-trial
#18
Scott Murray, Adrian Mendez, Alexander Hopkins, Hamdy El-Hakim, Caroline C Jeffery, David W J Côté
BACKGROUND: Epistaxis is the most common emergent consultation to otolaryngology-head & neck surgery (OHNS) and with 60% of the population having experienced an episode and 1.6 in 10,000 requiring hospitalization in their lifetime. In preliminary studies Floseal® (Baxter, USA) Hemostatic Matrix has shown efficacy in up to 80% of persistent anterior epistaxis. We sought to evaluate the clinical efficacy and cost-effectiveness of Floseal® (Baxter, USA) compared to traditional nasal packing for persistent epistaxis...
January 8, 2018: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29248240/higher-surgeon-annual-volume-but-not-years-of-experience-is-associated-with-reduced-rates-of-postoperative-complications-and-reoperations-after-open-abdominal-aortic-aneurysm-repair
#19
Luc Dubois, Britney Allen, Krista Bray-Jenkyn, Adam H Power, Guy DeRose, Thomas L Forbes, Audra Duncan, Salimah Z Shariff
OBJECTIVE: Volume-outcome relationships for open abdominal aortic aneurysm (AAA) repair have received less attention in publicly funded health systems. Furthermore, the roles of surgeon seniority (years of experience) and composite volume (encompassing all major arterial cases) on outcomes after open AAA repair are less well known. We sought to determine the effects of surgeon volume, surgeon years of experience, and composite volume on outcomes after elective open AAA repairs performed in Ontario, Canada...
December 13, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29189576/predicting-high-health-care-resource-utilization-in-a-single-payer-public-health-care-system-development-and-validation-of-the-high-resource-user-population-risk-tool-hruport
#20
Laura C Rosella, Kathy Kornas, Zhan Yao, Douglas G Manuel, Catherine Bornbaum, Randall Fransoo, Therese Stukel
BACKGROUND: A large proportion of health care spending is incurred by a small proportion of the population. Population-based health planning tools that consider both the clinical and upstream determinants of high resource users (HRU) of the health system are lacking. OBJECTIVE: To develop and validate the High Resource User Population Risk Tool (HRUPoRT), a predictive model of adults that will become the top 5% of health care users over a 5-year period, based on self-reported clinical, sociodemographic, and health behavioral predictors in population survey data...
November 17, 2017: Medical Care
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