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Cost sharing in healthcare

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https://www.readbyqxmd.com/read/29649115/public-health-care-financing-and-the-costs-of-cancer-care-a-cross-national-analysis
#1
Ana Iolanda Voda, Ionel Bostan
Expenditure and financing aspects in the healthcare system in general, and in cancer care in particular, are subjects of increasing concern to the medical community. Nowadays, it is imperative for the healthcare system to respond to the challenge of universal access to quality healthcare, by measuring the financial resources within the healthcare sector. The purpose of this review is to highlight the major gaps in the healthcare expenditures for all types of care, as well as on cancer and anti-cancer drugs across 28 European Union member states...
April 12, 2018: Cancers
https://www.readbyqxmd.com/read/29626354/second-regional-plasmapheresis-conference-and-workshop-for-southeast-asia-sea-on-the-immunomodulatory-role-of-plasma-exchange-in-central-and-peripheral-nervous-system-disorders-kuala-lumpur-malaysia-9th-december-2017
#2
Shanthi Viswanathan, Stefanie Kar Yan Hung, Vinay Goyal, Metha Apiwattanakul, Umapathi N Thirugnanam, Suhailah Abdullah, Seinn Mya Mya Aye, Ohnmar Ohnmar, Le Tri Si, Saysavath Keosodsay, Riwanti Estiasari, Najib Khalife, Fu Liong Hiew
In December 2017, 79 delegates attended the 2nd regional plasmapheresis conference and workshop for Southeast Asia (SEA) on the immunomodulatory role of plasma exchange in central and peripheral nervous system disorders in Kuala Lumpur, Malaysia. This meeting featured 6 plenary lectures, interactive sessions dedicated for experience sharing, case presentations, and a practical session for paramedics. Clinical experts and researchers from 7 SEA countries and India shared experience and challenges in treating autoimmune neurological disorders...
April 6, 2018: Journal of Clinical Apheresis
https://www.readbyqxmd.com/read/29625597/how-do-we-incorporate-patient-views-into-the-design-of-healthcare-services-for-older-people-a-discussion-paper
#3
Paul R Brocklehurst, Gerald McKenna, Martin Schimmel, Anastassia Kossioni, Katarina Jerković-Ćosić, Martina Hayes, Cristiane da Mata, Frauke Müller
BACKGROUND: Across the European Union costs for the treatment of oral disease is expected to rise to €93 Billion by 2020 and be higher than those for stroke and dementia combined. A significant proportion of these costs will relate to the provision of care for older people. Dental caries severity and experience is now a major public health issue in older people and periodontal disease disproportionately affects older adults. Poor oral health impacts on older people's quality of life, their self-esteem, general health and diet...
April 6, 2018: BMC Oral Health
https://www.readbyqxmd.com/read/29623637/healthcare-cost-development-in-a-type-2-diabetes-patient-population-on-glucose-lowering-drug-treatment-a-nationwide-observational-study-2006-2014
#4
David Nathanson, Ugne Sabale, Jan W Eriksson, Thomas Nyström, Anna Norhammar, Urban Olsson, Johan Bodegård
OBJECTIVE: The objective of this study was to describe healthcare resource use and cost development in Sweden during 2006-2014 in a type 2 diabetes (T2D) population receiving glucose-lowering drugs (GLDs). METHODS: In- and outpatient healthcare resource use and costs were extracted from mandatory national registries: the Cause of Death Register; the National Patient Register; and the Prescribed Drug Register. Primary care data were estimated based on an observational study including patients from 84 primary care centers in Sweden...
November 27, 2017: PharmacoEconomics Open
https://www.readbyqxmd.com/read/29623635/the-healthcare-cost-burden-of-acute-myocardial-infarction-in-alberta-canada
#5
Dat T Tran, Arto Ohinmaa, Nguyen X Thanh, Robert C Welsh, Padma Kaul
OBJECTIVES: Little is known about the cost burden of acute myocardial infarction (AMI) on healthcare systems. Accordingly, we examined the long-term trends of healthcare costs for AMI in the province of Alberta, Canada. METHODS: We linked five Albertan health databases, including ambulatory care, hospitalization, practitioner claims, pharmaceutical information network, and population registry to identify patients with a primary diagnosis of AMI between 2004 and 2013...
November 2, 2017: PharmacoEconomics Open
https://www.readbyqxmd.com/read/29616482/impact-of-a-health-management-program-on-healthcare-outcomes-among-patients-on-augmentation-therapy-for-alpha-1-antitrypsin-deficiency-an-insurance-claims-analysis
#6
Michael A Campos, Michael C Runken, Angela M Davis, Michael P Johnson, Glenda A Stone, Ami R Buikema
INTRODUCTION: Alpha 1-antitrypsin deficiency (AATD) is a genetic disorder which reduces serum alpha 1-antitrypsin (AAT or alpha1-proteinase inhibitor, A1PI) and increases the risk of chronic obstructive pulmonary disease (COPD). Management strategies include intravenous A1PI augmentation, and, in some cases, a health management program (Prolastin Direct® ; PD). OBJECTIVES: This study compared clinical and economic outcomes between patients with and without PD program participation...
April 3, 2018: Advances in Therapy
https://www.readbyqxmd.com/read/29608779/interdisciplinary-home-visits-for-individuals-with-advanced-parkinson-s-disease-and-related-disorders
#7
Jori Fleisher, William Barbosa, Meghan M Sweeney, Sarah E Oyler, Amy C Lemen, Arash Fazl, Mia Ko, Talia Meisel, Naomi Friede, Geraldine Dacpano, Rebecca M Gilbert, Alessandro Di Rocco, Joshua Chodosh
Parkinson's disease (PD) is a complex, multisymptom, neurodegenerative disease affecting primarily older adults. With progression, many individuals become homebound and removed from coordinated, expert care, resulting in excess morbidity, mortality, and healthcare expenditures in acute care settings and institutions. Home visit care models have achieved the triple aim of improving individual and population health while reducing costs in many frail, community-dwelling geriatric cohorts. This study details a novel, interdisciplinary home visit program specifically designed for individuals with PD and related disorders and their family caregivers built upon best practice principles in the care of multimorbid older adults...
April 2, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29602429/integrating-electronic-healthcare-records-of-armed-forces-personnel-developing-a-framework-for-evaluating-health-outcomes-in-england-scotland-and-wales
#8
Daniel Leightley, Zoe Chui, Margaret Jones, Sabine Landau, Paul McCrone, Richard D Hayes, Simon Wessely, Nicola T Fear, Laura Goodwin
BACKGROUND: Electronic Healthcare Records (EHRs) are created to capture summaries of care and contact made to healthcare services. EHRs offer a means to analyse admissions to hospitals for epidemiological research. In the United Kingdom (UK), England, Scotland and Wales maintain separate data stores, which are administered and managed exclusively by devolved Government. This independence results in harmonisation challenges, not least lack of uniformity, making it difficult to evaluate care, diagnoses and treatment across the UK...
May 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29596495/assessing-the-influence-of-health-systems-on-type-2-diabetes-mellitus-awareness-treatment-adherence-and-control-a-systematic-review
#9
Suan Ee Ong, Joel Jun Kai Koh, Sue-Anne Ee Shiow Toh, Kee Seng Chia, Dina Balabanova, Martin McKee, Pablo Perel, Helena Legido-Quigley
BACKGROUND: Type 2 Diabetes Mellitus (T2DM) is reported to affect one in 11 adults worldwide, with over 80% of T2DM patients residing in low-to-middle-income countries. Health systems play an integral role in responding to this increasing global prevalence, and are key to ensuring effective diabetes management. We conducted a systematic review to examine the health system-level factors influencing T2DM awareness, treatment, adherence, and control. METHODS AND FINDINGS: A protocol for this study was published on the PROSPERO international prospective register of systematic reviews (PROSPERO 2016: CRD42016048185)...
2018: PloS One
https://www.readbyqxmd.com/read/29587763/on-designing-of-a-low-leakage-patient-centric-provider-network
#10
Yuchen Zheng, Kun Lin, Thomas White, Jeremy Pickreign, Gigi Yuen-Reed
BACKGROUND: When a patient in a provider network seeks services outside of their community, the community experiences a leakage. Leakage is undesirable as it typically leads to higher out-of-network cost for patient and increases barrier for care coordination, which is particularly problematic for Accountable Care Organization (ACO) as the in-network providers are financially responsible for quality of care and outcome. We aim to design a data-driven method to identify naturally occurring provider networks driven by diabetic patient choices, and understand the relationship among provider composition, patient composition, and service leakage pattern...
March 27, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29580880/what-are-the-most-significant-cost-and-value-drivers-for-pancreatic-resection-in-an-integrated-healthcare-system
#11
Brooke Vuong, Ahmed Dehal, Abhineet Uppal, Stacey L Stern, Juan Mejia, Roshanthi Weerasinghe, Vandana Kapoor, Evan Ong, Paul D Hansen, Anton J Bilchik
BACKGROUND: An initiative was established to improve value-based care for pancreatic surgery in a large non-profit health system. Cost data was presented bimonthly to a hepatobiliary (HPB) clinical performance group (CPG) via a videoconference. STUDY DESIGN: The direct costs were calculated for all patients undergoing distal pancreatectomy (DP) and pancreaticoduodenectomy (PD) between January 2014 and July 2017. Median length of stay (LOS), 30, 90-day mortality, readmission rate, and costs were stratified by surgeon volume, utilizing two published criteria: "Volume Pledge" criteria (≥5 PDs/year) and Leapfrog criteria (≥11 PDs/year)...
March 23, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29573986/can-a-collaborative-healthcare-network-improve-the-care-of-people-with-epilepsy
#12
REVIEW
Ejaz A Shamim, Ketan Mane, Tobias Loddenkemper, Alan Leviton
New opportunities are now available to improve care in ways not possible previously. Information contained in electronic medical records can now be shared without identifying patients. With network collaboration, large numbers of medical records can be searched to identify patients most like the one whose complex medical situation challenges the physician. The clinical effectiveness of different treatment strategies can be assessed rapidly to help the clinician decide on the best treatment for this patient...
March 21, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29569327/reducing-emergency-room-visits-and-in-hospitalizations-by-implementing-best-practice-for-transitional-care-using-innovative-technology-and-big-data
#13
Sharon Hewner, Suzanne S Sullivan, Guan Yu
BACKGROUND: Efforts to improve care transitions require coordination across the healthcare continuum and interventions that enhance communication between acute and community settings. AIMS: To improve post-discharge utilization value using technology to identify high-risk individuals who might benefit from rapid nurse outreach to assess social and behavioral determinants of health with the goal of reducing inpatient and emergency department visits. METHODS: The project employed a before and after comparison of the intervention site with similar primary care practice sites using population-level Medicaid claims data...
March 23, 2018: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/29566673/implementation-of-grip-strength-measurement-in-medicine-for-older-people-wards-as-part-of-routine-admission-assessment-identifying-facilitators-and-barriers-using-a-theory-led-intervention
#14
Kinda Ibrahim, Carl R May, Harnish P Patel, Mark Baxter, Avan A Sayer, Helen C Roberts
BACKGROUND: Low grip strength in older inpatients is associated with poor healthcare outcomes including longer length of stay and mortality. Measuring grip strength is simple and inexpensive. However, it is not routinely used in clinical practice. We aimed to evaluate the implementation of grip strength measurement into routine clinical practice. METHODS: This implementation study was a mixed methods study based in five acute medical wards for older people in one UK hospital...
March 22, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29531754/shared-care-versus-hospital-based-cardiac-rehabilitation-a-cost-utility-analysis-based-on-a-randomised-controlled-trial
#15
Jannik B Bertelsen, Nasrin Tayyari Dehbarez, Jens Refsgaard, Helle Kanstrup, Søren P Johnsen, Ina Qvist, Bo Christensen, Rikke Søgaard, Kent L Christensen
Background: Changes in the organisation of chronic healthcare, an increased awareness of costs and challenges of low adherence in cardiac rehabilitation (CR) call for the exploration of more flexible CR programmes as alternatives to hospital-based CR (H-CR). A model of shared care cardiac rehabilitation (SC-CR) that included general practitioners and the municipality was developed. The aim of this study was to analyse the cost utility of SC-CR versus H-CR. Methods: The cost-utility analysis was based on a randomised controlled trial of 212 patients who were allocated to SC-CR or H-CR and followed up for 12 months...
2018: Open Heart
https://www.readbyqxmd.com/read/29530441/-an-assessment-of-the-direct-costs-of-healthcare-for-victims-of-sexual-assaults-in-hospital-emergency-units
#16
J Hiquet, E Christin, F Tovagliaro, J Fougas, O Dubourg, C Chevalier, F Abel, M Ebouat, M-E Ploquin, M Malo, S Gromb-Monnoyeur
BACKGROUND: The Forensic medicine reform in 2011 enabled the development of forensic units specialized in multidisciplinary care of victims of criminal offences. Thanks to an annual budgetary allocation, the Ministry of Justice handles the financing of judicial acts, while the health care facilities assume the medical, psychological and social aspects. The objective of this study was to determine the direct costs of medical care provided to rape victims (such as defined in the article 222-23 of the Penal Code) in order to see how its funding could be reconsidered to prevent any additional cost that could be caused by non-sufficient medical, psychological and social care...
March 9, 2018: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/29498002/the-determinants-of-household-out-of-pocket-oop-medical-expenditure-in-rural-bangladesh
#17
Shamsul Arifeen Khan Mamun, Rasheda Khanam, Mohammad Mafizur Rahman
BACKGROUND: The Government of Bangladesh has a National Healthcare Strategy 2012-2032 that reiterates a goal to achieve universal health coverage (UHC) by the year 2032. To achieve the goal, the government has set up a strategy to reduce the share of out-of-pocket (OOP) expenditure from the current 64% of the total household healthcare costs to 32% at the national level. As the majority of the people live in the rural areas, and the rural people are generally poor, the success of the strategy relies predominantly on any type of pro-poor healthcare policy and strategy...
March 1, 2018: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/29492383/current-indications-for-transplantation-stratification-of-severe-heart-failure-and-shared-decision-making
#18
REVIEW
Darko Vucicevic, Lily Honoris, Federica Raia, Mario Deng
Heart failure (HF) is a complex clinical syndrome that results from structural or functional cardiovascular disorders causing a mismatch between demand and supply of oxygenated blood and consecutive failure of the body's organs. For those patients with stage D HF, advanced therapies, such as mechanical circulatory support (MCS) or heart transplantation (HTx), are potentially life-saving options. The role of risk stratification of patients with stage D HF in a value-based healthcare framework is to predict which subset might benefit from advanced HF (AdHF) therapies, to improve outcomes related to the individual patient including mortality, morbidity and patient experience as well as to optimize health care delivery system outcomes such as cost-effectiveness...
January 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29487976/-healthcare-expenditures-and-the-role-of-demografic-change-an-analysis-of-statutory-health-insurance-data
#19
Jona T Stahmeyer, Siegfried Geyer, Jelena Epping, Juliane Tetzlaff, Sveja Eberhard
The development of healthcare expenditures and the impact of demographic change are the subject of a controversial debate. Yearly healthcare expenditures have more than doubled between 1992 and 2015 and are often justified by the aging demographic. The majority of expenses are paid by the statutory health insurance (SHI). The aim of the current study was to evaluate the contribution of the demographic change to increasing total per capita expenditures in the SHI as well as to analyze the development and the impact in individual areas of spending...
February 27, 2018: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/29483569/what-s-the-harm-risks-and-benefits-of-evolving-rule-out-sepsis-practices
#20
REVIEW
Thomas A Hooven, Tara M Randis, Richard A Polin
Asymptomatic term and late-preterm newborns with risk factors for early onset sepsis commonly undergo laboratory evaluation and receive empiric antibiotic therapy. Some have challenged the rationale for current "rule-out sepsis" practices, arguing that they lead to unnecessary overtreatment and healthcare costs. A series of recent clinical studies has explored scheduled serial observations as an alternative to laboratory testing and empiric antibiotics for asymptomatic newborns with historical risk factors for sepsis...
February 26, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
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