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https://www.readbyqxmd.com/read/29770294/three-dimensional-modelling-and-three-dimensional-printing-in-pediatric-and-congenital-cardiac-surgery
#1
REVIEW
Laszlo Kiraly
Three-dimensional (3D) modelling and printing methods greatly support advances in individualized medicine and surgery. In pediatric and congenital cardiac surgery, personalized imaging and 3D modelling presents with a range of advantages, e.g., better understanding of complex anatomy, interactivity and hands-on approach, possibility for preoperative surgical planning and virtual surgery, ability to assess expected results, and improved communication within the multidisciplinary team and with patients. 3D virtual and printed models often add important new anatomical findings and prompt alternative operative scenarios...
April 2018: Translational Pediatrics
https://www.readbyqxmd.com/read/29751278/pregnancy-related-acute-kidney-injury-requiring-dialysis-as-an-indicator-of-severe-adverse-maternal-morbidity-at-a-tertiary-center-in-southwest-nigeria
#2
Ibraheem O Awowole, Oluseyi S Omitinde, Fatiu A Arogundade, Sekinah B Bola-Oyebamiji, Olumide A Adeniyi
OBJECTIVE: Despite being a Critical Intervention in the WHO Near-miss concept, the indications and clinical outcomes of patients with Pregnancy-Related Acute Kidney Injury (PRAKI) requiring dialysis at the Obafemi Awolowo University Teaching Hospitals Complex, Nigeria remain unknown. This retrospective review was conducted to facilitate counselling, prognostication and introduction of preventative measures by providing contemporary data on the aetiology and clinical outcomes of women with PRAKI...
May 2, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29747650/hospital-financing-of-ischaemic-stroke-determinants-of-funding-and-usefulness-of-drg-subcategories-based-on-severity-of-illness
#3
Sarah Dewilde, Lieven Annemans, Hilde Pincé, Vincent Thijs
BACKGROUND: Several Western and Arab countries, as well as over 30 States in the US are using the "All-Patient Refined Diagnosis-Related Groups" (APR-DRGs) with four severity-of-illness (SOI) subcategories as a model for hospital funding. The aim of this study is to verify whether this is an adequate model for funding stroke hospital admissions, and to explore which risk factors and complications may influence the amount of funding. METHODS: A bottom-up analysis of 2496 ischaemic stroke admissions in Belgium compares detailed in-hospital resource use (including length of stay, imaging, lab tests, visits and drugs) per SOI category and calculates total hospitalisation costs...
May 11, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29740740/determinants-of-catastrophic-healthcare-expenditure-in-peru
#4
Diego Proaño Falconi, Eduardo Bernabé
The aims of this study were to assess factors associated with catastrophic healthcare expenditure (CHE) and the burden of out-of-pocket (OOP) payments for specific healthcare services in Peru. We used data from 30,966 households that participated in the 2016 National Household Survey (Encuesta Nacional de Hogares, ENAHO). Participants reported household characteristics and expenditure on ten healthcare services. CHE was defined as healthcare spending equal to or higher than 40% of the household's capacity to pay...
May 9, 2018: International Journal of Health Economics and Management
https://www.readbyqxmd.com/read/29736273/evaluating-the-impact-of-a-maternal-health-voucher-programme-on-service-use-before-and-after-the-introduction-of-free-maternity-services-in-kenya-a-quasi-experimental-study
#5
Mardieh L Dennis, Timothy Abuya, Oona Maeve Renee Campbell, Lenka Benova, Angela Baschieri, Matteo Quartagno, Benjamin Bellows
Introduction: From 2006 to 2016, the Government of Kenya implemented a reproductive health voucher programme in select counties, providing poor women subsidised access to public and private sector care. In June 2013, the government introduced a policy calling for free maternity services to be provided in all public facilities. The concurrent implementation of these interventions presents an opportunity to provide new insights into how users adapt to a changing health financing and service provision landscape...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29728452/ethical-implications-of-medical-crowdfunding-the-case-of-charlie-gard
#6
Gabrielle Dressler, Sarah A Kelly
Patients are increasingly turning to medical crowdfunding as a way to cover their healthcare costs. In the case of Charlie Gard, an infant born with encephalomyopathic mitochondrial DNA depletion syndrome, crowdfunding was used to finance experimental nucleoside therapy. Although this treatment was not provided in the end, we will argue that the success of the Gard family's crowdfunding campaign reveals a number of potential ethical concerns. First, this case shows that crowdfunding can change the way in which communal healthcare resources are allocated...
May 4, 2018: Journal of Medical Ethics
https://www.readbyqxmd.com/read/29716606/the-impact-of-orthopaedic-research-evidence-on-health-financing-in-australia
#7
Martin Hua, Daniel Myers, Lachlan Host
BACKGROUND: In Australia, approval by the Medical Services Advisory Committee (MSAC) is an important step in the implementation of new health technologies. The MSAC considers health technology assessments (HTA) when submitting a recommendation to the Minister of Health on a new technology's suitability for public funding. Despite being such a critical tool in formulating policy, there has been little scrutiny on the impact of limited evidence on the performance of a national HTA agency's mandate...
May 2, 2018: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29709006/facilitators-and-barriers-to-non-medical-prescribing-a-systematic-review-and-thematic-synthesis
#8
Emma Graham-Clarke, Alison Rushton, Timothy Noblet, John Marriott
INTRODUCTION: Non-medical prescribing has the potential to deliver innovative healthcare within limited finances. However, uptake has been slow, and a proportion of non-medical prescribers do not use the qualification. This systematic review aimed to describe the facilitators and barriers to non-medical prescribing in the United Kingdom. METHODS: The systematic review and thematic analysis included qualitative and mixed methods papers reporting facilitators and barriers to independent non-medical prescribing in the United Kingdom...
2018: PloS One
https://www.readbyqxmd.com/read/29696326/access-to-orthopaedic-surgical-care-in-northern-tanzania-a-modelling-study
#9
Ajay Premkumar, Xiaohan Ying, W Mack Hardaker, Honest H Massawe, David J Mshahaba, Faiton Mandari, Anthony Pallangyo, Rogers Temu, Gileard Masenga, David A Spiegel, Neil P Sheth
BACKGROUND: The global burden of musculoskeletal disease and resulting disability is enormous and is expected to increase over the next few decades. In the world's poorest regions, the paucity of information defining and quantifying the current state of access to orthopaedic surgical care is a major problem in developing effective solutions. This study estimates the number of individuals in Northern Tanzania without adequate access to orthopaedic surgical services. METHODS: A chance tree was created to model the probability of access to orthopaedic surgical services in the Northern Tanzanian regions of Arusha, Kilimanjaro, Tanga, Singida, and Manyara, with respect to four dimensions: timeliness, surgical capacity, safety, and affordability...
April 25, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29678015/obstacles-to-successful-implementation-of-ehealth-applications-into-clinical-practice
#10
Marianne P Voogt, Brent C Opmeer, Arnoud W Kastelein, Monique W M Jaspers, Linda W Peute
eHealth can improve healthcare worldwide, and scientific research should provide evidence on the efficacy, safety and added value of such interventions. For successful implementation of eHealth interventions into clinical practice, barriers need to be anticipated. We identified seven barriers by interviewing health professionals in the Dutch healthcare system. These barriers covered three topics: financing, human factors and organizational factors. This paper discusses their potential impact on eHealth uptake...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29675960/translating-value-based-health-care-an-experiment-into-healthcare-governance-and-dialogical-accountability
#11
Morten Bonde, Claus Bossen, Peter Danholt
This article analyses an experiment into healthcare governance in Denmark inspired by principles of value-based health care and intended to re-orient the focus of healthcare governance from 'productivity' to 'value for the patient'. The region in charge of the experiment exempted nine hospital departments from activity-based financing and accountability based on diagnosis-related groups, which allegedly incentivised hospitals in 'perverse' and counterproductive ways. Instead, the departments were to develop new indicators from their local practices to support and account for quality and value for the patient...
April 19, 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29668210/care-coordination-for-children-with-special-needs-in-medicaid-lessons-from-medicare
#12
Kate A Stewart, Katharine W V Bradley, Joseph S Zickafoose, Rachel Hildrich, Henry T Ireys, Randall S Brown
OBJECTIVES: To provide actionable recommendations for improving care coordination programs for children with special healthcare needs (CSHCN) in Medicaid managed care. STUDY DESIGN:  Literature review and interviews with stakeholders and policy experts to adapt lessons learned from Medicare care coordination programs for CSHCN in Medicaid managed care. METHODS: We reviewed syntheses of research on Medicare care coordination programs to identify lessons learned from successful programs...
April 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/29657453/periprosthetic-hip-fractures-a-review-of-the-economic-burden-based-on-length-of-stay
#13
Rebecca F Lyons, Robert P Piggott, William Curtin, Colin G Murphy
Introduction: With the increasing rates of total hip replacements being performed worldwide, there is an increasing incidence of periprosthetic fractures. As our patients' demographics change to include older patients with multiple medical co-morbidities, there is a concurrent increase in morbidity and mortality rates. This leads to longer hospital stays and increasing hospital costs. In the current economic climate, the cost of treating periprosthetic fractures must be addressed and appropriate resource and funding allocation for future provision of services should be planned...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29649115/public-health-care-financing-and-the-costs-of-cancer-care-a-cross-national-analysis
#14
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/29629051/the-challenges-of-strategic-purchasing-of-healthcare-services-in-iran-health-insurance-organization-a-qualitative-study
#15
Hasan Abolghasem Gorji, Sayyed Masoud Shajari Pour Mousavi, Ali Shojaei, Anahita Keshavarzi, Hossein Zare
Background: Strategic purchasing in healthcare services is a key component in improving health system performance, and it has been one of the most important issues in health system reform around the world, especially Europe in the last decade. Iran health system and insurance, although sometimes considered the issue of strategic purchasing goals, has not been made possible to achieve or even to implement, due to the associated problems. Objective: To determine the associated problems of strategic purchasing in the Iran Health Insurance Organization (IHIO)...
February 2018: Electronic Physician
https://www.readbyqxmd.com/read/29618962/development-of-hospital-based-data-sets-as-a-vehicle-for-implementation-of-a-national-electronic-health-record
#16
Leila Keikha, Seyede Sedigheh Seied Farajollah, Reza Safdari, Marjan Ghazisaeedi, Niloofar Mohammadzadeh
Background: In developing countries such as Iran, international standards offer good sources to survey and use for appropriate planning in the domain of electronic health records (EHRs). Therefore, in this study, HL7 and ASTM standards were considered as the main sources from which to extract EHR data. Objective: The objective of this study was to propose a hospital data set for a national EHR consisting of data classes and data elements by adjusting data sets extracted from the standards and paper-based records...
2018: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/29611869/contracting-out-to-improve-the-use-of-clinical-health-services-and-health-outcomes-in-low-and-middle-income-countries
#17
REVIEW
Willem A Odendaal, Kim Ward, Jesse Uneke, Henry Uro-Chukwu, Dereck Chitama, Yusentha Balakrishna, Tamara Kredo
BACKGROUND: Contracting out of governmental health services is a financing strategy that governs the way in which public sector funds are used to have services delivered by non-governmental health service providers (NGPs). It represents a contract between the government and an NGP, detailing the mechanisms and conditions by which the latter should provide health care on behalf of the government. Contracting out is intended to improve the delivery and use of healthcare services. This Review updates a Cochrane Review first published in 2009...
April 3, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29608610/strategic-purchasing-and-health-system-efficiency-a-comparison-of-two-financing-schemes-in-thailand
#18
Walaiporn Patcharanarumol, Warisa Panichkriangkrai, Angkana Sommanuttaweechai, Kara Hanson, Yaowaluk Wanwong, Viroj Tangcharoensathien
Strategic purchasing is an essential health financing function. This paper compares the strategic purchasing practices of Thailand's two tax-financed health insurance schemes, the Universal Coverage Scheme (UCS) and the Civil Servant Medical Benefit Scheme (CSMBS), and identifies factors contributing to successful universal health coverage outcomes by analysing the relationships between the purchaser and government, providers and members. The study uses a cross-sectional mixed-methods design, including document review and interviews with 56 key informants...
2018: PloS One
https://www.readbyqxmd.com/read/29607103/unraveling-pbf-effects-beyond-impact-evaluation-results-from-a-qualitative-study-in-cameroon
#19
Manuela De Allegri, Maria Paola Bertone, Shannon McMahon, Idrissou Mounpe Chare, Paul Jacob Robyn
Introduction: Performance-based financing (PBF) has acquired increased prominence as a means of reforming health system purchasing structures in low-income and middle-income countries. A number of impact evaluations have noted that PBF often produces mixed and heterogeneous effects. Still, little systematic effort has been channelled towards understanding what causes such heterogeneity, including looking more closely at implementation processes. Methods: Our qualitative study aimed at closing this gap in knowledge by attempting to unpack the mixed and heterogeneous effects detected by the PBF impact evaluation in Cameroon to inform further implementation as the country scales up the PBF approach...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29602896/newborn-health-benefits-or-financial-risk-protection-an-ethical-analysis-of-a-real-life-dilemma-in-a-setting-without-universal-health-coverage
#20
Kristine Husøy Onarheim, Ole Frithjof Norheim, Ingrid Miljeteig
INTRODUCTION: High healthcare costs make illness precarious for both patients and their families' economic situation. Despite the recent focus on the interconnection between health and financial risk at the systemic level, the ethical conflict between concerns for potential health benefits and financial risk protection at the household level in a low-income setting is less understood. METHODS: Using a seven-step ethical analysis, we examine a real-life dilemma faced by families and health workers at the micro level in Ethiopia and analyse the acceptability of limiting treatment for an ill newborn to protect against financial risk...
March 30, 2018: Journal of Medical Ethics
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