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https://www.readbyqxmd.com/read/29785689/the-impact-of-hospital-costing-methods-on-cost-effectiveness-analysis-a-case-study
#1
José Leal, Stefania Manetti, James Buchanan
BACKGROUND: Several methods exist to cost hospital contacts when estimating the cost effectiveness of a new intervention. However, the implications of choosing a particular approach remain unclear. We compare the use of the three main diagnosis-related group (DRG)-based national unit costs in England to determine whether choice of approach can impact on economic evaluation results. METHODS: A cost-utility model was developed to compare secondary fracture prevention models of care for hip fracture patients, using data from large primary and hospital care administrative datasets in England...
May 22, 2018: PharmacoEconomics
https://www.readbyqxmd.com/read/29733863/consumer-attitudes-and-preferences-towards-pangasius-and-tilapia-the-role-of-sustainability-certification-and-the-country-of-origin
#2
Cordula Hinkes, Birgit Schulze-Ehlers
The majority of farmed fish produced in Bangladesh is consumed domestically, while global demand for fish is increasing. Non-tariff barriers resulting from consumers' concerns about sustainability and food safety or attitudes towards the country of origin might be one reason for limited export. The purpose of this study is to analyze consumer preferences for frozen pangasius and tilapia fillets from Bangladesh in order to explore market opportunities in Germany. A discrete choice experiment was conducted to estimate marginal utilities and willingness-to-pay for different product attributes, focusing on sustainability certification and the country of origin...
May 4, 2018: Appetite
https://www.readbyqxmd.com/read/29701846/brexit-poses-serious-threats-to-the-availability-and-affordability-of-food-in-the-united-kingdom
#3
Tim Lang, Martin McKee
Brexit will have profound implications for health and health policy yet, while much attention has focused on health professionals, medicines and health protection, the risk of food insecurity, and thus health, has received less attention. We identify five major threats to the availability and affordability of food supplies. These are a lack of regulatory alignment restricting ability to import foods from the EU and beyond, a shortage of agricultural labour in the UK, increased prices of imported foods due to tariffs, damage to supply chains, for example, due to customs delays and loss of interoperability of transportation, and damage to agricultural production and food flows in Ireland...
April 26, 2018: Journal of Public Health
https://www.readbyqxmd.com/read/29678127/a-health-economic-model-to-assess-the-cost-effectiveness-of-optifast-%C3%A2-for-the-treatment-of-obesity-in-usa
#4
Mark Nuijten, Agnieszka Marczewska, Krysmaru Araujo Torress, Bahareh Rasouli, Moreno Perugini
OBJECTIVES: Obesity is associated with high direct medical costs and indirect costs resulting from productivity loss. High prevalence of obesity generates a justified need to identify cost-effective weight loss approaches from a payer's perspective. Within the variety of weight management techniques, OPTIFAST® is a clinically recognized and scientifically proven total meal replacement Low Calorie Diet that provides meaningful results in terms of weight loss and reduction in comorbidities...
April 20, 2018: Journal of Medical Economics
https://www.readbyqxmd.com/read/29669548/performance-of-insilicova-for-assigning-causes-of-death-to-verbal-autopsies-multisite-validation-study-using-clinical-diagnostic-gold-standards
#5
Abraham D Flaxman, Jonathan C Joseph, Christopher J L Murray, Ian Douglas Riley, Alan D Lopez
BACKGROUND: Recently, a new algorithm for automatic computer certification of verbal autopsy data named InSilicoVA was published. The authors presented their algorithm as a statistical method and assessed its performance using a single set of model predictors and one age group. METHODS: We perform a standard procedure for analyzing the predictive accuracy of verbal autopsy classification methods using the same data and the publicly available implementation of the algorithm released by the authors...
April 19, 2018: BMC Medicine
https://www.readbyqxmd.com/read/29649999/the-financial-transaction-between-counseling-and-nursing-care-service-centers-cncscs-and-their-clients-a-qualitative-study
#6
Sefollah Alaei, Fatemeh Alhani, Hassan Navipour
BACKGROUND: Community-oriented nursing care is an important model of nursing care. Counseling and Nursing Care Service Centers (CNCSCs) have been providing these private services to the Iranian community for nearly two decades. Resource management, cost-benefit analysis and affordability are important steps in providing these services. The present study was conducted to explore the challenges of financial transactions between CNCSCs and their clients. METHODS: This study has a qualitative design and was conducted on a total of 30 participants, consisting of CNCSC managers, staff, physicians and clients who were selected through purposive theoretical sampling...
April 12, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29649733/measuring-water-affordability-in-developed-economies-the-added-value-of-a-needs-based-approach
#7
Josefine Vanhille, Tim Goedemé, Tess Penne, Leen Van Thielen, Bérénice Storms
In developed countries, water affordability problems remain up on the agenda as the increasing financial costs of water services can impede the realisation of an equal access to water. More than ever, public authorities that define water tariffs face the challenge of reconciling environmental and cost recovery objectives with equity and financial accessibility for all. Indicators of water affordability can be helpful in this regard. Conventional affordability indicators often rely on the actual amount that households spend on water use...
April 9, 2018: Journal of Environmental Management
https://www.readbyqxmd.com/read/29623621/resources-and-costs-associated-with-the-treatment-of-advanced-and-metastatic-gastric-cancer-in-the-mexican-public-sector-a-patient-chart-review
#8
Miguel Quintana, José A Toriz, Diego Novick, Kyla Jones, Brenda S Botello, Juan Alejandro Silva
BACKGROUND: Little evidence is available on the management and cost of treating patients with advanced or metastatic gastric cancer (GC). This study evaluates patient characteristics, treatment patterns, and resource utilization for these patients in Mexico. METHODS: Data were collected from three centers of investigation (tertiary level). Patients were ≥18 years of age, diagnosed between 1 January 2009 and 1 January 2015, had advanced or metastatic GC, received first-line fluoropyrimidine/platinum, and had ≥3 months follow-up after discontinuing first-line treatment...
July 31, 2017: PharmacoEconomics Open
https://www.readbyqxmd.com/read/29619276/use-of-anticoagulants-remains-a-significant-threat-to-timely-hip-fracture-surgery
#9
Razvan Taranu, Chelsea Redclift, Patrick Williams, Marina Diament, Anne Tate, Jamie Maddox, Faye Wilson, Will Eardley
Introduction: Hip fracture remains the biggest single source of morbidity and mortality in the elderly trauma population, and any intervention focused on quality improvement and system efficiency is beneficial for both patients and clinicians. Two of the variables contributory to improving care and efficiency are time to theater and length of stay, with the overall goal being to improve care as reflected within the achievement of best practice tariff. One of the biggest barriers to optimizing these variables is preinjury anticoagulation...
2018: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/29605305/direct-and-indirect-effects-of-waste-management-policies-on-household-waste-behaviour-the-case-of-sweden
#10
Camilla Andersson, Jesper Stage
Swedish legislation makes municipalities responsible for recycling or disposing of household waste. Municipalities therefore play an important role in achieving Sweden's increased levels of ambition in the waste management area and in achieving the goal of a more circular economy. This paper studies how two municipal policy instruments - weight-based waste tariffs and special systems for the collection of food waste - affect the collected volumes of different types of waste. We find that a system of collecting food waste separately is more effective overall than imposing weight-based waste tariffs in respect not only of reducing the amounts of waste destined for incineration, but also of increasing materials recycling and biological recovery, despite the fact that the direct incentive effects of these two systems should be similar...
March 28, 2018: Waste Management
https://www.readbyqxmd.com/read/29594058/trends-in-costs-of-thyroid-disease-treatment-in-denmark-during-1995-2015
#11
Line Tang Møllehave, Allan Linneberg, Tea Skaaby, Nils Knudsen, Lars Ehlers, Torben Jørgensen, Betina Heinsbæk Thuesen
Background: Iodine fortification (IF) may contribute to changes in costs of thyroid disease treatment through changes in disease patterns. From a health economic perspective, assessment of the development in costs of thyroid disease treatment in the population is pertinent. Objectives: To assess the trends in annual medicine and hospital costs of thyroid disease treatment during 1995-2015 in Denmark, i.e., before and after the introduction of mandatory IF in 2000...
March 2018: European Thyroid Journal
https://www.readbyqxmd.com/read/29576457/the-effect-of-template-based-sequential-tbs-coding-on-an-nhs-plastic-surgical-practice
#12
Ruben Y Kannan, Catriona Neville, Tamsin Gwynn, Vanessa Venables, Raman Malhotra, Charles Nduka
INTRODUCTION: Clinical coding is often a mystery to us surgeons, but in actuality, it has a huge bearing on the financial sustainability of our services. Given the rapid innovations in plastic surgical procedures, clinical coders often struggle to decipher the extent of surgery. Meeting midway is the way forward here. METHODS: In a prospective audit over a six-month period, we analysed data from 2586 patients in our practice: a combination of general plastic surgery and specialist facial reanimation services...
March 1, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29576023/a-successful-charter-challenge-to-medicare-policy-options-for-canadian-provincial-governments
#13
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/29574201/enhanced-pharmaceutical-removal-from-water-in-a-three-step-bio-ozone-bio-process
#14
Arnoud de Wilt, Koen van Gijn, Tom Verhoek, Amber Vergnes, Mirit Hoek, Huub Rijnaarts, Alette Langenhoff
Individual treatment processes like biological treatment or ozonation have their limitations for the removal of pharmaceuticals from secondary clarified effluents with high organic matter concentrations (i.e. 17 mg TOC/L). These limitations can be overcome by combining these two processes for a cost-effective pharmaceutical removal. A three-step biological-ozone-biological (BO3 B) treatment process was therefore designed for the enhanced pharmaceutical removal from wastewater effluent. The first biological step removed 38% of ozone scavenging TOC, thus proportionally reducing the absolute ozone input for the subsequent ozonation...
March 12, 2018: Water Research
https://www.readbyqxmd.com/read/29567555/evaluating-a-novel-tiered-scarcity-adjusted-water-budget-and-pricing-structure-using-a-holistic-systems-modelling-approach
#15
Oz Sahin, Edoardo Bertone, Cara Beal, Rodney A Stewart
Population growth, coupled with declining water availability and changes in climatic conditions underline the need for sustainable and responsive water management instruments. Supply augmentation and demand management are the two main strategies used by water utilities. Water demand management has long been acknowledged as a least-cost strategy to maintain water security. This can be achieved in a variety of ways, including: i) educating consumers to limit their water use; ii) imposing restrictions/penalties; iii) using smart and/or efficient technologies; and iv) pricing mechanisms...
March 19, 2018: Journal of Environmental Management
https://www.readbyqxmd.com/read/29567204/experts-perspectives-on-swissdrg-second-class-care-for-vulnerable-patient-groups
#16
A Leu, H Wepf, B Elger, T Wangmo
On the 1st of January 2012, Switzerland introduced the diagnosis-related group hospital tariff structure (SwissDRG). It was recognised that healthcare provided to the most vulnerable patient groups would be a challenge for the new SwissDRG. Coincident with the implementation of SwissDRG, we explored hospital experts' perceptions of which patient groups are vulnerable under the SwissDRG system, what has changed for this group, as well as solutions to ensure adequate access to health care for them. We interviewed 43 experts from 40 Swiss hospitals...
March 14, 2018: Health Policy
https://www.readbyqxmd.com/read/29545991/costs-and-renumeration-of-osteomyelitis-treatment-involving-free-flaps-implications-of-return-to-theatre
#17
Rebecca Shirley, Janka Fazekas, Martin McNally, Alex Ramsden
Aim : This study aimed to define the costs of surgical management of chronic osteomyelitis where free tissue transfer was required in addition to debridement of bone, particularly the increased costs incurred by a return to theatre. We hypothesised that there would be a significantly greater cost when patients required re-exploration for vascular compromise. Method : We retrospectively analysed the costs of a consecutive series of sixty patient episodes treated at the Bone Infection Unit in Oxford from 2012 to 2015...
2018: Journal of Bone and Joint Infection
https://www.readbyqxmd.com/read/29537304/economic-and-organizational-impact-of-the-changing-hospital-funding-practices-of-erythropoiesis-stimulating-agents-on-the-management-of-care-of-dialysis-patients-in-france
#18
Carole Therasse, Isabelle Fusier, Anne-Laure Cordonnier, Florence Bérard, Olivier Parent de Curzon, François Bocquet, Pascal Paubel
AIM: Erythropoiesis-stimulating agents (ESAs) are particularly used to treat dialysis patients suffering from anemia due to renal failure. Since March 2014, ESAs have no longer been funded on top-of-diagnosis-related groups (DRGs) in French hospitals and are funded via DRGs. There are two ways to fund dialysis in French hospitals: the 'DRG for dialysis in session' and the 'off-dialysis DRG', which is not a DRG and consists in a supplement tariff specific to dialysis for patients hospitalized for another main reason than dialysis...
March 14, 2018: Journal of Comparative Effectiveness Research
https://www.readbyqxmd.com/read/29496928/threat-of-post-brexit-tariffs-prompts-concern
#19
(no author information available yet)
No abstract text is available yet for this article.
March 3, 2018: Veterinary Record
https://www.readbyqxmd.com/read/29474179/resource-use-and-cost-of-treating-human-papillomavirus-related-lesions-in-japanese-women
#20
Akiko Mizukami, Toshihiko Kaise, Georges Van Kriekinge
BACKGROUND: Human papillomavirus (HPV) infection is established as a necessary causal factor in several pathologies including cervical cancer (CC), which recorded over 11,000 new cases in 2011 in Japan. Nevertheless, cost burden data of human papillomavirus-related diseases in Japan are lacking. OBJECTIVES: To evaluate resource use and costs in women with HPV-related lesions. METHODS: A retrospective study using insurance claims databases was performed to assess the annual medical cost for suspected cervical intra-epithelial neoplasia (CIN)/CC, genital warts (GWs), CIN (all grades), and CC...
September 1, 2017: Value in Health Regional Issues
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