scholarly journals Quilting following mastectomy reduces seroma, associated complications and health care consumption without impairing patient comfort

2021 ◽  
Author(s):  
Lotte J. Zeelst ◽  
Britt Wolde ◽  
Ramon R. J. P. Eekeren ◽  
José H. Volders ◽  
Johannes H. W. Wilt ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Comfort ◽  
Health Care Consumption

Investigating the Efficacy and Cost-Effectiveness of a Web-based Self-help Program for People With Adjustment Problems After an Accident (SelFIT): Protocol for a Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Julia Hegy ◽  
Noemi Anja Brog ◽  
Thomas Berger ◽  
Hansjoerg Znoj
Keyword(s):  
Health Care ◽  
Psychological Distress ◽  
Cost Effectiveness ◽  
Well Being ◽  
User Friendliness ◽  
Adjustment Problems ◽  
Health Care Consumption ◽  
Web Based ◽  
Self Help ◽  
Wide Range

BACKGROUND Accidents and the resulting injuries are one of the world’s biggest health care issues often causing long-term effects on psychological and physical health. With regard to psychological consequences, accidents can cause a wide range of burdens including adjustment problems. Although adjustment problems are among the most frequent mental health problems, there are few specific interventions available. The newly developed program SelFIT aims to remedy this situation by offering a low-threshold web-based self-help intervention for psychological distress after an accident. OBJECTIVE The overall aim is to evaluate the efficacy and cost-effectiveness of the SelFIT program plus care as usual (CAU) compared to only care as usual. Furthermore, the program’s user friendliness, acceptance and adherence are assessed. We expect that the use of SelFIT is associated with a greater reduction in psychological distress, greater improvement in mental and physical well-being, and greater cost-effectiveness compared to CAU. METHODS Adults (n=240) showing adjustment problems due to an accident they experienced between 2 weeks and 2 years before entering the study will be randomized. Participants in the intervention group receive direct access to SelFIT. The control group receives access to the program after 12 weeks. There are 6 measurement points for both groups (baseline as well as after 4, 8, 12, 24 and 36 weeks). The main outcome is a reduction in anxiety, depression and stress symptoms that indicate adjustment problems. Secondary outcomes include well-being, optimism, embitterment, self-esteem, self-efficacy, emotion regulation, pain, costs of health care consumption and productivity loss as well as the program’s adherence, acceptance and user-friendliness. RESULTS Recruitment started in December 2019 and is ongoing. CONCLUSIONS To the best of our knowledge, this is the first study examining a web-based self-help program designed to treat adjustment problems resulting from an accident. If effective, the program could complement the still limited offer of secondary and tertiary psychological prevention after an accident. CLINICALTRIAL ClinicalTrials.gov NCT03785912; https://clinicaltrials.gov/ct2/show/NCT03785912?cond=NCT03785912&draw=2&rank=1

scholarly journals How Public Trust in Health Care Can Shape Patient Overconsumption in Health Systems? The Missing Links

2021 ◽  
Vol 18 (8) ◽  
pp. 3860
Author(s):  
Katarzyna Krot ◽  
Iga Rudawska
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health System ◽  
Health Systems ◽  
Quantitative Research ◽  
Public Trust ◽  
Complex Problem ◽  
Health Care Consumption ◽  
Mediating Role ◽  
Countries In Transition

Overconsumption of health care is an ever-present and complex problem in health systems. It is especially significant in countries in transition that assign relatively small budgets to health care. In these circumstances, trust in the health system and its institutions is of utmost importance. Many researchers have studied interpersonal trust. Relatively less attention, however, has been paid to public trust in health systems and its impact on overconsumption. Therefore, this paper seeks to identify and examine the link between public trust and the moral hazard experienced by the patient with regard to health care consumption. Moreover, it explores the mediating role of patient satisfaction and patient non-adherence. For these purposes, quantitative research was conducted based on a representative sample of patients in Poland. Interesting findings were made on the issues examined. Patients were shown not to overconsume health care if they trusted the system and were satisfied with their doctor-patient relationship. On the other hand, nonadherence to medical recommendations was shown to increase overuse of medical services. The present study contributes to the existing knowledge by identifying phenomena on the macro (public trust in health care) and micro (patient satisfaction and non-adherence) scales that modify patient behavior with regard to health care consumption. Our results also provide valuable knowledge for health system policymakers. They can be of benefit in developing communication plans at different levels of local government.

Health Care, Health Insurance, and the Distribution of American Incomes

2010 ◽  
Vol 13 (1) ◽  
Author(s):  
Gary Burtless ◽  
Pavel Svaton
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Panel Study ◽  
The United States ◽  
Medical Expenditure ◽  
Cash Income ◽  
Health Coverage ◽  
Money Income ◽  
Health Care Consumption ◽  
The Impact

Cash income offers an incomplete picture of the resources available to finance household consumption. Most American families are covered by an insurance plan that pays for some or all of the health care they consume. Only a comparatively small percentage of families pays for the full cost of this insurance out of their cash incomes. As health care has claimed a growing share of consumption, the percentage of care that is financed out of household incomes has declined. Because health care consumption is more important for some groups in the population than others, the growth in spending and changes in the payment system for medical care have reduced the value of standard income measures for assessing relative incomes of the rich and poor and the young and old. More than a seventh of total personal consumption now consists of health care that is purchased with government insurance and employer contributions to employee health plans. This paper combines health care spending and insurance reimbursement data in the Medical Expenditure Panel Study and money income and health coverage data in the Current Population Survey to assess the impact of health insurance on the distribution of income. Our estimates imply that gross money income significantly understates the resources available to finance household purchases. The estimates imply that a more complete measure of resources would show less inequality than the income measures that are currently used. The addition of estimates of the value of health insurance to countable incomes reduces measured inequality in the population and the income gap between young and old. If the analysis were extended over a longer period, it would show a sizeable impact of insurance on inequality trends in the United States.

scholarly journals Quantifying Differences in Health Care Consumption for the Management of Multiple Sclerosis Within Privately and Publicly Insured Health Care Programs

2016 ◽  
Vol 22 (12) ◽  
pp. 1385-1391 ◽  
Author(s):  
Terrie Livingston ◽  
Monica Fay ◽  
Ravi Iyer ◽  
Wendy Wells ◽  
Michael W. Pill
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Health Care Consumption ◽  
Publicly Insured

Consequences of Elder Abuse and Neglect: A Systematic Review of Observational Studies

2017 ◽  
Vol 20 (2) ◽  
pp. 197-213 ◽  
Author(s):  
Raudah Mohd Yunus ◽  
Noran Naqiah Hairi ◽  
Wan Yuen Choo
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Low Income ◽  
Observational Studies ◽  
Elder Abuse ◽  
Care Utilization ◽  
Health Care Consumption ◽  
Elder Abuse And Neglect ◽  
Wide Range ◽  
Abuse And Neglect

This article presents the results of a systematic review of the consequences of elder abuse and neglect (EAN). A systematic search was conducted in seven electronic databases and three sources of gray literature up to January 8, 2016, supplemented by scanning of citation lists in relevant articles and contact with field experts. All observational studies investigating elder abuse as a risk factor for adverse health outcomes, mortality, and health-care utilization were included. Of 517 articles initially captured, 19 articles met our inclusion criteria and were analyzed. Two reviewers independently performed abstract screening, full-texts appraisal, and quality assessment using the Newcastle–Ottawa Scale. Across 19 studies, methodological heterogeneity was a prominent feature; seven definitions of EAN and nine measurement tools for abuse were employed. Summary of results reveals a wide range of EAN outcomes, from premature mortality to increased health-care consumption and various forms of physical and psychological symptoms. Higher risks of mortality emerged as the most credible outcome, while the majority of morbidity outcomes originated from cross-sectional studies. Our findings suggest that there is an underrepresentation of older adults from non-Western populations and developing countries, and there is a need for more population-based prospective studies in middle- and low-income regions. Evidence gathered from this review is crucial in upgrading current practices, formulating policies, and shaping the future direction of research.

scholarly journals The SCOPE Study: Health-Care Consumption Related to Patients with Chronic Obstructive Pulmonary Disease in France

2004 ◽  
Vol 7 (2) ◽  
pp. 168-174 ◽  
Author(s):  
B. Detournay ◽  
C. Pribil ◽  
M. Fournier ◽  
B. Housset ◽  
G. Huchon ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Health Care ◽  
Pulmonary Disease ◽  
Chronic Obstructive ◽  
Health Care Consumption ◽  
Obstructive Pulmonary Disease

Interfacility Ventilator Management

2018 ◽  
pp. 67-71
Author(s):  
Christopher Galton
Keyword(s):  
Health Care ◽  
Differential Diagnosis ◽  
Neuromuscular Blockade ◽  
Patient Comfort ◽  
Critically Ill Patient ◽  
Mechanically Ventilated ◽  
Iatrogenic Complications ◽  
Ventilator Management ◽  
Adequate Sedation ◽  
Ventilator Synchrony

Treating persistent hypoxia while attempting to transport a patient from one health care setting to a destination facility can be one of the most stressful situations emergency medical services providers face. In some cases, the primarily pathology may not be well defined. This case reviews the approach to managing a critically ill patient who is mechanically ventilated and is being transferred to a quaternary center for continued management. The case works through a differential diagnosis of hypoxemia in a mechanically ventilated patient. It also includes dynamic adjustments of the ventilator to maximize success and reduce any potential iatrogenic complications. Finally, adequate sedation is pivotal to promote ventilator synchrony and patient comfort. This case illustrates the nuances of sedation and when neuromuscular blockade should be considered.

scholarly journals Health care consumption among adolescent girls prior to diagnoses of sexual abuse, a case–control study in the Stockholm Region

2019 ◽  
Vol 29 (10) ◽  
pp. 1363-1369 ◽  
Author(s):  
Gita Rajan ◽  
Gunnar Ljunggren ◽  
Per Wändell ◽  
Lars Wahlström ◽  
Carl Göran Svedin ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Abuse ◽  
Adolescent Girls ◽  
Economic Status ◽  
Mean Value ◽  
Consumption Patterns ◽  
Administrative Database ◽  
Health Care Consumption ◽  
Care Clinic ◽  
Sleeping Pills

AbstractVictims of sexual abuse have more co-morbidities than other persons in the same age and the most affected group are adolescent girls. Little is known about how this is reflected in health care consumption patterns prior to the registered diagnosis. The aim of this investigation was to study health care consumption patterns among girls, 12–17 years old, 1 and 2 years prior to their diagnoses of sexual abuse. Through the Stockholm Region administrative database (VAL), data of co-morbidities, number of health care visits, and prescribed drugs were collected for cases (girls age 12–17 with diagnoses of sexual abuse, n = 519) and controls matched for age and socio-economic status (n = 4920) between 2011–2018. Health care consumption and co-morbidities were significantly higher for the cases compared to controls, with a rise 1 year before the diagnoses: the total number of health care visits (including no shows) 1 year prior to the first recording of the diagnosis was 20.4 (18.1–22.7) for the cases and 6.2 (5.8–6.6) for the controls. The most frequent visits 1 year prior to the diagnosis were to outdoor clinics, with a mean value of 19.1 (16.9–21.3) visits for the cases and 5.7 (5.3–6.1) for the controls, followed by psychiatric clinics with a mean value of 12.7 (10.6–14.8) visits for the cases and 2.0 (1.7–2.3) visits for the controls. The least visited health care clinic 1 year prior to the diagnosis was the emergency ward with a mean value of 1.3 (1.1–1.5) visits for the cases and 0.5 (0.4–0.5) visits for the controls. The most common psychiatric co-morbidities registered among the cases during the first year before the diagnosis of sexual abuse were stress, suicide attempt, and psychosis. Neuroleptics, sleeping pills, antidepressants, and tranquilizers were more frequently dispensed in cases than in controls. Similar patterns were found 2 years prior to the diagnosis. We encourage clinicians to actively ask for exposure of sexual abuse in girls with high health care consumption, making early detection and treatment of sexual abuse available as soon as possible.

scholarly journals Respiratory symptoms increase health care consumption and affect everyday life – a cross-sectional population-based study from Finland, Estonia, and Sweden

2016 ◽  
Vol 3 (1) ◽  
pp. 31024 ◽  
Author(s):  
Malin Axelsson ◽  
Anne Lindberg ◽  
Annette Kainu ◽  
Eva Rönmark ◽  
Sven-Arne Jansson
Keyword(s):  
Health Care ◽  
Everyday Life ◽  
Respiratory Symptoms ◽  
Population Based ◽  
Health Care Consumption ◽  
Cross Sectional ◽  
Population Based Study
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