A cost-saving measure for ultrasound-guided musculoskeletal injections

Objective: To analyze the impact of the hospital board’s cost saving measure on physicians’ decision to indicate head and neck surgery according to the type of anaesthesia (general versus local). Methods: Design: a retrospective analysis of medical charts on head and neck surgery and anaesthesia covering 2011-2012. Setting: department of otorhinolaryngology and head and neck surgery, university hospital, Croatia. Participants: patients undergoing head and neck surgery. Intervention(s): reduction of departmental financial fund for general anaesthesia for 10%. Main Outcome Measure(s): an overall of number of head and neck surgeries performed in general versus local anaesthesia before and after the implementation of the intervention measure. Results: There were a total of 984 head and neck surgeries in general anaesthesia in 2011 and 861 in 2012. There were a total of 460 head and neck surgeries in local anaesthesia in 2011 and 528 in 2012. The performance of head and neck surgeries in general anaesthesia was significantly reduced in a year after the implementation of the intervention (p = .01) There was no statistical significant difference in the performance of head and neck surgeries in local anaesthesia before and after the intervention. Conclusions: The reduction of departmental fund for general anaesthesia as a cost saving method resulted only in reducing the total performance of surgeries in general anaesthesia without any switch to performing surgeries in local anaesthesia. It seems that the hospital board’s cost saving measure did not have any impact on physicians’ decisions to indicate more surgeries in local anaesthesia.

Download Full-text

Su1613 Reuse of Medical Devices Labeled for Single Use: Accepting and Overcoming a Need As a Cost-Saving Measure in an ERCP Unit

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2015.03.575 ◽

2015 ◽

Vol 81 (5) ◽

pp. AB351

Author(s):

David H. Zagalsky ◽

José M. Mella ◽

Guidi Martin ◽

Cecilia Curvale ◽

Hwang Hui Jer ◽

...

Keyword(s):

Cost Saving ◽

Medical Devices ◽

Single Use ◽

Saving Measure

Download Full-text

Analyst Forecast Bundling

Management Science ◽

10.1287/mnsc.2019.3339 ◽

2020 ◽

Vol 66 (9) ◽

pp. 4024-4046 ◽

Cited By ~ 3

Author(s):

Michael Drake ◽

Peter Joos ◽

Joseph Pacelli ◽

Brady Twedt

Keyword(s):

Cost Saving ◽

Earnings Forecasts ◽

Research Process ◽

Economic Conditions ◽

Analyst Forecast ◽

The Past ◽

Field Evidence ◽

Tiered Services ◽

Saving Measure ◽

Over Time

Changing economic conditions over the past two decades have created incentives for sell-side analysts to both provide their institutional clients tiered services and to streamline their written research process. One manifestation of these changes is an increased likelihood of analysts’ issuing earnings forecasts for multiple firms on the same day. We identify this bundling property and show that bundling has increased steadily over time. We provide field evidence that the practice is a cost-saving measure, a natural by-product of analysts focusing on thematic research, and a reflection of forecast updating that occurs in advance of important events. Our empirical analyses show that bundled forecasts are less accurate, less bold, and less informative to investors than nonbundled forecasts. We also find that analysts who produce bundled forecasts provide valuable specialized services to their institutional clients. Our findings ultimately demonstrate that forecast bundling has important implications for the properties of analysts’ forecasts. This paper was accepted by Shiva Rajgopal, accounting.

Download Full-text

Switching to Generics as a Cost Saving Measure - Safe or Unsafe? - A Single Centre UK Experience With Mycophenolate Mofetil in Adult Kidney Transplantation.

Transplantation Journal ◽

10.1097/00007890-201407151-02774 ◽

2014 ◽

Vol 98 ◽

pp. 813

Author(s):

J. Stacey ◽

V. Thanaraj ◽

C. Byrne ◽

G. McHaffie ◽

A. Knight ◽

...

Keyword(s):

Mycophenolate Mofetil ◽

Kidney Transplantation ◽

Cost Saving ◽

Single Centre ◽

Adult Kidney ◽

Saving Measure

Download Full-text

A Simple Cost-Saving Measure

Journal of Burn Care & Research ◽

10.1097/bcr.0b013e3182a22715 ◽

2014 ◽

Vol 35 (4) ◽

pp. 349-353 ◽

Cited By ~ 9

Author(s):

Amir Ibrahim ◽

Shawn Fagan ◽

Tim Keaney ◽

Karim A. Sarhane ◽

Derek A. Hursey ◽

...

Keyword(s):

Cost Saving ◽

Saving Measure

Download Full-text

Letter to the Editor. External shunt valve after shunt removal for infection as a cost-saving measure

Journal of Neurosurgery Pediatrics ◽

10.3171/2019.5.peds19296 ◽

2019 ◽

Vol 24 (6) ◽

pp. 735-736

Author(s):

Brice A. Kessler ◽

Scott Elton ◽

Carolyn Quinsey

Keyword(s):

Cost Saving ◽

Shunt Valve ◽

Letter To The Editor ◽

Shunt Removal ◽

Saving Measure

Download Full-text

Microscope and hot wire cautery management of 100 consecutive patients with acute epistaxis — a superior method to traditional packing

The Journal of Laryngology & Otology ◽

10.1017/s0022215100128294 ◽

1994 ◽

Vol 108 (10) ◽

pp. 845-848 ◽

Cited By ~ 5

Author(s):

S. M. Quine ◽

R. F. Gray ◽

M. Rudd ◽

H. von Blumenthal

Keyword(s):

Cost Saving ◽

Prospective Study ◽

Nasal Packing ◽

Hot Wire ◽

Microscope Examination ◽

Discharge Home ◽

A Prospective Study ◽

Saving Measure ◽

And Control

AbstractThe technique of microscope examination and hot wire cautery in a prospective study of 100 consecutive patients with acute epistaxis is described. The method was successful in arresting haemorrhage in 94 per cent of patients bleeding at the time of examination, and in 86 per cent, discharge home within one hour was possible. Due to improved illumination, magnification and control of the cautery instrument, nasal packing was required in only nine per cent of cases. By achieving this and by reducing the overall need for admission to 20 per cent, we recommend this method of treatment both as a successful cost saving measure, as well as advantageous to the patient.

Download Full-text

Past as Prologue: The Effects of the COVID-19 Economic Downturn on Medicaid Coverage for Podiatry Services

Journal of the American Podiatric Medical Association ◽

10.7547/20-225 ◽

2020 ◽

Author(s):

Thomas W Brewer ◽

Bethany G. Lanese ◽

Chad L. Appel ◽

James S Cairns ◽

David G. Armstrong

Keyword(s):

Cost Saving ◽

Great Recession ◽

Opposite Effect ◽

State Level ◽

Lessons Learned ◽

Economic Downturn ◽

Financial Outcomes ◽

The Great Recession ◽

Cost Cutting ◽

Saving Measure

As of 2016, Medicaid accounted for nearly 20% of state general fund budgets. Optional Medicaid services like podiatry are often subject to cost-cutting measures in periods of economic downturn, as was the case in the wake of the 2007 financial crisis. Although the cuts were intended as a cost-saving measure, research indicates they had the opposite effect. The restriction and limitation of these services during the Great Recession resulted in both poorer health outcomes for beneficiaries, and poorer financial outcomes for state Medicaid programs. With states citing record levels of unemployment as of April 2020 and projecting significant declines in annual revenue in 2021, the economic conditions resulting from the COVID-19 pandemic are likely to rival those of the Great Recession. Given the historical precedent for restricting or eliminating optional Medicaid services as a cost-saving measure, it is likely that podiatric services will once again come under scrutiny. Previous efforts by state-level podiatric societies have proven successful in lobbying for the reinstatement of coverage under Medicaid by conveying evidence of the negative outcomes associated with elimination to stakeholders. The specialty must once again engage policymakers by drawing on evidence gleaned and lessons learned from past cuts of optional Medicaid services to avert counterproductive coverage restrictions intended to mitigate the financial impact of the COVID-19 pandemic.

Download Full-text