Economic health care costs of blood culture contamination: A systematic review

2019 ◽  
Vol 47 (8) ◽  
pp. 963-967 ◽  
Author(s):  
Casey Dempsey ◽  
Erik Skoglund ◽  
Kenneth L. Muldrew ◽  
Kevin W. Garey
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Blood Culture ◽  
Health Care Costs ◽  
Economic Health ◽  
Care Costs

scholarly journals Benefits of Home-Based Solutions for Diagnosis and Treatment of Acute Coronary Syndromes on Health Care Costs: A Systematic Review

Sensors ◽  
2020 ◽  
Vol 20 (17) ◽  
pp. 5006
Author(s):  
Pau Redón ◽  
Atif Shahzad ◽  
Talha Iqbal ◽  
William Wijns
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Cost Effectiveness ◽  
Health Care Costs ◽  
Acute Coronary Syndromes ◽  
Clinical Evidence ◽  
Home Based ◽  
Risk Patients ◽  
Coronary Syndromes ◽  
Care Costs

Diagnosing and treating acute coronary syndromes consumes a significant fraction of the healthcare budget worldwide. The pressure on resources is expected to increase with the continuing rise of cardiovascular disease, other chronic diseases and extended life expectancy, while expenditure is constrained. The objective of this review is to assess if home-based solutions for measuring chemical cardiac biomarkers can mitigate or reduce the continued rise in the costs of ACS treatment. A systematic review was performed considering published literature in several relevant public databases (i.e., PUBMED, Cochrane, Embase and Scopus) focusing on current biomarker practices in high-risk patients, their cost-effectiveness and the clinical evidence and feasibility of implementation. Out of 26,000 references screened, 86 met the inclusion criteria after independent full-text review. Current clinical evidence highlights that home-based solutions implemented in primary and secondary prevention reduce health care costs by earlier diagnosis, improved patient outcomes and quality of life, as well as by avoidance of unnecessary use of resources. Economical evidence suggests their potential to reduce health care costs if the incremental cost-effectiveness ratio or the willingness-to-pay does not surpass £20,000/QALY or €50,000 limit per 20,000 patients, respectively. The cost-effectiveness of these solutions increases when applied to high-risk patients.

scholarly journals Direct access physiotherapy for patients with musculoskeletal disorders: a systematic review

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Demont ◽  
A Bourmaud ◽  
A Kechichian ◽  
F Desmeules
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Adverse Events ◽  
Usual Care ◽  
Musculoskeletal Disorders ◽  
Health Care Costs ◽  
Family Physician ◽  
Direct Access ◽  
The Impact ◽  
Care Costs

Abstract Background Although the benefits of physiotherapy is well supported in the literature, the impact of having direct access to physiotherapy is not well established. Update of the current available evidence is warranted. The aim of this systematic review was to update the current evidence regarding the impact of direct access physiotherapy compared to usual care for patients with musculoskeletal disorders. Methods Systematic searches were conducted in 5 bibliographic databases up until May 2018. Two independent raters reviewed studies and used the Quality Assessment Tool for Quantitative Studies to conduct the methodological quality assessment and a data extraction regarding patient outcomes, adverse events, health care utilization and processes, patient satisfaction and health care costs. Results Sixteen studies of weak to moderate quality were included. Five studies found no significant differences in pain reduction between usual family physician led care and direct access physiotherapy. However, three studies reported better clinical outcomes in patients with direct access in terms of function and quality of life. Five studies did not observe any adverse events with direct access physiotherapy. Three studies showed shorter waiting time and four studies reported fewer number of physiotherapy visits with direct access. Three studies showed that patients with direct access were less likely to have medication and imaging tests prescribed compared to usual care. Five studies reported higher levels of satisfaction for direct access. In terms of health care costs, four studies demonstrated that costs were lower with direct access and one study reported similar costs between both types of care. Conclusions Emerging evidence, although of weak to moderate quality, suggest that direct access physiotherapy provides equal or better outcomes than family physician led care models for musculoskeletal disorders patients. More methodologically strong studies are needed. Key messages This review supports the efficacy, safety and cost-effectiveness of direct access PT, while increasing access to care with a more efficient use of resources. There is a need for more methodologically strong studies to evaluate the efficiency of direct access models of care of physiotherapy for patients with MSKD.

scholarly journals PDB38 Obesity and Weight Change Effects on Health Care Costs of Diabetes: A Systematic Review Study

2012 ◽  
Vol 15 (4) ◽  
pp. A177
Author(s):  
A. Sharifi ◽  
A. Farshchi ◽  
M. Naghavi ◽  
A. Esteghamati
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Costs ◽  
Weight Change ◽  
Review Study ◽  
Care Costs

scholarly journals Resource Use And Health Care Costs Of Copd Patients At The End Of Life: A Systematic Review

2015 ◽  
Vol 18 (7) ◽  
pp. A507
Author(s):  
K Faes ◽  
V De Frène ◽  
J Cohen ◽  
L Annemans
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
End Of Life ◽  
Health Care Costs ◽  
Resource Use ◽  
Copd Patients ◽  
Care Costs

scholarly journals Direct Access Compared With Referred Physical Therapy Episodes of Care: A Systematic Review

2014 ◽  
Vol 94 (1) ◽  
pp. 14-30 ◽  
Author(s):  
Heidi A. Ojha ◽  
Rachel S. Snyder ◽  
Todd E. Davenport
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Physical Therapy ◽  
Patient Outcomes ◽  
Health Care Costs ◽  
Third Party ◽  
Direct Access ◽  
Physician Referral ◽  
Episodes Of Care ◽  
Care Costs

Background Evidence suggests that physical therapy through direct access may help decrease costs and improve patient outcomes compared with physical therapy by physician referral. Purpose The purpose of this study was to conduct a systematic review of the literature on patients with musculoskeletal injuries and compare health care costs and patient outcomes in episodes of physical therapy by direct access compared with referred physical therapy. Data Sources Ovid MEDLINE, CINAHL (EBSCO), Web of Science, and PEDro were searched using terms related to physical therapy and direct access. Included articles were hand searched for additional references. Study Selection Included studies compared data from physical therapy by direct access with physical therapy by physician referral, studying cost, outcomes, or harm. The studies were appraised using the Centre for Evidence-Based Medicine (CEBM) levels of evidence criteria and assigned a methodological score. Data Extraction Of the 1,501 articles that were screened, 8 articles at levels 3 to 4 on the CEBM scale were included. There were statistically significant and clinically meaningful findings across studies that satisfaction and outcomes were superior, and numbers of physical therapy visits, imaging ordered, medications prescribed, and additional non–physical therapy appointments were less in cohorts receiving physical therapy by direct access compared with referred episodes of care. There was no evidence for harm. Data Synthesis There is evidence across level 3 and 4 studies (grade B to C CEBM level of recommendation) that physical therapy by direct access compared with referred episodes of care is associated with improved patient outcomes and decreased costs. Limitations Primary limitations were lack of group randomization, potential for selection bias, and limited generalizability. Conclusions Physical therapy by way of direct access may contain health care costs and promote high-quality health care. Third-party payers should consider paying for physical therapy by direct access to decrease health care costs and incentivize optimal patient outcomes.

scholarly journals Resource Use and Health Care Costs of COPD Patients at the End of Life: A Systematic Review

2016 ◽  
Vol 52 (4) ◽  
pp. 588-599 ◽  
Author(s):  
Kristof Faes ◽  
Veerle De Frène ◽  
Joachim Cohen ◽  
Lieven Annemans
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
End Of Life ◽  
Health Care Costs ◽  
Resource Use ◽  
Copd Patients ◽  
Care Costs

Effectiveness of Nurse-Led Case Management in Cancer Care: Systematic Review

2018 ◽  
Vol 28 (8) ◽  
pp. 968-991 ◽  
Author(s):  
Jee Young Joo ◽  
Megan F. Liu
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Case Management ◽  
Health Care Costs ◽  
Cancer Care ◽  
Quality Care ◽  
Experimental Studies ◽  
Patient Centered ◽  
Hospital Access ◽  
Care Costs

Cancer survivors need accountable, patient-centered and lifelong care. Case management has been shown effective at providing quality care and at reducing both hospital access and health care costs. However, how effective case management in cancer care is to date unclear. This systematic review examines recent evidence of the effectiveness of nurse-led case management in adults with cancer. The Cochrane processes and PRISMA statements guided this systematic review. The methodological risk of bias was assessed. From four electronic databases, nine experimental studies published from 2008 to 2017 were retrieved. Synthesized results show positive case management effectively improved patients’ quality of life and significantly reduced hospital readmission rates. However, there were mixed results of health care costs and other hospital access outcomes. There is some evidence that nurse-led case management is effective in cancer care. Further research applying rigorous design to large populations of cancer patients is recommended.

scholarly journals Health care costs of influenza-related episodes in high income countries: A systematic review

PLoS ONE ◽  
2018 ◽  
Vol 13 (9) ◽  
pp. e0202787 ◽  
Author(s):  
Carlo Federici ◽  
Marianna Cavazza ◽  
Francesco Costa ◽  
Claudio Jommi
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Costs ◽  
High Income ◽  
Care Costs
Sign in / Sign up

Export Citation Format

Share Document