Changing Healthcare Costs Impact the Way We Provide Patient Care

2019 ◽  
Vol 32 (7) ◽  
pp. A27-A28
Author(s):  
Raymond Musarra
Author(s):  
Jessica L. Ryan ◽  
Veronica R. Rosa

Abstract Background Illicit drug use increases visits to the hospital. Research is limited on the costs of these healthcare visits by illicit drug. Methods Florida’s Agency for Health Care Administration’s emergency department and inpatient datasets from 2016 to 2018 were analyzed. Adults who used an illicit drug were included in the study population resulting in 709,658 observations. Cost-to-charge ratios were used to estimate healthcare costs. Linear regression analyzed associations of illicit drugs with total healthcare cost. Results Total healthcare costs are estimated at $6.4 billion over the 3 year period. Medicare paid for the most patient care ($2.16 billion) with Medicaid and commercial insurance each estimated at $1.36 billion. Cocaine (9.25%) and multiple drug use (6.12%) increased the costs of an ED visit compared to a patient with cannabis SUD. Opioids (23.40%) and inhalants use (16.30%) increased the costs of inpatient compared to cannabis SUD. Conclusion Healthcare costs are high of patients with illicit drug SUD and poisoning, over half of which are paid for with tax payer dollars and to an unknown degree hospital write-offs. Injuries and illness of patients using cocaine and multiple drugs are associated with more expensive ED patient care and opioids and inhalants are associated with more expensive inpatient care.


2019 ◽  
Vol 80 (7) ◽  
pp. 387-390 ◽  
Author(s):  
Anthony Howard ◽  
Tony McWilliams ◽  
Gary Hannant ◽  
Noman Saghir ◽  
Peter Giannoudis ◽  
...  

The costs of litigation are large and increasing, to a level that places a drain on precious health-care resources and affects the way medicine is practised. This article examines whether a change to a no-fault legal system would lead to reduced costs and improved patient care.


Cancers ◽  
2021 ◽  
Vol 13 (17) ◽  
pp. 4364
Author(s):  
Joost B. Koedijk ◽  
Inge van der Werf ◽  
Friso G. Calkoen ◽  
Stefan Nierkens ◽  
Gertjan J. L. Kaspers ◽  
...  

Immunotherapeutic agents may be an attractive option to further improve outcomes and to reduce treatment-related toxicity for pediatric AML. While improvements in outcome have been observed with immunotherapy in many cancer types, immunotherapy development and implementation into patient care for both adult and pediatric AML has been hampered by an incomplete understanding of the bone marrow environment and a paucity of tumor-specific antigens. Since only a minority of patients respond in most immunotherapy trials across different cancer types, it will be crucial to understand which children with AML are likely to respond to or may benefit from immunotherapies. Immune cell profiling efforts hold promise to answer this question, as illustrated by the development of predictive scores in solid cancers. Such information on the number and phenotype of immune cells during current treatment regimens will be pivotal to generate hypotheses on how and when to intervene with immunotherapy in pediatric AML. In this review, we discuss the current understanding of the number and phenotype of immune cells in the bone marrow in pediatric AML, ongoing immunotherapy trials and how comprehensive immune profiling efforts may pave the way for successful clinical trials (and, ultimately, implementation into patient care).


2006 ◽  
Vol 5 ◽  
pp. 6-12
Author(s):  
Dirk Thomas Hagemeister

Information technology plays an increasingly important role in the medical working environment. Besides facilitating improvements in the quality of health care, it might also bear some unwished effects. Examining the „m aking? of a diagnosis and the role it plays in m odern m edicine leads to the question how far this pro cess of „diagn osing? m ig ht be affected b y the „tech nical su rroundings?. A num b er of exam ples from clin ical medicine in the hospital and the ambulatory sector illustrate the way IT is being utilised in modern medicine. A tw ofold negative effect could result from this „com p uterisation?: Firstly, the technical requirem ents for the use of IT might force the process of diagnosing to be adapted with subsequent wrong or altered diagnoses. Secondly, constraints like cost control might be facilitated by IT and thus its application might cause the doctors trying to avoid such pressures by modifying the diagnosis and potentially worsening treatment and outcome.


2021 ◽  
Author(s):  
Gordon Bingham ◽  
Paul Ross ◽  
Susan Poole ◽  
Naomi Dobroff ◽  
Larnie Wright ◽  
...  

As digitisation continues to increase across Australian health services, the nursing profession has focused on analysing and measuring the way care is provided to the patients. Focus on optimising nursing workflows and improved care delivery has presented challenges but this is now demonstrating improvements in patient care outcomes and time for care.


2013 ◽  
Vol 4 (1) ◽  
pp. 16-19
Author(s):  
Nigel Hunt

The commissioning of future dental services is once again in the spotlight as we move into the transition phase before the full effect of the commissioning boards comes in April 2013. The delivery of specialist orthodontic care has been particularly badly disrupted over the past 18 months with gross variations in the way in which procurement exercises have been undertaken by some primary care trusts. As a consequence, the British Orthodontic Society (BOS) has received complaints from both patients and specialists focusing on the disruption to the delivery of services and continuity of patient care.


2009 ◽  
Vol 5 (3) ◽  
pp. 144-145 ◽  

A Clinton administration Executive Memorandum authorized Medicare payment for routine costs associated with clinical trials and recognized the role of clinical trials in patient care. However, a loophole in Medicare Advantage regulations has created a disparity in the way clinical trial services are covered for these enrollees.


2021 ◽  
Vol 2 (1) ◽  
pp. 9-16
Author(s):  
Tula Espinoza-Cordero ◽  
Katherin Ortiz-Cotrina ◽  
Carlos Carranza-Llanos ◽  
Juan Carlos Cotrina-Aliaga

In the present, where we live a pandemic because of Covid-19, it presents a challenge and change in the way we live for all, in which a different way of being able to receive health care must be created. in this research aimed to implement the electronic medical records system to improve patient care, such research is descriptive-explanatory in which a population of 67 patients from a health center is sampled. In conclusion, the implementation of the Electronic Medical Records System improved patient administrative care at the Health Center.


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