scholarly journals Osteoarthritis pain in the workforce: evaluating its impact on health status, productivity, and health care costs

2011 ◽  
Vol 12 (4) ◽  
pp. P29
Author(s):  
A. Sadosky ◽  
M. DiBonaventura ◽  
S. Gupta ◽  
M. McDonald
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care Costs ◽  
Osteoarthritis Pain ◽  
Care Costs

Les Nouveaux Miserables: Modem Victims of Social Asphyxia

PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 851-857
Author(s):  
David R. Smith
Keyword(s):  
Health Care ◽  
Health Status ◽  
Medical Care ◽  
Health Care Costs ◽  
Health Care Services ◽  
Preventive Services ◽  
Medical Care System ◽  
Care Services ◽  
Care Costs ◽  
Care System

During the past 30 years, social and economic barriers to health care services have increased for many Americans, especially for the nation's most vulnerable populations. Health status actually has declined for certain populations during this time. Meanwhile, national attention has been focused primarily on containing health care costs and on devising strategies for reforming the financing of health care rather than strategies for achieving improvements in the health status of the population. Existing methods of financing health care services, health research priorities, the increasing centralization and compartmentalization of health care services, and the recent failure of national health reform all serve to hinder this nation's progress towards developing a comprehensive and accountable health care system focused on promoting and achieving improved health as well as treating sickness. Recent changes in the health care marketplace, however, including a growing movement toward measuring the outcomes of medical treatments and an emphasis on improving the quality of services, have increased interest among payers and providers of health care services in investing in preventive services. Health maintenance organizations and other integrated health care delivery systems are beginning to devise incentives for increasing preventive care as well as for containing costs. The transformation of the nation's current medical care system into a true health care system will require innovative strategies designed to merge the existing fragmented array of services into coordinated and comprehensive systems for delivering primary and preventive health care services in community settings. The community-Oriented Primary Care concept successfully blends these functions and has achieved measurable results in reducing health care costs and improving access to preventive services for identified populations. There is flexibility in existing funding sources to promote preventive services in various public and private health care settings and to assist in the transformation from a disease-oriented medical care system to one focused on health.

scholarly journals Impacts of bariatric surgery in health outcomes and health care costs in Brazil: Interrupted time series analysis of multi-panel data

2021 ◽  
Author(s):  
Jose Antonio Orellana Turri ◽  
Nana Kwame Anokye ◽  
Lionai Lima dos Santos ◽  
José Maria Soares Júnior ◽  
Edmund Chada Baraccat ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Health Care ◽  
Time Series ◽  
Health Status ◽  
Health Outcomes ◽  
Health Care Costs ◽  
Interrupted Time Series ◽  
Interrupted Time Series Analysis ◽  
Care Costs ◽  
Multiple Health

Abstract Background: The increasing burden of obesity generates significant socioeconomic impacts for individuals, populations, and national health systems worldwide. The literature on impacts and cost-effectiveness of obesity-related interventions for prevention and treatment of moderate to severe obesity indicate that bariatric surgery presents high costs associated with high effectiveness in improving health status referring to certain outcomes; however, there is a lack of robust evidence at an individual-level estimation of its impacts on multiple health outcomes related to obesity comorbidities.Methods: The study encompasses a single-centre retrospective longitudinal analysis of patient-level data using micro-costing technique to estimate direct health care costs with cost-effectiveness for multiple health outcomes pre-and post-bariatric surgery. Data from 114 patients who had bariatric surgery at the Hospital of Clinics of the University of Sao Paulo during 2018 were investigated through interrupted time-series analysis with generalised estimating equations and marginal effects, including information on patients' characteristics, lifestyle, anthropometric measures, hemodynamic measures, biochemical exams, and utilisation of health care resources during screening (180 days before) and follow-up (180 days after) of bariatric surgery.Results: The preliminary statistical analysis showed that health outcomes presented improvement, except cholesterol and VLDL, and overall direct health care costs increased after the intervention. However, interrupted time series analysis showed that the rise in health care costs is attributable to the high cost of bariatric surgery, followed by a statistically significant decrease in post-intervention health care costs. Changes in health outcomes were also statistically significant in general, except in cholesterol and LDL, leading to significant improvements in patients' health status after the intervention.Conclusions: Trends multiple health outcomes showed statistically significant improvements in patients' health status post-intervention compared to trends pre-intervention, resulting in reduced direct health care costs and the burden of obesity.

Health Status and Health Care Costs for Publicly Funded Patients With Schizophrenia Started on Clozapine

1998 ◽  
Vol 49 (12) ◽  
pp. 1590-1593 ◽  
Author(s):  
Nancy Blieden ◽  
Susan Flinders ◽  
Kevin Hawkins ◽  
Michele Reid ◽  
Larry D. Alphs ◽  
...  
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care Costs ◽  
Publicly Funded ◽  
Care Costs

Fibromyalgia and hysterectomy: the impact on health status and health care costs

2012 ◽  
Vol 31 (11) ◽  
pp. 1585-1589 ◽  
Author(s):  
Maya S. Santoro ◽  
Terry A. Cronan ◽  
Rebecca N. Adams ◽  
Dhwani J. Kothari
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care Costs ◽  
The Impact ◽  
Care Costs

Psychosocial Predictors of Health Status and Health Care Costs among People with Fibromyalgia

2002 ◽  
Vol 15 (3) ◽  
pp. 261-274 ◽  
Author(s):  
Terry A. Cronan ◽  
Eva R. Serber ◽  
Heather R. Walen
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care Costs ◽  
Psychosocial Predictors ◽  
Care Costs

scholarly journals Can a Back Pain E-mail Discussion Group Improve Health Status and Lower Health Care Costs?

2002 ◽  
Vol 162 (7) ◽  
pp. 792 ◽  
Author(s):  
Kate R. Lorig ◽  
Diana D. Laurent ◽  
Richard A. Deyo ◽  
Margaret E. Marnell ◽  
Marian A. Minor ◽  
...  
Keyword(s):  
Health Care ◽  
Back Pain ◽  
Health Status ◽  
Health Care Costs ◽  
Discussion Group ◽  
Improve Health Status ◽  
Lower Health ◽  
Care Costs ◽  
E Mail ◽  
Improve Health

Health Status and Burden of Health Care Costs Among Urban Elderly in China

2015 ◽  
Vol 27 (2_suppl) ◽  
pp. 61S-68S ◽  
Author(s):  
Haiying Teng ◽  
Zhizhong Cao ◽  
Junlan Liu ◽  
Pei Liu ◽  
Wei Hua ◽  
...  
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care Costs ◽  
Urban Elderly ◽  
Care Costs

scholarly journals Impacts of bariatric surgery in health outcomes and health care costs in Brazil: Interrupted time series analysis of multi-panel data

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
José Antonio Orellana Turri ◽  
Nana Kwame Anokye ◽  
Lionai Lima dos Santos ◽  
José Maria Soares Júnior ◽  
Edmund Chada Baracat ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Health Care ◽  
Time Series ◽  
Health Status ◽  
Health Outcomes ◽  
Health Care Costs ◽  
Interrupted Time Series ◽  
Interrupted Time Series Analysis ◽  
Care Costs ◽  
Multiple Health

Abstract Background The increasing burden of obesity generates significant socioeconomic impacts for individuals, populations, and national health systems worldwide. The literature on impacts and cost-effectiveness of obesity-related interventions for prevention and treatment of moderate to severe obesity indicate that bariatric surgery presents high costs associated with high effectiveness in improving health status referring to certain outcomes; however, there is a lack of robust evidence at an individual-level estimation of its impacts on multiple health outcomes related to obesity comorbidities. Methods The study encompasses a single-centre retrospective longitudinal analysis of patient-level data using micro-costing technique to estimate direct health care costs with cost-effectiveness for multiple health outcomes pre-and post-bariatric surgery. Data from 114 patients who had bariatric surgery at the Hospital of Clinics of the University of Sao Paulo during 2018 were investigated through interrupted time-series analysis with generalised estimating equations and marginal effects, including information on patients' characteristics, lifestyle, anthropometric measures, hemodynamic measures, biochemical exams, and utilisation of health care resources during screening (180 days before) and follow-up (180 days after) of bariatric surgery. Results The preliminary statistical analysis showed that health outcomes presented improvement, except cholesterol and VLDL, and overall direct health care costs increased after the intervention. However, interrupted time series analysis showed that the rise in health care costs is attributable to the high cost of bariatric surgery, followed by a statistically significant decrease in post-intervention health care costs. Changes in health outcomes were also statistically significant in general, except in cholesterol and LDL, leading to significant improvements in patients' health status after the intervention. Conclusions Trends multiple health outcomes showed statistically significant improvements in patients' health status post-intervention compared to trends pre-intervention, resulting in reduced direct health care costs and the burden of obesity.

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