scholarly journals PRM86 - INFLAMMATORY BOWEL DISEASE AND THE COST FOR SOCIAL SECURITY SYSTEM: ESTIMATING THE PREVALENCE AND THE DISABILITY BURDEN AMONG THE ITALIAN WORKER

2018 ◽  
Vol 21 ◽  
pp. S370
Author(s):  
S Russo ◽  
C Nardone ◽  
R Migliorini ◽  
M Trabucco Aurilio ◽  
FS Mennini
Keyword(s):  
Inflammatory Bowel Disease ◽  
Social Security ◽  
Bowel Disease ◽  
Social Security System ◽  
Security System ◽  
Inflammatory Bowel ◽  
The Cost

PP36 Inflammatory Bowel Disease: The Disability Costs Among Italian Workers

2019 ◽  
Vol 35 (S1) ◽  
pp. 44-44
Author(s):  
Claudia Nardone ◽  
Simone Russo ◽  
Simone Gazzillo ◽  
Raffaele Migliorini ◽  
Marco Trabucco Aurilio ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Social Security ◽  
Bowel Disease ◽  
Disability Insurance ◽  
Social Security System ◽  
Security System ◽  
Total Expenditure ◽  
Insurance Costs ◽  
Inflammatory Bowel ◽  
Social Security Benefits

IntroductionThe aim of the study is to estimate the disability insurance costs (social security system in Italy is financed by public expenditure) induced by patients with Inflammatory Bowel Disease (IBD) and specifically for Crohn's disease (CD) and Ulcerative Colitis (UC) between 2009 and 2015.MethodsWe analyzed the database about the disability insurance awards and the mean cost per benefit of the National Institute of Social Security (INPS) for two types of social security benefits: incapacity pensions (IP - for people without workability) and disability benefits (DB - for people with reduced work ability). From this data, we have estimated the total benefit provided and the total costs for each disease. A probabilistic model with a Monte Carlo simulation was developed in order to estimate the total benefits provided and costs.ResultsFor CD, an average of 820 beneficiaries of social security benefits were detected per year (2009-2015): the total expenditure was EUR 50 million, EUR 7 million per year (about EUR 7,900 per patient); for UC, about 1,550 beneficiaries per year were detected and the total expenditure was EUR 93 million, EUR 13 million per year (about EUR 8,600 per patient).ConclusionsThe disability insurance costs related with the management of CD and UC showed a significant impact on the expenditure for the Italian system: the most important costs for disability for CD and UC in Italy in the analyzed period were DB (92 percent for CD and 95 percent for UC). Rapid access to innovative treatments could reduce the costs incurred by the social security system.

Home Enteral Tube Feeding with a Liquid Diet in the Long Term Management of Inflammatory Bowel Disease and Intestinal Failure

1980 ◽  
Vol 25 (4) ◽  
pp. 312-314 ◽  
Author(s):  
A. N. H. Main ◽  
R. J. Morgan ◽  
M. J. Hall ◽  
R. I. Russell ◽  
A. Shenkin ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Elemental Diet ◽  
Intestinal Failure ◽  
Tube Feeding ◽  
Liquid Diet ◽  
Intravenous Nutrition ◽  
Inflammatory Bowel ◽  
The Cost

A 35-year-old man, who had spent 10[Formula: see text] out of 18 months in hospital, has required repeated courses of intravenous nutrition (IVN) because of nutritional failure due to severe inflammatory bowel disease. He has been maintained on a nocturnal pump-fed liquid diet supplementing his day-time oral diet jar five months, four of which have been at home. The cost of such therapy is less than with an elemental diet and there are other advantages. This regime has been shown to be nutritionally adequate. The need to assess other cheaper liquid diets in patients with intestinal failure is recognised.

scholarly journals Problems and strategies of fishermen's social security

2019 ◽  
Vol 2 (5) ◽  
Author(s):  
Peng Du
Keyword(s):  
Social Security ◽  
Rural Areas ◽  
Social Economy ◽  
Social Security System ◽  
Security System ◽  
The Sustainable Development ◽  
Safeguard Measures ◽  
The Government ◽  
The Cost ◽  
Policy Systems

With the development of social economy and industry, fisheries also play an important role in the development of the country. In the process of fishery development, the problems in the fishermen's social security system are becoming more and more serious, and the types of problems are gradually increasing. Discovering the problems existing in the development of fisheries, and making up and correcting them in time, has an important role in promoting the development of fisheries and social and economic development. In recent years, the issue of “agriculture, rural areas and farmers” has been a hot topic of discussion. During the course of the problem, the party and the government introduced a series of safeguard measures and policy systems. Based on this, this paper focuses on the problems existing in the fishermen's social security system and the measures to solve the problems. At the same time, the reasons for the reform of the fishermen's social security system are also briefly explained. The main reasons can be divided into four points, namely the cost of living, unemployment insurance for fishermen, fishery resources, and income of fishermen, etc., which are the reasons why the fishery social security system is in urgent need of optimization, contributing to the sustainable development and progress of fisheries.

scholarly journals The Cost of Inflammatory Bowel Disease Inpatient Care

2011 ◽  
Vol 140 (5) ◽  
pp. S-735
Author(s):  
Marc Schwartz ◽  
Marwa El Mourabet ◽  
Melissa I. Saul ◽  
Miguel Regueiro ◽  
Leonard Baidoo ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Inpatient Care ◽  
Inflammatory Bowel ◽  
The Cost

scholarly journals Telemonitoring of Crohn’s Disease and Ulcerative Colitis (TECCU): Cost-Effectiveness Analysis (Preprint)

2019 ◽  
Author(s):  
Javier Del Hoyo ◽  
Pilar Nos ◽  
Guillermo Bastida ◽  
Raquel Faubel ◽  
Diana Muñoz ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Inflammatory Bowel Disease ◽  
Cost Effectiveness ◽  
Bowel Disease ◽  
Intervention Group ◽  
Additional Patient ◽  
Inflammatory Bowel ◽  
The Cost ◽  
Web Platform ◽  
Quality Adjusted Life

BACKGROUND Although electronic health interventions are considered safe and efficient, evidence regarding the cost-effectiveness of telemonitoring in inflammatory bowel disease is lacking. OBJECTIVE We aimed to evaluate the cost-effectiveness and cost-utility of the Telemonitorización de la Enfermedad de Crohn y Colitis Ulcerosa (Telemonitoring of Crohn’s Disease and Ulcerative Colitis [TECCU]) Web platform (G_TECCU intervention group) for telemonitoring complex inflammatory bowel disease, compared with standard care (G_control) and nurse-assisted telephone care (G_NT intervention group). METHODS We analyzed cost-effectiveness from a societal perspective by comparing the 3 follow-up methods used in a previous 24-week randomized controlled trial, conducted at a tertiary university hospital in Spain. Patients with inflammatory bowel disease who initiated immunosuppressants or biologic agents, or both, to control inflammatory activity were recruited consecutively. Data on the effects on disease activity (using clinical indexes) and quality-adjusted life-years (using the EuroQol 5 dimensions questionnaire) were collected. We calculated the costs of health care, equipment, and patients’ productivity and social activity impairment. We compared the mean costs per patient, utilities, and bootstrapped differences. RESULTS We included 63 patients (21 patients per group). TECCU saved €1005 (US $1100) per additional patient in remission compared with G_control (95% CI €–13,518 to 3137; US $–14,798 to 3434), with a 79.96% probability of being more effective at lower costs. Compared with G_NT, TECCU saved €2250 (US $2463) per additional patient in remission (95% CI €–15,363 to 11,086; US $–16,817 to 12,135), and G_NT saved €538 (US $589) compared with G_control (95% CI €–6475 to 5303; US $–7088 to 5805). G_TECCU and G_NT showed an 84% and 67% probability, respectively, of producing a cost saving per additional quality-adjusted life-year (QALY) compared with G_control, considering those simulations that involved negative incremental QALYs as well. CONCLUSIONS There is a high probability that the TECCU Web platform is more cost-effective than standard and telephone care in the short term. Further research considering larger cohorts and longer time horizons is required. CLINICALTRIAL ClinicalTrials.gov NCT02943538; https://clinicaltrials.gov/ct2/show/NCT02943538 (http://www. webcitation.org/746CRRtDN)

scholarly journals Telemonitoring of Crohn’s Disease and Ulcerative Colitis (TECCU): Cost-Effectiveness Analysis

10.2196/15505 ◽  
2019 ◽  
Vol 21 (9) ◽  
pp. e15505 ◽  
Author(s):  
Javier Del Hoyo ◽  
Pilar Nos ◽  
Guillermo Bastida ◽  
Raquel Faubel ◽  
Diana Muñoz ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Inflammatory Bowel Disease ◽  
Cost Effectiveness ◽  
Bowel Disease ◽  
Intervention Group ◽  
Additional Patient ◽  
Inflammatory Bowel ◽  
The Cost ◽  
Web Platform ◽  
Quality Adjusted Life

Background Although electronic health interventions are considered safe and efficient, evidence regarding the cost-effectiveness of telemonitoring in inflammatory bowel disease is lacking. Objective We aimed to evaluate the cost-effectiveness and cost-utility of the Telemonitorización de la Enfermedad de Crohn y Colitis Ulcerosa (Telemonitoring of Crohn’s Disease and Ulcerative Colitis [TECCU]) Web platform (G_TECCU intervention group) for telemonitoring complex inflammatory bowel disease, compared with standard care (G_control) and nurse-assisted telephone care (G_NT intervention group). Methods We analyzed cost-effectiveness from a societal perspective by comparing the 3 follow-up methods used in a previous 24-week randomized controlled trial, conducted at a tertiary university hospital in Spain. Patients with inflammatory bowel disease who initiated immunosuppressants or biologic agents, or both, to control inflammatory activity were recruited consecutively. Data on the effects on disease activity (using clinical indexes) and quality-adjusted life-years (using the EuroQol 5 dimensions questionnaire) were collected. We calculated the costs of health care, equipment, and patients’ productivity and social activity impairment. We compared the mean costs per patient, utilities, and bootstrapped differences. Results We included 63 patients (21 patients per group). TECCU saved €1005 (US $1100) per additional patient in remission compared with G_control (95% CI €–13,518 to 3137; US $–14,798 to 3434), with a 79.96% probability of being more effective at lower costs. Compared with G_NT, TECCU saved €2250 (US $2463) per additional patient in remission (95% CI €–15,363 to 11,086; US $–16,817 to 12,135), and G_NT saved €538 (US $589) compared with G_control (95% CI €–6475 to 5303; US $–7088 to 5805). G_TECCU and G_NT showed an 84% and 67% probability, respectively, of producing a cost saving per additional quality-adjusted life-year (QALY) compared with G_control, considering those simulations that involved negative incremental QALYs as well. Conclusions There is a high probability that the TECCU Web platform is more cost-effective than standard and telephone care in the short term. Further research considering larger cohorts and longer time horizons is required. Trial Registration ClinicalTrials.gov NCT02943538; https://clinicaltrials.gov/ct2/show/NCT02943538 (http://www. webcitation.org/746CRRtDN)

scholarly journals Patients’ views of shared decision making in inflammatory bowel disease: a survey in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dingting Xu ◽  
Hanyun Zhang ◽  
Yan Chen
Keyword(s):  
Decision Making ◽  
Inflammatory Bowel Disease ◽  
Shared Decision Making ◽  
Bowel Disease ◽  
Influential Factors ◽  
Learning Ability ◽  
Chinese Patients ◽  
Shared Decision ◽  
Inflammatory Bowel ◽  
The Cost

Abstract Background Recently, decision-making process has become increasingly complex. But there is limited information on Chinese patients’ views of shared decision making (SDM) in inflammatory bowel disease (IBD). This questionnaire investigation aimed to understand Chinese patients’ perspectives and expectations of SDM in IBD and analyze the possible factors that influence their views. Methods An online survey was conducted from July 19th to 24th, 2020. A total of 1118 patients completed the survey. Results One-third of patients were dissatisfied with the current decision-making model, and the satisfaction of inpatients was lower than that of outpatients. 84% of patients preferred to participate in SDM, who were young and had a high education level, high income, commercial insurance, strong learning ability and knowledge of SDM. Most of those who did not want to participate (72%) were worried about the cost. The kind of medicine (948, 84.8%), surgical indications (505, 45.2%) and operation methods (482, 43.1%) were the topics that patients thought most require SDM. Side effects of medicine (837, 74.9%), costs of therapy (675, 60.4%), and surgical risks (563, 50.4%) were considered to be the most influential factors for SDM. 52.7% of all patients hoped experts in different disciplines would participate in SDM. The most desirable amount of time for discussion was 30 to 60 min (562/1118, 50.3%), that were associated with the cost of SDM. Conclusion We can meet the needs of patients by reducing costs and strengthening online patient education and exploring a model suitable for Chinese IBD patients.

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