Does post-operative neuropathic pain after shoulder surgery affect secondary health care utilisation? A service evaluation

Physiotherapy ◽  
2021 ◽  
Vol 113 ◽  
pp. e38-e39
Author(s):  
S. King ◽  
M. Scott ◽  
C. Diver ◽  
P. Hendrick
Keyword(s):  
Health Care ◽  
Neuropathic Pain ◽  
Service Evaluation ◽  
Health Care Utilisation ◽  
Shoulder Surgery ◽  
Care Utilisation ◽  
Secondary Health Care

scholarly journals Rehabilitation of COPD patients: which training modality

2004 ◽  
Vol 61 (3) ◽  
Author(s):  
E. Clini ◽  
S. Costi ◽  
M. Romagnoli ◽  
F. Florini
Keyword(s):  
Health Care ◽  
Strength Training ◽  
Pulmonary Rehabilitation ◽  
Pharmacological Therapy ◽  
Health Care Utilisation ◽  
Training Methods ◽  
Copd Patients ◽  
Care Utilisation ◽  
Training Modality ◽  
Secondary Health Care

Non pharmacological therapy has been gaining more interest and has been evolving rapidly over the last decade as an essential part of therapy for COPD patients. Pulmonary Rehabilitation (PR), the most important non pharmacological treatment in patients with COPD, has a primary goal: to achieve the highest possible level of individual exercise tolerance, thus reducing the primary and/or secondary health care utilisation. The aim of the present review is to focus the role of exercise training in these patients as well as to address the question on which training methods are the most beneficial. We have therefore undertaken a MEDLINE-based search including the terms: pulmonary rehabilitation, exercise, lung disease/obstructive. Several strategies based on endurance or strength training are nowadays implemented during PR programmes in order to maximise the benefits for each patient. The impaired function of ambulation muscles causing breathlessness as one of the more frequent symptoms in many COPD, suggests that training the lower extremities is the most important goal to achieve during pulmonary rehabilitation of these patients. On the other hand, as muscle strength appears to be an independent contributor to survival and utilisation of health care resources, it seems largely justified also to include this further modality in the PR program of these patients. In conclusion, both modalities are effective and useful for COPD patients. However, whether resistance training should be administered to all COPD and which is the optimal length of strength training still needs to be elucidated.

scholarly journals Health care utilisation following childhood acute lymphoblastic leukaemia: a population-based matched cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e049847
Author(s):  
Karen Schow Jensen ◽  
Birgitte Klug Albertsen ◽  
Henrik Schrøder ◽  
Alina Zalounina Falborg ◽  
Kjeld Schmiegelow ◽  
...  
Keyword(s):  
Health Care ◽  
General Practice ◽  
Cohort Study ◽  
Population Based ◽  
Health Care Utilisation ◽  
First Year ◽  
Matched Cohort ◽  
Childhood All ◽  
Care Utilisation ◽  
Secondary Health Care

ObjectivesSurvival among children diagnosed with acute lymphoblastic leukaemia (ALL) has increased considerably. However, morbidity in survivors constitutes a potential increasing burden not limited to secondary health care. Our objectives were to compare health care utilisation, including both primary and secondary health care, between childhood ALL survivors and matched references up to 15 years after curative treatment. Moreover, to increase knowledge on survivors’ health service seeking behaviour as time from treatment elapsed.Design and settingA Danish population-based matched cohort study linking multiple nationwide registries.Participants675 cases, diagnosed with childhood (1.0–17.9 years) ALL between 1994 and 2015, and 6750 matched references sampled randomly from the source population (matched on age, gender and geographical region).Primary outcome measuresRepeated consultations in general practice and hospital (outpatient and inpatient) estimated as yearly rates from 2.5 years after diagnosis and onwards. We compared cases and references with yearly incidence rate ratios (IRRs) from negative binomial regression models.ResultsSurvivors of childhood ALL had a mean number of yearly daytime contacts in general practice of 4.75 (95% CI 4.41 to 5.11) the first year, corresponding to an IRR of 1.85 (95% CI 1.71 to 2.00); decreasing to 1.16 (1.01 to 1.34) after 15 years, and without significant impact of gender (p=0.894) or age (p=0.399). For hospital contacts, ALL survivors had a mean number of yearly contacts of 14.21 (13.38–15.08) the first year, corresponding to an IRR of 31.50 (28.29–35.07); decreasing to 2.42 (1.59–3.68) after 15 years. No differences were found across calendar time.ConclusionsALL survivors used significantly more health care services across sectors than the reference population. Decreasing use over 15 years illustrated the dynamics of health care needs; this knowledge may inform the future organisation of integrated follow-up programmes.Trial registration numberNCT03985826.

Knowledge of a negative 13C-urea breath test reduces health care utilisation for dyspepsia in a population H pylori test and treat program

2000 ◽  
Vol 118 (4) ◽  
pp. A678
Author(s):  
Paul Moayyedi ◽  
Richard Feltbower ◽  
Sara Duffett ◽  
Will Crocombe ◽  
David Forman ◽  
...  
Keyword(s):  
Health Care ◽  
Breath Test ◽  
Health Care Utilisation ◽  
Urea Breath Test ◽  
Test And Treat ◽  
Care Utilisation ◽  
13C Urea Breath Test ◽  
H Pylori

scholarly journals Are fish eaters healthier and do they consume less health-care resources?

2009 ◽  
Vol 13 (4) ◽  
pp. 453-460 ◽  
Author(s):  
Gisela Hostenkamp ◽  
Jan Sørensen
Keyword(s):  
Health Care ◽  
Fish Consumption ◽  
Well Being ◽  
Health Care Utilisation ◽  
Social Characteristics ◽  
Health Care Resources ◽  
Individual Level ◽  
Care Utilisation ◽  
Reported Health ◽  
Hospital Utilisation

AbstractObjectiveRegular dietary intake of fish is associated with reduced risk of developing cardiovascular and other chronic diseases, and may improve general well-being. If fish eaters are healthier, they may use fewer health-care resources. The present study aimed to describe the reported intake of fish and fish products in a Danish general population, and to investigate whether fish consumption is associated with generic measures of self-reported health and consumption of health-care resources.DesignData on eating patterns and health status for 3422 Danish adults were obtained by telephone interview in the Funen County Health Survey. These data were merged with individual-level register data on health-care utilisation. Survey respondents were categorised into those consuming fish at least once weekly (fish eaters) and those consuming fish less frequently (non-fish eaters).ResultsPeople who reported eating fish twice monthly or once weekly had significantly better overall self-reported health than those who rarely eat fish, even after adjustment for age, gender, social characteristics and lifestyle factors. Fish eaters did not have significantly lower aggregated health-care costs, although their hospital utilisation was significantly lower than that for non-fish eaters.ConclusionsModerate fish consumption was associated with better self-reported general health even after controlling for possible confounding variables. Overall, fish eaters appeared to use the same amount of health-care resources as non-eaters, although fish eaters used more medicine but were less likely to be admitted to a hospital.

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