4150 Is telephone follow-up by specialist nurses a cost effective approach?

2009 ◽  
Vol 7 (2) ◽  
pp. 230-231 ◽  
Author(s):  
K. Beaver ◽  
W. Hollingworth ◽  
R. McDonald ◽  
G. Dunn ◽  
D. Tysver-Robinson ◽  
...  
Keyword(s):  
Cost Effective ◽  
Cost Effective Approach ◽  
Specialist Nurses

scholarly journals Endoscopy of Nasopharyngeal Cancer

1994 ◽  
Vol 1 (2) ◽  
pp. 63-68 ◽  
Author(s):  
Brian B. Burkey ◽  
Robert H. Ossoff
Keyword(s):  
Quality Of Life ◽  
High Risk ◽  
High Resolution ◽  
Local Anesthesia ◽  
Nasopharyngeal Cancer ◽  
Cost Effective ◽  
Cost Effective Approach ◽  
The World

Nasopharyngeal cancer (NPC) is a unique disease with increasing interest for many physicians due to its unusual etiology, histology, and epidemiology. The recent era of fiberoptic endoscopy now provides the clinician with better tools for the screening, diagnosis, staging, and follow-up of NPC. The use of high resolution flexible and rigid nasopharyngoscopy gives the physician an opportunity for a more sensitive examination in a higher proportion of patients. Ultimately, this will allow for earlier diagnosis of NPC, and improved prognosis and better quality of life for the patients with this disease. Also, by allowing the clinician to perform directed biopsies of the nasopharynx under local anesthesia, fiberoptic nasopharyngoscopy allows a less morbid and more cost-effective approach towards this disease, including screening protocols in certain high risk regions of the world.

scholarly journals Aspiration sclerotherapy: a novel and cost-effective approach to the management of hydroceles in a developing country

2017 ◽  
Vol 4 (12) ◽  
pp. 3884
Author(s):  
Arijit Roy ◽  
Vijay Jain ◽  
Jahar Majumdar
Keyword(s):  
Success Rate ◽  
Indirect Costs ◽  
Cost Effective ◽  
Prophylactic Antibiotics ◽  
Chi Square ◽  
Cost Effective Approach ◽  
High Satisfaction ◽  
Chi Square Test ◽  
A Prospective Study

Background: The present study was carried out with an aim to perform a prospective study to establish the role of sodium tetradecyl sulfate (3 %) (STDS) as a safe and effective sclerosant in the management of primary hydroceles.Methods: Sclerotherapy was performed with 3 % STDS on an outdoor basis. The amount of sclerosant injected depended on the amount of fluid drained. All patients were given prophylactic antibiotics. Patients were clinically reassessed at 1 week, 1 month, 3 months, and 6 months and earlier if complications occurred. All patients were given prophylactic antibiotics.  The data were analyzed using Statistical Package for Social Sciences Version 15.0. The data have been represented as frequencies and percentages. Chi-square test was used to compare the data. A total of 57 patients with primary vaginal hydrocele gave consent for being enrolled in the study. The age of patients ranged from 18 to 65 years with a mean age of 35.72±13.18 years.Results: The success rate at the end of the study was observed to be 84.2 %. As regards patient satisfaction, in present study, in a limited time period of follow up, all the patients who had a successful procedure were satisfied.Conclusion: Overall, sclerotherapy was observed to be a relatively cost-effective (including both direct and indirect costs) procedure with low complications, high satisfaction, faster return to work and a high success rate within the limited period of follow-up.

scholarly journals Vocational Training for Disadvantaged Youth in Colombia: A Long-Term Follow-Up

2017 ◽  
Vol 9 (2) ◽  
pp. 131-143 ◽  
Author(s):  
Orazio Attanasio ◽  
Arlen GuarÍn ◽  
Carlos Medina ◽  
Costas Meghir
Keyword(s):  
Labor Market ◽  
Labor Market Outcomes ◽  
Cost Effective ◽  
Similar Amount ◽  
Market Outcomes ◽  
Long Run ◽  
Cost Effective Approach ◽  
Long Term Follow Up

We evaluate the long-term impacts of a randomized Colombian training and job placement program. Following the large short-term effects, we now find that the program effects persist, increasing formal participation and earnings contributions to social security and working in larger firms. By using a large administrative source we are also able to establish that the program improved both male and female labor market outcomes by a similar amount—a result that was not apparent with the smaller evaluation sample. The results point to a cost-effective approach to reducing informality and improving labor market outcomes in the long run. (JEL I28, J13, J24, J31, O15)

scholarly journals The Impact of Remote Urology Outpatient Clinics during the COVID-19 Pandemic

2021 ◽  
Vol 4 (3) ◽  
pp. e17-e25
Author(s):  
Yehia Abdelmotagly ◽  
Mohamed Noureldin ◽  
Louise Paramore ◽  
Raj Kummar ◽  
Timothy Nedas ◽  
...  
Keyword(s):  
Cost Effective ◽  
Postal Questionnaire ◽  
Telephone Consultation ◽  
Face To Face ◽  
Level Of Satisfaction ◽  
The Future ◽  
Specialist Nurses ◽  
Remote Patient ◽  
The Impact

Introduction: The coronavirus (COVID-19) pandemic of 2020 had a major impact on NHS services. From the 23rd of March 2020, the Urology Department in Basingstoke initiated telephone-led consultation clinicsinstead of face-to-face outpatient appointments, in accordance with U.K. guidance.Objectives: To evaluate patient experience and satisfaction following the introduction of remote (telephone) consultations during the COVID-19 pandemic.Patients and methods: The first 200 remote patient appointments between the 30th of March 2020 and the 16th of April 2020 were sent a postal questionnaire (19 questions relating to their experience and level of satisfaction with the interaction). Telephone consultations were conducted by 6 consultants, 3 registrars, and 2 specialist nurses. The patients were not prewarned to expect a questionnaire after the remote ap-pointment. The associated cost saving resulting from a switch from face-to-face appointments to remote telephone appointments was also calculated.Results: 100 out of the 200 patients responded within 1 month (response rate 50%). A total of 44% of the patients were new referrals, while 56% were follow-ups. Overall, the feedback was positive regarding the telephone consultation, with 88% rating the care received as excellent or very good. In addition, 90% would recommend a telephone consultation to family and friends. However, 35% would prefer in the future to have another telephone consultation rather than face-to-face consultation, with 46% preferring a face-to-face appointment in the future and 19% unsure. For new patients, the proportion wishing to have a face-to-face appointment, in the end, was unsurprisingly higher than it was for those undergoing a follow-up (39% vs. 7 %). In these 2 weeks, the cost reduction to the NHS from shifting from face-to-face consultation to telephone consultation was estimated to be £6500.Conclusions: Telephone urology clinics are a satisfactory alternative to face-to-face appointments for many of our patients now and beyond the COVID-19 pandemic. They are efficient, cost-effective, and feasible to undertake urological consultation and can be implemented successfully in selected patients. The feedback from this questionnaire would suggest that priority should be given to face-to-face appointments for new patients and for complex follow-up appointments. Telephone follow-up appointments, however, are a good approach for the majority of patients.

Theoretical Cost Effectiveness of Management Options for Children With Persisting Middle Ear Effusions

PEDIATRICS ◽  
1994 ◽  
Vol 93 (3) ◽  
pp. 353-363 ◽  
Author(s):  
Stephen Berman ◽  
Robert Roark ◽  
Dennis Luckey
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Private Practice ◽  
Acute Otitis Media ◽  
Cost Effective ◽  
Medicaid Reimbursement ◽  
Cost Effective Approach ◽  
Ventilating Tubes ◽  
The Difference

Objective. The purpose of this theoretical study is to assess the cost effectiveness of options involving observation, antibiotics alone, corticosteroids alone, corticosteroids plus antibiotics, and surgery to clear persisting middle ear effusions during three visits. Methodology. In a hypothetical case the expected average per patient expenditures are calculated using the efficacy rates determined by the meta-analysis of randomized controlled clinical trials involving corticosteroids plus an antibiotic (six trials), corticosteroids alone (three trials), and antibiotic alone (four trials). In this analysis, all children whose bilateral middle ear effusions persist for 12 weeks despite medical management are referred for ventilating tubes. Results. The most cost-effective intervention combination is corticosteroid plus an antibiotic at visit 1 (6 weeks after diagnosis of acute otitis media) followed by a second antibiotic in nonresponders at visit 2 (9 weeks after diagnosis of acute otitis media) and referral for ventilating tubes in nonresponders at visit 3 (12 weeks after diagnosis of acute otitis media). The expected average expenditures per case to clear the bilateral middle ear effusions is $600.91 based on reimbursement of private practice charges and $350.27 based on Medicaid reimbursement (all payments to providers are based on 1992 data from Colorado). The difference in the expected average total expenditures per case between this most cost-effective approach versus the use of sequential courses of antibiotics followed by surgery is $372.81 ($973.72 - $600.91) with full reimbursement of private practice charges and $202.57 ($552.84 - $350.27) with Medicaid re imbursement. In clearing the middle ear effusion, the average estimated travel expenses per case is $21.46, and lost parental wages per case are $45.12. When the expenditures associated with an additional 6-month follow-up period are included, the expected average per case expenditures is $1088.54 with reimbursement of private practice charges and $659.00 with Medicaid reimbursement. The difference in the expected average per case expenditures to clear the effusions and follow-up for 6 months between the most cost-effective approach using corticosteroids plus antibiotics at the 6- and 9-week visits followed by surgery in nonresponders at 12 weeks versus sequential courses of antibiotics is $405.30 ($1493.84 - $1088.54) with reimbursement of private practice charges and $217.32 ($876.32 - $659.00) with Medicaid reimbursement. Recommendations. Although the analysis does not consider risks, side effects, and parental or provider preferences, the findings suggest that the implementation of cost-effective clinical guidelines can potentially reduce national expenditures for managing persistent middle ear effusions.

scholarly journals ASSESSING ADOPTION POTENTIAL OF NEW GROUNDNUT VARIETIES IN MALAWI

2002 ◽  
Vol 38 (2) ◽  
pp. 211-221 ◽  
Author(s):  
H. A. Freeman ◽  
P. J. A. van der Merwe ◽  
P. Subrahmanyam ◽  
A. J. Chiyembekeza ◽  
W. Kaguongo
Keyword(s):  
Arachis Hypogaea ◽  
Cost Effective ◽  
Seed Banks ◽  
Early Adoption ◽  
Cost Effective Approach ◽  
Adoption Decisions ◽  
On Farm

Farmers hosted on-farm trials and demonstrations involving three new groundnut (Arachis hypogaea) varieties in Malawi to assess their acceptability and adoption potential. Patterns of seed diffusion among trial farmers were examined as well as among non-trial farmers who were members of seed banks. The study showed that trial follow-up surveys provide a cost-effective approach for assessing early adoption and providing feedback to researchers. While useful, however, such studies are not an end in themselves. Rather they need to be perceived and designed as one of several studies that help researchers understand the complexity of farmers' adoption decisions.

scholarly journals Safety and Cost-Effectiveness of N-butyl-2-Cyanoacrylate without Lipiodol in Endoscopic Management of Gastric Varices

2020 ◽  
Vol 24 (4) ◽  
pp. 292-295
Author(s):  
Mahmood Ahmad ◽  
Muhammad Ayub ◽  
Fawad Iqbal Janjua ◽  
Aisha Majeed ◽  
Nooman Gilani
Keyword(s):  
Cost Effective ◽  
Gastric Varices ◽  
Late Complications ◽  
Endoscopic Management ◽  
Medical College ◽  
Cost Effective Approach ◽  
Cost Effective Method ◽  
Upper Gi Endoscopy ◽  
The Mean

Introduction: Gastric varices are frequently seen in patients with portal hypertension. The mainstay of treatment is variceal injection with a mixture of N-butyl-2-Cyanoacrylate and lipiodol. The use of N-butyl-2-Cyanoacrylate without lipiodol is not extensively studied and it can be a cost-effective approach. The objective of our study was to evaluate whether the use of N-butyl-2-Cyanoacrylate without lipiodol is a safe and effective endoscopic treatment for gastric varices. Material and Methods: This prospective observational study was conducted between June 2016 and May 2017 at the Department of Gastroenterology, Gujranwala Medical College/ DHQ Teaching Hospital, Gujranwala. A total of 100 patients with gastric varices diagnosed on upper GI endoscopy were enrolled in the study. N-butyl-2-Cyanoacrylate without lipiodol was injected into the gastric varices of all the patients. All procedures were performed by experienced gastroenterologists. The patients underwent monthly follow-up endoscopies to determine the outcome and adverse events. Results: Out of 100 patients, 40 patients (40 %) were men and 60 (60%) were women. The mean age was 53 years. The mean volume of N-butyl-2-Cyanoacrylate used per session was 1.5ml ± 0.5 ml (range 1-2ml). Obliteration of Gastric varices was achieved in 92 patients (92%) while in 04 patients (4%) varices did not obliterate over a mean follow-up of 12 months. No treatment-related immediate or late complications were observed in all patients. Four patients (4%) died of delayed rebleeding (after two weeks of intervention). Conclusion: Injection therapy of gastric varices with N-butyl-2-Cyanoacrylate alone without lipiodol is a safe and cost-effective method for gastric varices.

Brief Strategic Family Therapy and the Management of Adolescent Indian Parasuicide Patients in the General Hospital Setting

1987 ◽  
Vol 17 (3) ◽  
pp. 93-99 ◽  
Author(s):  
Douglas R. Wassenaar
Keyword(s):  
Family Therapy ◽  
General Hospital ◽  
Hospital Setting ◽  
Cost Effective ◽  
Family Intervention ◽  
Cost Effective Approach ◽  
The Family ◽  
Strategic Family Therapy ◽  
Brief Strategic Family Therapy

This article describes a model for brief strategic family intervention for use with adolescent parasuicides in a general hospital setting. A rationale and structured therapeutic procedure for intervention are provided. The intervention uses a systemic, time and cost-effective approach which attempts to use the crisis to facilitate resolution of a developmental impasse within the family as a whole. The approach incorporates elements of crisis intervention theory and strategic family therapy. While no formal outcome study was conducted, a three-year follow- up period suggested a zero parasuicide readmission rate for cases receiving family intervention.

Sign in / Sign up

Export Citation Format

Share Document