PP194 Intersectoral Costs And Benefits In The Societal Perspective

2019 ◽  
Vol 35 (S1) ◽  
pp. 74-74
Author(s):  
Ruben Drost ◽  
Inge van der Putten ◽  
Dirk Ruwaard ◽  
Silvia Evers ◽  
Aggie Paulus
Keyword(s):  
Health Care ◽  
Mental Disorders ◽  
Literature Search ◽  
Classification Scheme ◽  
Social Effects ◽  
Added Value ◽  
Costs And Benefits ◽  
Scarce Resources ◽  
Health Care Interventions

IntroductionMany health care interventions have costs and benefits that spill over to sectors outside the healthcare sector. Little is known about these inter-sectoral costs and benefits (ICBs). However, to achieve an efficient allocation of scarce resources, insights on ICBs are indispensable. The main objective of this study was to identify the ICBs related to health care and provide a sector-specific classification scheme for these ICBs. For this sector-specific classification scheme mental disorders were taken as an example, as we expect that this is the sector with the most ICBs.MethodsUsing PubMed, a literature search was conducted for ICBs of mental disorders and related (psycho)social effects. A policy perspective was used to build the scheme's structure, which was adapted to the outcomes of the literature search. In order to validate the scheme's international applicability inside and outside the mental health domain, semi-structured interviews were conducted with (inter)national experts in the broad fields of health care.ResultsThe searched-for items appeared in a total of fifty-two studies. The ICBs found were classified in one of four sectors: “Education”, “Labor and Social Security”, “Household and Leisure” or “Criminal Justice System”. Psycho(social) effects were placed in a separate section under “Individual and Family”. Based on interviews, the scheme remained unadjusted, apart from adding a population-based dimension.ConclusionsThis is the first study which offers a sector-specific classification of ICBs. Given the explorative nature of the study, no guidelines on sector-specific classification of ICBs were available. Nevertheless, the classification scheme was acknowledged by an international audience and could therefore provide added value to researchers and policymakers in the field of health technology assessment. The identification and classification of ICBs offers decision makers supporting information on how to optimally allocate scarce resources. By exploring a new area of research, which has remained largely unexplored until now, the current study has an added value as it may form the basis for the development of a tool which can be used to calculate the ICBs of health care interventions.

Classification of Technical Operation Services for Renewable Energy Power Plants

2013 ◽  
Vol 4 (2) ◽  
pp. 92-101 ◽  
Author(s):  
Michael Sonnenberg ◽  
Stefan Kühne ◽  
Michael Becker
Keyword(s):  
Renewable Energy ◽  
Power Plants ◽  
Classification Scheme ◽  
Comprehensive Evaluation ◽  
Added Value ◽  
Energy Services ◽  
Technical Operation

In the rapidly growing market for renewable energy, a generally accepted classification of renewable energy services is still absent. In the context of this article, a classification for technical operation services is developed. Starting from a basic structuring of renewable energy services and a comprehensive evaluation of service portfolios of the providers, a classification scheme is derived. This scheme can generate added value for the industry for example in the area of portfolio presentation and structured development of services.

OP40 Criminal Justice Costs And Benefits Of Mental Health Interventions

2019 ◽  
Vol 35 (S1) ◽  
pp. 9-10
Author(s):  
Luca Janssen ◽  
Irina Pokhilenko ◽  
Ruben Drost ◽  
Aggie Paulus ◽  
Silvia Evers
Keyword(s):  
Mental Health ◽  
Criminal Justice ◽  
Literature Search ◽  
Grey Literature ◽  
Economic Evaluations ◽  
Costs And Benefits ◽  
European Healthcare ◽  
Health Related ◽  
Mental Health Interventions

IntroductionMental health disorders and their treatments produce costs and benefits in both healthcare and non-healthcare sectors. The latter one is often referred to as inter-sectoral costs and benefits (ICBs). Limited research is available on the inclusion of these inter-sectoral costs and benefits (ICBs) in economic evaluations. In this study, we focus on the identification and classification of ICBs of mental health-related interventions within the criminal justice sector in a broader European context. This study was conducted as part of the PECUNIA-project, which aims to develop new standardized, harmonized and validated methods and tools for the assessment of costs and outcomes in European healthcare systems. The aim of the study is to further conceptualize an internationally applicable list of ICBs of mental health-related interventions in the criminal justice sector. Additionally, we aim to facilitate the inclusion of ICBs in economic evaluations across EU by prioritizing important ICBs.MethodsData was collected via a systematic literature search on PubMed and PsychINFO. Additionally, a grey literature search was carried out in six European countries. In order to validate the international applicability of the list and prioritize the ICBs, a survey was conducted with an international group of experts from the criminal justice sector.ResultsThe literature search identified ICBs and resulted in a comprehensive list of items. A multi-dimensional list was constructed, distinguishing between costs as consequence of crime, and costs in response to crime. Based on the expert survey, the international applicability of the list was validated and the most important ICBs from the economic perspective were identified.ConclusionsThis study laid further foundations for the inclusion of important societal costs of mental health-related interventions within the criminal justice sector. More research is needed to facilitate the greater use of ICBs in economic evaluations.

scholarly journals Sterilisation in Dentistry: A Review of the Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Enrica Laneve ◽  
Bruna Raddato ◽  
Mario Dioguardi ◽  
Giovanni Di Gioia ◽  
Giuseppe Troiano ◽  
...  
Keyword(s):  
Health Care ◽  
Full Text ◽  
Literature Search ◽  
Google Scholar ◽  
Review Of The Literature ◽  
Dental Clinic ◽  
Reasonable Time ◽  
Good Management ◽  
Health Care Interventions ◽  
Made In

In a small and medium-sized dental facility, the correct management of the sterilisation and presterilisation phases plays a fundamental role in good management of instruments and personnel, in order to ensure conditions that are more efficient with less down time. Nowadays, instrument sterilizers are increasingly efficient in achieving results, both in terms of time and size, and ensure that materials are sterile and ready to be stocked in a reasonable time. A literature search for articles related to revision work was performed using electronic databases such as PubMed, Scopus, and Google Scholar. The following keywords have been entered in the previously mentioned databases: sterilisation instruments; dental autoclave; precleaning; instruments disinfectants. The records obtained were screened by three reviewers, and only relevant articles were read full text. In addition, the timings of dental and sterilisation procedures were measured, and from these, suggestions are made in order to improve the efficiency of instrumentation management (facility used as study subject: University Dental Clinic, University of Foggia) as a function of the health-care interventions. We arrived at the conclusion that without doubt, sterilisation of instruments and products plays a fundamental role, but the efficiency of the sterilisation and presterilisation procedures cannot be separated from managing the personnel in charge by giving them specific and precise tasks.

scholarly journals How many categories do we need?

2017 ◽  
Vol 41 (S1) ◽  
pp. 912-912
Author(s):  
N. Sartorius
Keyword(s):  
Health Care ◽  
Mental Disorders ◽  
Health Care Services ◽  
Field Tests ◽  
International Classification Of Diseases ◽  
World Health ◽  
Classification Of Diseases ◽  
Competing Interest ◽  
Health Organization

Abstract of presentation by Prof. N. Sartorius.The presentation will discuss the dependence of the classification of mental disorders on its use. While scientists searching for causes of mental disorders or assessing the effectiveness of a new treatment will need highly homogenous groups of people showing a particular well defined syndrome, practicing clinicians will wish to limit the number of categories in a classification of mental disorders to a level which makes a difference in treatment or management. The World Health Organization has recognized this difference in need and preference and produced in the framework of the 10th Revision of the International Classification of diseases (ICD) a classification of mental disorders in three versions–a version for practicing psychiatrists, a version for use in scientific investigations and a version for use in primary health care. The three versions were translatable (“telescoped”) into each other. The field tests of the three versions of the classification demonstrated that they are easy to use, can be used reliably and fit the syndromes usually encountered in health care services. These findings further supported the Sir Aubrey Lewis’ proposal to accept the division of classifications into a public and several (or many) private versions translatable into each other.Disclosure of interestThe author has not supplied his declaration of competing interest.

Angststörungen – von der ICD-10 zur ICD-11

2020 ◽  
pp. 1-5
Author(s):  
Timo D. Vloet ◽  
Marcel Romanos
Keyword(s):  
Mental Disorders ◽  
International Classification Of Diseases ◽  
International Classification ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Classification Of Diseases ◽  
Icd 10

Zusammenfassung. Hintergrund: Nach 12 Jahren Entwicklung wird die 11. Version der International Classification of Diseases (ICD-11) von der Weltgesundheitsorganisation (WHO) im Januar 2022 in Kraft treten. Methodik: Im Rahmen eines selektiven Übersichtsartikels werden die Veränderungen im Hinblick auf die Klassifikation von Angststörungen von der ICD-10 zur ICD-11 zusammenfassend dargestellt. Ergebnis: Die diagnostischen Kriterien der generalisierten Angststörung, Agoraphobie und spezifischen Phobien werden angepasst. Die ICD-11 wird auf Basis einer Lebenszeitachse neu organisiert, sodass die kindesaltersspezifischen Kategorien der ICD-10 aufgelöst werden. Die Trennungsangststörung und der selektive Mutismus werden damit den „regulären“ Angststörungen zugeordnet und können zukünftig auch im Erwachsenenalter diagnostiziert werden. Neu ist ebenso, dass verschiedene Symptomdimensionen der Angst ohne kategoriale Diagnose verschlüsselt werden können. Diskussion: Die Veränderungen im Bereich der Angsterkrankungen umfassen verschiedene Aspekte und sind in der Gesamtschau nicht unerheblich. Positiv zu bewerten ist die Einführung einer Lebenszeitachse und Parallelisierung mit dem Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Schlussfolgerungen: Die entwicklungsbezogene Neuorganisation in der ICD-11 wird auch eine verstärkte längsschnittliche Betrachtung von Angststörungen in der Klinik sowie Forschung zur Folge haben. Damit rückt insbesondere die Präventionsforschung weiter in den Fokus.

Primary Health Care and the ICD-11

2013 ◽  
Vol 10 (01) ◽  
pp. 33-37 ◽  
Author(s):  
M. Klinkman ◽  
D. Goldberg
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Medical Care ◽  
Special Needs ◽  
Field Trials ◽  
Primary Medical Care ◽  
Dsm 5 ◽  
Primary Health ◽  
Icd 10

SummaryThis paper describes the necessity of adapting the major classifications of mental disorders exemplified by the ICD-11 and the DSM-5 for the special needs of primary medical care. An earlier version of the classification – the ICD-10-PHC – is described, and the process of adapting it is described in detail. The new 28 item version of the classification is described, and the procedures to be adopted in the Field Trials to be held during 2013 are set out, together with the specific problems these field trials will address.

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