scholarly journals Short-term medical service trips: what is the cost of patient care and student training?

2019 ◽  
Author(s):  
John Rovers ◽  
Michael Andreski ◽  
Michelle Becker ◽  
Jeffrey Gray
Keyword(s):  
Medical Service ◽  
Office Visit ◽  
Opportunity Costs ◽  
Short Term ◽  
Use Of Resources ◽  
Before And After ◽  
The Usa ◽  
Student Training ◽  
The Cost ◽  
Medical Service Trips

Abstract Background Evaluations of the costs and effects of medical service trips (MSTs) are increasingly necessary. Estimates of costs can inform decision making to determine if participation is likely to be a wise use of resources. Methods This study estimates the costs and effects of a 1-week MST for 20 health professions students and seven providers to the Dominican Republic. Costs were defined as direct costs for students and providers and opportunity costs for providers. Effects were defined as the cost to treat one patient and the cost to train one student. Students were surveyed about their costs before and after the MST. Most provider costs were assumed to be the same as those of the students. Results The mean direct cost per student was US$1764 and US$2066 for providers. Total opportunity costs for seven providers was US$19 869. The total cost for the trip was US$69 612 to treat 464 patients. With and without provider opportunity costs, the cost to treat one patient was US$150 and US$107, and the cost to train one student was US$3481 and US$2487, respectively. Conclusions Short-term MSTs may be more expensive than previously thought. The cost to treat one patient was similar to a medical office visit in the USA.

scholarly journals The Effect of Pediatric Colorectal Short-Term Medical Service Trips on Self-Reported Confidence in Patient Care in Volunteers in the Home Country

2020 ◽  
Vol 86 (1) ◽  
pp. 28 ◽  
Author(s):  
Wilfried Krois ◽  
Peter Gröpel ◽  
Pastora X. Hernandez ◽  
Juan Craniotis-Rios ◽  
Martin L. Metzelder ◽  
...  
Keyword(s):  
Patient Care ◽  
Medical Service ◽  
Home Country ◽  
Short Term ◽  
Medical Service Trips

scholarly journals Reflections on a Medical Service Trip: Did we do the right thing?

2013 ◽  
Vol 1 (4) ◽  
pp. 60
Author(s):  
Rene Franco ◽  
Chirag Desai ◽  
William Firth ◽  
Harold M. Szerlip
Keyword(s):  
United States ◽  
Medical Service ◽  
The United States ◽  
Short Term ◽  
Governmental Organizations ◽  
The Right ◽  
Medical Service Trip ◽  
Medical Service Trips ◽  
Do The Right Thing

Medical service trips have a long and distinguished history. In the United States,interest in medical outreach trips has grown substantially, as medical schools andnon-governmental organizations support numerous overseas endeavors at an estimatedcost of 250 million dollars a year. Although providing care to those in need is arewarding experience, the question that needs to be answered is whether these tripsdo more harm than good. We describe our experience during a medical service trip toEnsenada, Mexico. We treated over 500 people for numerous problems, but due to thelack of services were not able to monitor or ensure follow-up. Did we do more harmby providing medications that can have serious side effects? Recommendations havebeen developed to help short-term international medical service trips provide the bestoverall experience for the participants and the best care for the patients.

scholarly journals Optimisation of the resource economy of metals, minerals and energy in an interplanetary perspective

2017 ◽  
Author(s):  
Jan Stenis ◽  
William Hogland
Keyword(s):  
Natural Resources ◽  
Energy Resources ◽  
Information Support ◽  
Resource Exploitation ◽  
Use Of Resources ◽  
Valuable Metals ◽  
The Usa ◽  
Mineral Commodities ◽  
The Cost ◽  
Resource Economy

Valuable metals and minerals are becoming ever scarcer on Earth. The global population is steadily increasing. Thus, new sources of natural resources in space are now needed as an alternative to digging deeper into Earth. Therefore, a cost structure is proposed for generally improving the resource economy of metal and mineral commodities and energy resources based on the optimisation of residuals as regards resource exploitation on primarily an interplanetary scale. The introduced methodology involves business administration and economics theory and employs the previously introduced equality principle and the Efficient Use of Resources for Optimal Production Economy (EUROPE) model. The suggested theory is applicable in the solar system and the space-platform context. A case study shows how to in practice apply the findings on the USA exploiting natural and energy resources on asteroids and the red planet Mars. It is concluded that the presented methodology is useful for increasing the cost-effectiveness of mainly the occurring residuals when exploiting natural and energy resources and commodities outside of our own planet in space. Also, the equity of the distribution of such facilities is improved on all scales. The developed methods are suitable information support tools for decision-making in the management of natural resources, with emphasis on the economy of residuals on the interplanetary level as well as generally being applicable on ore mining. A proposed key figure enables management to immediately obtain an overall comprehension of the economic, technological and environmental performance of their interplanetary endeavours that hence continuously can be reviewed, monitored and evaluated.

Do Entry Regulations Deter Entrepreneurship and Job Creation? Evidence from Recent Reforms in Portugal

2013 ◽  
Vol 124 (577) ◽  
pp. 805-832 ◽  
Author(s):  
Lee Branstetter ◽  
Francisco Lima ◽  
Lowell J. Taylor ◽  
Ana Venâncio
Keyword(s):  
Job Creation ◽  
Regulatory Reform ◽  
Retail Trade ◽  
Short Term ◽  
Firm Formation ◽  
Before And After ◽  
Rich Information ◽  
The Cost ◽  
Entry Regulations ◽  
Employee Data

Abstract We evaluate the consequences of a recent regulatory reform in Portugal, which substantially reduced the cost of firm entry. Our analysis uses matched employer–employee data, which provide unusually rich information on the characteristics of founders and employees associated with new firms before and after the reform. We find that the short‐term consequences of the reform were as one would predict with a standard economic model of entrepreneurship: the reform resulted in increased firm formation and employment, but mostly among ‘marginal firms’ that would have been most readily deterred by existing heavy entry regulations. These marginal firms were typically small, owned by relatively poorly educated entrepreneurs, and operating in low‐technology sectors (agriculture, construction and retail trade). In comparison to firms that entered in the absence of the reform, these marginal firms were less likely to survive their first two years.

scholarly journals Assessing best practices on short-term medical service trips: an eDelphi-based theoretical model

2018 ◽  
Vol 6 ◽  
pp. S41
Author(s):  
Christopher Dainton ◽  
Charlene Hsuan-Li Chu ◽  
Christina Gorman ◽  
William Cherniak
Keyword(s):  
Theoretical Model ◽  
Best Practices ◽  
Medical Service ◽  
Short Term ◽  
Medical Service Trips

TO STUDY THE EFFECT OF BMV ON P WAVE DISPERSION AND SHORT TERM PROGNOSTIC IMPACT OF P WAVE DISPERSION IN PREDICTION OF CLINICAL OUTCOME AFTER PERCUTANEOUS BALLOON MITRAL VALVULOPLASTY IN PATIENTS WITH MITRAL STENOSIS AND SINUS RHYTHM

2020 ◽  
Vol 4 (9) ◽  
Author(s):  
Ashish Kumar Agarwal ◽  
Daulat Singh Meena ◽  
Vijay Pathak ◽  
Anoop Jain ◽  
Rakesh Kumar Ola
Keyword(s):  
Clinical Outcome ◽  
Right Ventricular ◽  
Wave Dispersion ◽  
Tissue Doppler ◽  
P Wave ◽  
Short Term ◽  
P Wave Dispersion ◽  
Mitral Valvuloplasty ◽  
Percutaneous Balloon ◽  
Before And After

Background: The aim of the present study was to study the effect of percutaneous balloon mitral  valvuloplasty (PBMV) on P wave dispersion and to test the correlation between P-maximum and  P-dispersion to right ventricular function and pulmonary artery pressure before and after PMBV. Also to study the impact of P-maximum and P-wave dispersion on the short term clinical outcome after successful PBMV in patients with mitral stenosis (MS) and sinus rhythm. Methods: 75 patients undergoing PMBV were enrolled in this study. We evaluated P-maximum, P-minimum and P-wave dispersion before and one month and one year after PBMV . We studied the changes in pulmonary arterial pressure (PAP), left atrial (LA) dimension, mitral diastolic gradient, and mitral valve area, in addition to the changes in right ventricular function utilizing tissue Doppler assessment both before and after PMBV, in addition the role of the P-wave dispersion in prediction of late cardiac events. Results: There were significant decrease in mean diastolic gradient, PAP, and LA size and significant improvement in right ventricular tissue Doppler indices after PMBV. Accompany these hemodynamic changes after PMBV. P-maximum and P-wave dispersion were found to be decreased (P < 0.001). Conclusion: Successful PBMV was associated with a decrease in Pmax and PWD. These simple electrocardiographic indices may predict the success of the procedure immediately after PBMV.  The P-maximum and P-wave dispersion changes were correlated with significant impairment of right dysfunction and the degree of pulmonary artery pressure. Keywords: PBMV.PAP,LA

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