The economic benefits of rehabilitation for neurological conditions

2015 ◽  
pp. 18-23
Author(s):  
Rory O’Connor
Keyword(s):  
Psychological Functioning ◽  
Economic Benefits ◽  
Economic Evaluations ◽  
Reduced Costs ◽  
Neurological Conditions ◽  
Impact On Family ◽  
Economic Analyses ◽  
The Impact ◽  
Correct Measure

A rehabilitation programme may initially appear expensive, resulting in a lack of enthusiasm to develop them by funding bodies and commissioners. Therefore, demonstrating the long-term cost-effectiveness of rehabilitation is extremely important. Many people with long-term neurological conditions will live for many years and investment in their physical and psychological functioning early in the course of the condition will, over the lifetime of the patient, potentially result in substantial savings.However, calculating economic evaluations can be complicated and the correct measure must be chosen to identify the change produced by the rehabilitation intervention. These data must then be handled appropriately and all ancillary costs included. The economics are wider than this and will include potential earnings and reduced costs to social care. The economic analyses will also include housing, education, and vocational outcomes and the impact on family members who may have a caring role.

The economic benefits of rehabilitation for neurological conditions

2020 ◽  
pp. 23-30
Author(s):  
Rory J. O’Connor
Keyword(s):  
Psychological Functioning ◽  
Cost Effective ◽  
Economic Benefits ◽  
Economic Evaluations ◽  
Healthcare Intervention ◽  
Effective Interventions ◽  
Neurological Conditions ◽  
Economic Analyses

Rehabilitation programmes are highly cost-effective interventions that restore people’s independence, dignity, and quality of life. In the past there was an impression that they appeared expensive, which resulted in a lack of enthusiasm to develop them by funding bodies and commissioners. However, the evidence demonstrating the long-term cost-effectiveness of rehabilitation is robust. Many people with long-term neurological conditions will live for many years after the onset of the condition and investment in their physical and psychological functioning early on will, over that person’s lifetime, will result in substantial savings. Nevertheless, calculating economic evaluations can be complicated and the correct measure must be chosen to identify the change produced by the rehabilitation intervention. These data must then be handled appropriately, and any ancillary costs included. The economic impact of the rehabilitation programme is wider than a purely healthcare intervention and will include potential earnings and reduced costs to social care. The economic analyses will also include housing, education, and vocational outcomes, and the effect of the long-term condition on family members who may have a caring role.

scholarly journals Regulation of Lifelong in Education and İts Economic, Social Benefits

2021 ◽  
Vol 12 (6) ◽  
pp. 1298-1310
Author(s):  
Allahyar Muradov Et al.
Keyword(s):  
Human Capital ◽  
Social Problems ◽  
Labour Productivity ◽  
Economic Benefits ◽  
Social Benefits ◽  
Development Economic ◽  
Knowledge Based ◽  
The Future ◽  
The Impact

Sustainability in education is important in ensuring knowledge-based and innovation-driven development and human capital reproduction. Sustainability is particular important for the prevention of some economic and social problems that may arise in the future and raising the competitiveness of the country. Sustainability - the prevention as some of economic and social problems that may arise in the future is of particular importance in raising the country's competitiveness. The aim of the research is to estimate the economic-social benefits of regulation of sustainability in education and to give the suggestions in the direction of the improvement of the effectiveness of the regulation. The impact of continuity in education on the formation and development of human capital, knowledge-based society building, labour intelligence, competitiveness and the improvement of welfare are assessed cross-country in the article. In particular, in recent years, researches and politicians have analysed the ‘4th industry’ revolution (‘Industry 4.0’) ‘the benefits and losses in the medium and long-term perspective and its interaction with the sustainability of education. Here are two issues: 1) socioeconomic disadvantages of ensuring sustainability in education, 2) socioeconomic advantages of ensuring sustainability in education. Firstly, it is analysed the impacts of increased unemployment, reduction of employment income, declining social security and welfare that will be resulted as problems on economic development. Secondly, it is analysed (ensuring in sustainability condition) the distinguished factors of rapid technological innovation, labour productivity, repatriation of human capital, raising competitiveness on the international level, innovation-based development, economic benefits of knowledge and skills.

scholarly journals Economic Perspectives on the Impact of Covid Vaccines

2021 ◽  
Vol 9 (2) ◽  
pp. 52-54
Author(s):  
A Sangamithra ◽  
S Thilagavathy
Keyword(s):  
Health Benefits ◽  
Well Being ◽  
Economic Benefits ◽  
Health Conditions ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
Private And Public ◽  
The Government ◽  
Economic Analyses ◽  
The Impact

Vaccination and the impact on health on the world’s people is very difficult to exaggerate. The main aim is to treat people with mental health issues and substance use of disorder. Vaccination is crucial in terms of ensuring the overall health conditions and well–being. The development of vaccines is an expensive and lengthy process. Depreciation is high and takes multiple candidates and long years to produce a licensed vaccine. The access to vaccines that prevent life-threatening infectious diseases remains not equal to all the population. The benefits of vaccination derive from health and economic benefits and the health benefits have diminishing returns as a result of high-risk individuals been vaccinated first. Economic benefits depend both on the health benefits and on how reduced risk of infection and death translates into a leading general economic activity. Department of Government is required to perform a systematic economic analyses of vaccines and to justify their given pressure on both private and public finances on a global level; provoke in the year 2008 financial crash. Mostly, the government supports charities and non-governmental organizations, where people invest in these, with the hope of improving the health conditions.

612 Assessing the Impact of Burns on Children Aged 5–18 Years: A Narrative Review of Health Outcomes Literature

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S150-S150
Author(s):  
Amelia Austen ◽  
Carina Hou ◽  
Khushbu Patel ◽  
Keri Brady ◽  
Gabrielle G Grant ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Outcomes ◽  
Social Functioning ◽  
Physical Functioning ◽  
Psychological Functioning ◽  
Burn Injury ◽  
Health Domains ◽  
The Impact

Abstract Introduction Burn injuries can have major long-term effects on the health and quality of life for children and adolescents. This study narratively reviewed the health outcomes literature focusing on the impact of burn injury for children aged 5–18. Methods Literature targeting pediatric outcomes was reviewed to identify the effects of burns on children aged 5–18 (n=16). Inclusion criteria included studies that focused on the impact of burns on health and quality of life and were age-appropriate for this population. Articles were identified via PubMed, Web of Science, and manual reference checks. Data collected included the outcomes and health domains assessed in each article and the findings of the effects of the burn injury on those specific outcomes. The Preschool LIBRE Conceptual Model served as a ‘domains framework’ to guide the identification of outcomes and health domains. Results Long-term burn-specific outcomes and broad health domains identified were physical functioning (n=9), psychological functioning (n=12), social functioning (n=4), symptoms (n=8), and family (n=7). Some studies exclusively focused on one domain whereas others assessed two domains or more. Subdomains such as upper extremity functioning and functional independence were addressed in the physical functioning domain. Psychological functioning outcomes included subdomains such as emotional health and behavioral problems. Social functioning outcomes evaluated subdomains such as problems with peers and social participation. The symptoms domain addressed post-burn pain and itch. Family outcomes subdomains such as parental satisfaction with appearance and general family functioning were identified. Conclusions Burn-specific outcomes and health domains assessing the effects of burns on children aged 5–18 were identified among 16 studies. There is a need for a comprehensive assessment tool that more precisely measures the impact of burn injury across these domains. This work will inform the development of the School-Aged Life Impact Burn Recovery Evaluation (LIBRE) Computer Adaptive Test (CAT) Profile – a new outcome metric for children and adolescents with burns. Applicability of Research to Practice This review is relevant to researchers and clinicians assessing health outcomes and measuring burn recovery in children aged 5–18.

scholarly journals INCORPORATING ENVIRONMENTAL OUTCOMES INTO A HEALTH ECONOMIC MODEL

2016 ◽  
Vol 32 (6) ◽  
pp. 400-406 ◽  
Author(s):  
Kevin Marsh ◽  
Michael Ganz ◽  
Emil Nørtoft ◽  
Niels Lund ◽  
Joshua Graff-Zivin
Keyword(s):  
Health Economic ◽  
Environmental Impact ◽  
Economic Model ◽  
Economic Evaluations ◽  
Combination Regimen ◽  
Simple Method ◽  
Life Years ◽  
Health Economic Model ◽  
Economic Analyses ◽  
The Impact

Objectives: Traditional economic evaluations for most health technology assessments (HTAs) have previously not included environmental outcomes. With the growing interest in reducing the environmental impact of human activities, the need to consider how to include environmental outcomes into HTAs has increased. We present a simple method of doing so.Methods: We adapted an existing clinical-economic model to include environmental outcomes (carbon dioxide [CO2] emissions) to predict the consequences of adding insulin to an oral antidiabetic (OAD) regimen for patients with type 2 diabetes mellitus (T2DM) over 30 years, from the United Kingdom payer perspective. Epidemiological, efficacy, healthcare costs, utility, and carbon emissions data were derived from published literature. A scenario analysis was performed to explore the impact of parameter uncertainty.Results: The addition of insulin to an OAD regimen increases costs by 2,668 British pounds per patient and is associated with 0.36 additional quality-adjusted life-years per patient. The insulin-OAD combination regimen generates more treatment and disease management-related CO2 emissions per patient (1,686 kg) than the OAD-only regimen (310 kg), but generates fewer emissions associated with treating complications (3,019 kg versus 3,337 kg). Overall, adding insulin to OAD therapy generates an extra 1,057 kg of CO2 emissions per patient over 30 years.Conclusions: The model offers a simple approach for incorporating environmental outcomes into health economic analyses, to support a decision-maker's objective of reducing the environmental impact of health care. Further work is required to improve the accuracy of the approach; in particular, the generation of resource-specific environmental impacts.

Physical, Psychological, and Social Outcomes in Pediatric Burn Survivors Ages 5 to 18 Years: A Systematic Review

2021 ◽  
Author(s):  
Khushbu F Patel ◽  
Silvanys L Rodríguez-Mercedes ◽  
Gabrielle G Grant ◽  
Camerin A Rencken ◽  
Erin M Kinney ◽  
...  
Keyword(s):  
Systematic Review ◽  
Social Functioning ◽  
Psychological Functioning ◽  
Burn Injuries ◽  
Social Outcomes ◽  
Burn Survivors ◽  
Study Characteristics ◽  
Research Findings ◽  
The Impact

Abstract Acute pediatric burn injuries often result in chronic sequelae that affect physical, psychological, and social outcomes. To date, no review has comprehensively reported on the impact of burn injuries across all three domains in school-aged children. The aim of this systematic review was to identify published literature that focuses on the impact of burn injuries on physical, psychological, or social functioning, and report upon the nature of study characteristics and their outcomes. We included literature published after 1980, focusing on burn outcomes in children aged 5 to 18 years. Each eligible study was systematically reviewed and primary outcomes were classified into outcome domains based on existing frameworks. Fifty-eight studies met inclusion criteria, and reported on physical (n = 24), psychological (n = 47), and social (n = 29) domains. The majority of the studies had sample sizes of <100 participants, burn size of <40%, and findings reported by parents and/or burn survivors. Only eight of 107 different measures were used in three or more studies. Parents and burn survivors generally reported better physical and social outcomes and worse psychological functioning compared to non-burn populations. Physical disabilities were associated with psychological and social functioning in several studies. Follow-up data reported improvements across domains. This review demonstrates the importance of physical, psychological, and social status as long-term outcomes in burn survivors. Mixed findings across three outcome domains warrant long-term research. Findings of this review will guide the foundation of comprehensive burn and age-specific instruments to assess burn recovery.

scholarly journals Long-term health-related quality of life, survival and costs by different levels of functional outcome six months after stroke

2018 ◽  
Vol 3 (2) ◽  
pp. 157-164 ◽  
Author(s):  
Ann-Sofie Rudberg ◽  
Eivind Berge ◽  
Anders Gustavsson ◽  
Per Näsman ◽  
Erik Lundström
Keyword(s):  
Quality Of Life ◽  
Functional Outcome ◽  
Economic Evaluations ◽  
Health Related Quality ◽  
Term Survival ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Introduction Information about the impact of functional outcome after stroke is currently missing on health-related quality of life, survival and costs. This information would be valuable for health economic evaluations and for allocation of resources in stroke health care. Patients and methods Data on 297 Swedish patients included in the Third International Stroke Trial were analysed including functional outcome at six months (measured by Oxford Handicap Scale), health-related quality of life up to 18 months (EQ-5D-3L) and survival up to 36 months. We used record linkage to collect data on costs up to 36 months, using national patient registers. Results Patients with a better functional outcome level at six months had a significantly better health-related quality of life at 18 months ( p < 0.05), better long-term survival ( p < 0.05) and lower costs ( p < 0.001), for all time points up to 36 months. The difference in costs was mainly due to differences in days spent in hospital ( p < 0.005). Discussion This study showed an association between functional outcome at six months and health-related quality of life up to 18 months, and costs up to 36 months. Conclusion Functional outcome six months after stroke is an important determinant of health-related quality of life, survival and costs over 36 months. Effective interventions aimed at reducing short-term disability levels are therefore also expected to reduce the overall burden of stroke.

scholarly journals Bridging the Gap between Evidence and Practice for Adults with Medically Refractory Temporal Lobe Epilepsy: Is a Change in Funding Policy Needed to Stimulate a Shift in Practice?

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Alireza Mansouri ◽  
Abdulrahman Aldakkan ◽  
Magda J. Kosicka ◽  
Jean-Eric Tarride ◽  
Taufik A. Valiante
Keyword(s):  
Health Economic ◽  
Refractory Epilepsy ◽  
Cost Utility ◽  
Economic Evaluations ◽  
Funding Policy ◽  
Policy Changes ◽  
Limited Success ◽  
Comprehensive Health ◽  
Economic Analyses

Objective. Surgery for medically refractory epilepsy (MRE) in adults has been shown to be effective but underutilized. Comprehensive health economic evaluations of surgery compared with continued medical management are limited. Policy changes may be necessary to influence practice shift. Methods. A critical review of the literature on health economic analyses for adults with MRE was conducted. The MEDLINE, EMBASE, CENTRAL, CRD, and EconLit databases were searched using relevant subject headings and keywords pertaining to adults, epilepsy, and health economic evaluations. The screening was conducted independently and in duplicate. Results. Four studies were identified (1 Canadian, 2 American, and 1 French). Two were cost-utility analyses and 2 were cost-effectiveness evaluations. Only one was conducted after the effectiveness of surgery was established through a randomized trial. All suggested surgery to be favorable in the medium to long term (7-8 years and beyond). The reduction of medication use was the major cost-saving parameter in favor of surgery. Conclusions. Although updated evaluations that are more generalizable across settings are necessary, surgery appears to be a favorable option from a health economic perspective. Given the limited success of knowledge translation endeavours, funder-level policy changes such as quality-based purchasing may be necessary to induce a shift in practice.

scholarly journals Poverty reduction and equity benefits of introducing or scaling up measles, rotavirus and pneumococcal vaccines in low-income and middle-income countries: a modelling study

2018 ◽  
Vol 3 (2) ◽  
pp. e000613 ◽  
Author(s):  
Carlos Riumallo-Herl ◽  
Angela Y Chang ◽  
Samantha Clark ◽  
Dagna Constenla ◽  
Andrew Clark ◽  
...  
Keyword(s):  
Low Income ◽  
Pneumococcal Disease ◽  
Poverty Reduction ◽  
Vaccine Coverage ◽  
Economic Benefits ◽  
Economic Evaluations ◽  
Birth Cohorts ◽  
Immunisation Coverage ◽  
Financial Risk Protection ◽  
The Impact

IntroductionBeyond their impact on health, vaccines can lead to large economic benefits. While most economic evaluations of vaccines have focused on the health impact of vaccines at a national scale, it is critical to understand how their impact is distributed along population subgroups.MethodsWe build a financial risk protection model to evaluate the impact of immunisation against measles, severe pneumococcal disease and severe rotavirus for birth cohorts vaccinated over 2016–2030 for three scenarios in 41 Gavi-eligible countries: no immunisation, current immunisation coverage forecasts and the current immunisation coverage enhanced with funding support. We distribute modelled disease cases per socioeconomic group and derive the number of cases of: (1) catastrophic health costs (CHCs) and (2) medical impoverishment.ResultsIn the absence of any vaccine coverage, the number of CHC cases attributable to measles, severe pneumococcal disease and severe rotavirus would be approximately 18.9 million, 6.6 million and 2.2 million, respectively. Expanding vaccine coverage would reduce this number by up to 90%, 30% and 40% in each case. More importantly, we find a higher share of CHC incidence among the poorest quintiles who consequently benefit more from vaccine expansion.ConclusionOur findings contribute to the understanding of how vaccines can have a broad economic impact. In particular, we find that immunisation programmes can reduce the proportion of households facing catastrophic payments from out-of-pocket health expenses, mainly in lower socioeconomic groups. Thus, vaccines could have an important role in poverty reduction.

scholarly journals The Effect of Hotel Development on Sustainable Tourism Development

2017 ◽  
Vol 8 (4) ◽  
pp. 16
Author(s):  
Ra’ed Masa’deh ◽  
Mohammed Abdullah Nasseef ◽  
Mohammd Suliman ◽  
Monther Albawab
Keyword(s):  
Positive Impact ◽  
Economic Impacts ◽  
Sustainable Tourism ◽  
Tourism Development ◽  
Economic Benefits ◽  
Tax Revenue ◽  
Sustainable Tourism Development ◽  
Significant Difference ◽  
The Impact

This study aims to examine the impact of hotel development (using the variables of positive social and cultural impacts, negative cultural & economic impacts, negative social impacts, community centered economic benefits, positive environmental impacts, government’s environment management, positive economic impacts, long-term planning, community development & involvement, amenities development & quality tourism experiences, and local prices & tax revenue) on sustainable tourism development at Aqaba hotels located in Jordan. A total of 170 questionnaire containing 44 items was used to collect information from the respondents. Simple regression, T-test, and ANOVA analyses were conducted to test the research hypotheses. Results of the current study revealed that there is a significant positive impact of hotel development on sustainable tourism development. Also, the results revealed that there is no significant difference in the impact of hotel development on sustainable tourism development that can be attributed to gender. Also, results indicated that there are no significant differences in the impact hotel development on sustainable tourism development in favor of age, educational level, personal income, work position, and hotel classification.

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