scholarly journals Medical care as a risk-avoidance procedure: underwriting the cost of care in the UK.

BMJ ◽  
1982 ◽  
Vol 285 (6343) ◽  
pp. 751-755 ◽  
Author(s):  
C J Roberts
Keyword(s):  
Medical Care ◽  
Cost Of Care ◽  
Risk Avoidance ◽  
Avoidance Procedure ◽  
The Uk ◽  
The Cost

Physicians' Interactions with Pharmaceutical Companies

PEDIATRICS ◽  
1992 ◽  
Vol 90 (2) ◽  
pp. 281-282
Author(s):  
LEWIS H. MARGOLIS
Keyword(s):  
Medical Care ◽  
Cost Of Care ◽  
Pharmaceutical Companies ◽  
Cost Of Drugs ◽  
The Cost

In Reply.— In my essay1 I suggested that the acceptance of gifts from pharmaceutical companies violates a duty of justice because gifts represent resources inappropriately taken from patients through the added costs of the drugs that they buy. Dr Procopio raises the larger question of how other types of promotional activities increase the cost of drugs in particular and medical care in general. His letter makes clear, however, that the contribution of an activity such as the distribution of samples to the cost of care is difficult to determine because several different purposes are served.

Family Medicine and the Health Care Crisis in the United States

1972 ◽  
Vol 2 (2) ◽  
pp. 207-215
Author(s):  
R. Smith
Keyword(s):  
Family Medicine ◽  
Medical Care ◽  
Health Resources ◽  
Major Change ◽  
The United States ◽  
Cost Of Care ◽  
Flexner Report ◽  
New Feature ◽  
The Cost ◽  
Governmental Response

Many millions of Americans are deprived of medical care because of inadequate and poorly distributed health resources. The cost of care has become the most potent single cause for concern, and much of the current governmental response focuses on this issue. The plethora of bills before Congress is considered in this paper and three examples advocating a less or greater degree of change are studied. The universities are responding in a variety of ways, and these include expansion of their service and educational bases into the community. The widespread creation of departments of family medicine is a new feature of American medical education and could constitute a major change in direction equal in significance to change resulting from the Flexner Report. Though greater emphasis on primary medical care is clearly accepted as important by both government and educators, the future is uncertain. Barriers and shortages should disappear in the years ahead, and a great resurgence of family medicine should reintroduce many desired features into practice which are now missing.

Income, Capital and the Cost of Care in Old Age

1991 ◽  
Vol 11 (4) ◽  
pp. 373-397 ◽  
Author(s):  
Ian Gibbs
Keyword(s):  
Older People ◽  
Old Age ◽  
Home Ownership ◽  
Cost Of Care ◽  
Nursing Home Care ◽  
Background Information ◽  
Care Needs ◽  
Ageing Society ◽  
The Uk ◽  
The Cost

ABSTRACTAccording to ‘conventional wisdom’ older people are now relatively well off and, as a result, many are in a position to pay for their own care and housing needs in old age. In reviewing the evidence for this latter proposition the article provides a brief overview for the UK population and the implications of an ageing society for the care services. A summary of the main sources of income available to older people is undertaken, including home ownership and ways of releasing equity which might be employed to generate extra income. On the basis that it is also important to match information about financial resources available to older people to the cost of different services, the article reviews the likely costs of residential and nursing home care and the little that is known about the costs of domiciliary services. In short, the article presents a summary of the relevant background information and examines the issue of whether elderly people could (but not necessarily ‘should’) finance their housing and care needs in old age.

scholarly journals Costs of medical care for mesothelioma

Rare Tumors ◽  
2019 ◽  
Vol 11 ◽  
pp. 203636131986349 ◽  
Author(s):  
Eric Borrelli ◽  
Zachary Babcock ◽  
Stephen Kogut
Keyword(s):  
United States ◽  
Medical Care ◽  
Medical Cost ◽  
The United States ◽  
Healthcare Research ◽  
Cost Of Care ◽  
Discharge Data ◽  
System A ◽  
The Cost ◽  
Mean Cost

Malignant mesothelioma is a rare and devastating form of cancer with an increasing economic burden. We sought to describe the direct cost burden of mesothelioma to the US health system. A systematic literature review was performed to locate published estimates of the medical cost of mesothelioma. In addition, we performed an analysis of hospital discharge data from the National Inpatient Sample, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality. We also reviewed publicly available legal settlements. We found that published estimates of the cost of medical care for mesothelioma are sparse, and differ with respect to nation, timeframe, and types of cost included. For the year 2014 in the United States, we estimated a mean cost per mesothelioma hospitalization of US$24,124 (95% confidence interval: US$20,819–US$28,983) and a total cost for hospital care of US$44,214,835. In conclusion, we found that reports describing the direct medical cost of care for mesothelioma in the United States are lacking, yet the per-patient cost of care is substantial, as evidenced by analyses of inpatient care and legal settlements.

The cost of care of systemic lupus erythematosus (SLE) in the UK: annual direct costs for adult SLE patients with active autoantibody-positive disease

Lupus ◽  
2013 ◽  
Vol 23 (3) ◽  
pp. 273-283 ◽  
Author(s):  
MA Khamashta ◽  
IN Bruce ◽  
C Gordon ◽  
DA Isenberg ◽  
O Ateka-Barrutia ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Direct Costs ◽  
Cost Of Care ◽  
Systemic Lupus ◽  
The Uk ◽  
The Cost

scholarly journals Mechanical thrombectomy in patients with acute ischemic stroke: A cost-effectiveness and value of implementation analysis

2019 ◽  
Vol 15 (8) ◽  
pp. 881-898 ◽  
Author(s):  
Robert Heggie ◽  
Olivia Wu ◽  
Phil White ◽  
Gary A Ford ◽  
Joanna Wardlaw ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Ischemic Stroke ◽  
Cost Effectiveness ◽  
Medical Care ◽  
Incremental Cost ◽  
Acute Ischemic Stroke ◽  
Mechanical Thrombectomy ◽  
Cost Effective ◽  
The Uk ◽  
The Cost

Background Recent clinical trials have demonstrated the efficacy of mechanical thrombectomy in acute ischemic stroke. Aims To determine the cost-effectiveness, value of future research, and value of implementation of mechanical thrombectomy. Methods Using UK clinical and cost data from the Pragmatic Ischemic Stroke Thrombectomy Evaluation (PISTE) trial, we estimated the cost-effectiveness of mechanical thrombectomy over time horizons of 90-days and lifetime, based on a decision-analytic model, using all existing evidence. We performed a meta-analysis of seven clinical trials to estimate treatment effects. We used sensitivity analysis to address uncertainty. Value of implementation analysis was used to estimate the potential value of additional implementation activities to support routine delivery of mechanical thrombectomy. Results Over the trial period (90 days), compared with best medical care alone, mechanical thrombectomy incurred an incremental cost of £5207 and 0.025 gain in QALY (incremental cost-effectiveness ratio (ICER) £205,279), which would not be considered cost-effective. However, mechanical thrombectomy was shown to be cost-effective over a lifetime horizon, with an ICER of £3466 per QALY gained. The expected value of perfect information per patient eligible for mechanical thrombectomy in the UK is estimated at £3178. The expected value of full implementation of mechanical thrombectomy is estimated at £1.3 billion over five years. Conclusion Mechanical thrombectomy was cost-effective compared with best medical care alone over a patient’s lifetime. On the assumption of 30% implementation being achieved throughout the UK healthcare system, we estimate that the population health benefits obtained from this treatment are greater than the cost of implementation. Trial registration NCT01745692.

scholarly journals Effectiveness of Prevention of Clostridium difficile Infection by Chemical Methods

2020 ◽  
Vol 71 (1) ◽  
pp. 360-363
Author(s):  
Mary-Nicoleta Lupu ◽  
Madalina Nina Sandu ◽  
Roxana Turcanu ◽  
Cristian Ariton
Keyword(s):  
Clostridium Difficile ◽  
Medical Care ◽  
Clostridium Difficile Infection ◽  
Cost Of Care ◽  
Morbidity And Mortality ◽  
Medical Assistance ◽  
Chemical Methods ◽  
Patient Morbidity ◽  
The Cost

Medical assistance-related infections are acquired through medical care and are caused by germs resistant to several antibiotics, requiring specific antibiotherapy. One of these germs is Clostridium difficile, responsible for the occurrence of a large number of cases with diarrheal syndrome lately, increasing the cost of care per patient, morbidity and mortality. One of the methods of fighting is the use of disinfectants.

Medical care as a risk-avoidance procedure

BMJ ◽  
1982 ◽  
Vol 285 (6346) ◽  
pp. 976-976
Author(s):  
W. Kinston
Keyword(s):  
Medical Care ◽  
Risk Avoidance ◽  
Avoidance Procedure

GSS 2011 Linked with TIFF: Exploring the Cost of Child Care in Canada and the Use of the Child Care Tax Benefit

2019 ◽  
Vol 12 (1) ◽  
pp. 81-103
Author(s):  
Leanne Findlay ◽  
Dafna Kohen
Keyword(s):  
Child Care ◽  
General Social Survey ◽  
Cost Of Care ◽  
Indigenous Identity ◽  
Social Survey ◽  
The Cost ◽  
Care Costs ◽  
Compare And Contrast ◽  
Employment Characteristics ◽  
Different Sources

Affordability of child care is fundamental to parents’, in particular, women’s decision to work. However, information on the cost of care in Canada is limited. The purpose of the current study was to examine the feasibility of using linked survey and administrative data to compare and contrast parent-reported child care costs based on two different sources of data. The linked file brings together data from the 2011 General Social Survey (GSS) and the annual tax files (TIFF) for the corresponding year (2010). Descriptive analyses were conducted to examine the socio-demographic and employment characteristics of respondents who reported using child care, and child care costs were compared. In 2011, parents who reported currently paying for child care (GSS) spent almost $6700 per year ($7,500 for children age 5 and under). According to the tax files, individuals claimed just over $3900 per year ($4,700). Approximately one in four individuals who reported child care costs on the GSS did not report any amount on their tax file; about four in ten who claimed child care on the tax file did not report any cost on the survey. Multivariate analyses suggested that individuals with a lower education, lower income, with Indigenous identity, and who were self-employed were less likely to make a tax claim despite reporting child care expenses on the GSS. Further examination of child care costs by province and by type of care are necessary, as is research to determine the most accurate way to measure and report child care costs.

Sign in / Sign up

Export Citation Format

Share Document