Socioeconomic and Health-Care Policies and Peritoneal Dialysis

1996 ◽  
Vol 16 (1_suppl) ◽  
pp. 378-380 ◽  
Author(s):  
Sarah S. Prichard
Keyword(s):  
Health Care ◽  
Peritoneal Dialysis ◽  
Health Care System ◽  
Economic Factors ◽  
Strategic Decisions ◽  
Important Impact ◽  
Care Policies ◽  
Health Care Policies ◽  
Full Analysis ◽  
The Cost

1. All ESRD treatment is expensive and a modality change adds considerably to that expense. 2. Ideally, the cost of ESRD therapy should be re ported as the cost incurred for all aspects of the treatment to the health-care system. 3. Most studies show peritoneal dialysis to be less expensive than hemodialysis, but this can vary depending on the local costs of supplies and labor. 4. Strategic decisions with regard to new innovations should be made after a full analysis of all of the involved costs and savings that the innovation might introduce. 5. Economic factors and reimbursement rates appear to have an important impact on modality selection.

scholarly journals PCN158 The Influence of Health Care Policies and Health Care System Distrust on Willingness to Undergo Genetic Testing

2011 ◽  
Vol 14 (7) ◽  
pp. A463
Author(s):  
K. Armstrong ◽  
M. Putt ◽  
C. Hughes halbert ◽  
D. Grande ◽  
J.S. Shwartz ◽  
...  
Keyword(s):  
Health Care ◽  
Genetic Testing ◽  
Health Care System ◽  
Care Policies ◽  
Health Care Policies ◽  
Care System

Advancing LGBT Health Care Policies and Clinical Care Within a Large Academic Health Care System: A Case Study

2017 ◽  
Vol 64 (10) ◽  
pp. 1411-1431 ◽  
Author(s):  
Mollie A. Ruben ◽  
Jillian C. Shipherd ◽  
David Topor ◽  
Christopher G. AhnAllen ◽  
Colleen A. Sloan ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Clinical Care ◽  
Lgbt Health ◽  
Academic Health ◽  
System A ◽  
Care Policies ◽  
Health Care Policies ◽  
Care System

scholarly journals The Influence of Health Care Policies and Health Care System Distrust on Willingness to Undergo Genetic Testing

Medical Care ◽  
2012 ◽  
Vol 50 (5) ◽  
pp. 381-387 ◽  
Author(s):  
Katrina Armstrong ◽  
Mary Putt ◽  
Chanita Hughes Halbert ◽  
David Grande ◽  
Jerome Sanford Schwartz ◽  
...  
Keyword(s):  
Health Care ◽  
Genetic Testing ◽  
Health Care System ◽  
Care Policies ◽  
Health Care Policies ◽  
Care System

scholarly journals Reoperation costs in attempted breast-conserving surgery: a decision analysis

2016 ◽  
Vol 23 (5) ◽  
pp. 314 ◽  
Author(s):  
R. Pataky ◽  
C.R. Baliski
Keyword(s):  
Health Care ◽  
Breast Reconstruction ◽  
Patient Care ◽  
Health Care System ◽  
Early Stage ◽  
Treatment Options ◽  
Breast Conserving Surgery ◽  
Reoperation Rate ◽  
The Cost ◽  
Care System

Background Breast-conserving surgery (bcs) is the preferred surgical approach for most patients with early-stage breast cancer. Frequently, concerns arise about the pathologic margin status, resulting in an average reoperation rate of 23% in Canada. No consensus has been reached about the ideal reoperation rate, although 10% has been suggested as a target. Upon undergoing reoperation, many patients choose mastectomy and breast reconstruction, which add to the morbidity and cost of patient care. We attempted to identify the cost of reoperation after bcs, and the effect that a reduction in the reoperation rate could have on the B.C. health care system.Methods A decision tree was constructed to estimate the average cost per patient undergoing initial bcs with two reoperation frequency scenarios: 23% and 10%. The model included the direct medical costs from the perspective of the B.C. health care system for the most common surgical treatment options, including breast reconstruction and postoperative radiation therapy.Results Costs ranged from a low of $8,225 per patient with definitive bcs [95% confidence interval (ci): $8,061 to $8,383] to a high of $26,026 for reoperation with mastectomy and delayed reconstruction (95% ci: $23,991 to $28,122). If the reoperation rate could be reduced to 10%, the average saving would be $1,055 per patient undergoing attempted bcs (95% ci: $959 to $1,156). If the lower rate were to be achieved in British Columbia, it would translate into a savings of $1.9 million annually.Summary The implementation of initiatives to reduce reoperation after bcs could result in significant savings to the health care system, while potentially improving the quality of patient care.

Stigma, Structural Vulnerability, and “What Matters Most” Among Women Living With HIV in Botswana, 2017

2021 ◽  
pp. e1-e9
Author(s):  
Lawrence H. Yang ◽  
Ohemaa B. Poku ◽  
Supriya Misra ◽  
Haitisha T. Mehta ◽  
Shathani Rampa ◽  
...  
Keyword(s):  
Health Care ◽  
Hiv Testing ◽  
Structural Level ◽  
Structural Vulnerability ◽  
Women Living With Hiv ◽  
Care Policies ◽  
Health Care Policies ◽  
Women With Hiv ◽  
Routine Hiv Testing ◽  
What Matters

Objectives. To explore whether beneficial health care policies, when implemented in the context of gender inequality, yield unintended structural consequences that stigmatize and ostracize women with HIV from “what matters most” in local culture. Methods. We conducted 46 in-depth interviews and 5 focus groups (38 individuals) with men and women living with and without HIV in Gaborone, Botswana, in 2017. Results. Cultural imperatives to bear children bring pregnant women into contact with free antenatal services including routine HIV testing, where their HIV status is discovered before their male partners’. National HIV policies have therefore unintentionally reinforced disadvantage among women with HIV, whereby men delay or avoid testing by using their partner’s status as a proxy for their own, thus facilitating blame toward women diagnosed with HIV. Gossip then defines these women as “promiscuous” and as violating the essence of womanhood. We identified cultural and structural ways to resist stigma for these women. Conclusions. Necessary HIV testing during antenatal care has inadvertently perpetuated a structural vulnerability that propagates stigma toward women. Individual- and structural-level interventions can address stigma unintentionally reinforced by health care policies. (Am J Public Health. Published online ahead of print June 10, 2021: e1–e9. https://doi.org/10.2105/AJPH.2021.306274 )

HEALTH REFORM CAN'T CURE HIGH COSTS

PEDIATRICS ◽  
1994 ◽  
Vol 94 (3) ◽  
pp. A40-A40
Author(s):  
J. F. L.
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Productivity Growth ◽  
Health Reform ◽  
Basic Assumption ◽  
Police Work ◽  
Price Controls ◽  
Technological Advances ◽  
Widespread Belief ◽  
The Cost

These facts prove that, contrary to widespread belief, no health care system offers a magic cure for rising costs. Something else is going on. The "something else" is that health care, like education and police work, is a "handicraft service." Characteristically, these activities can't be automated or sped up and made more productive. Doctors, for instance, simply cannot work much faster than they do without cutting into quality. True, technological advances can and do add some productivity to these fields, but not that much ... This important phenomenon is called "the cost disease of the handicraft services" and it undermines a basic assumption of some health reforms. If, by its craft nature, health care is condemned to low productivity growth and rapidly rising costs, then these inherent limits will simply not be correctable by price controls or other reforms of the system. In other words, cost increases are in the nature of the health care beast. Efforts to alter this nature will be fruitless or harmful.

Commercialization in Health Care Policies Questionnaire

2016 ◽  
Author(s):  
M. Murat Civaner ◽  
Harun Balcioglu ◽  
Kevser Vatansever
Keyword(s):  
Health Care ◽  
Care Policies ◽  
Health Care Policies

Controversies in Health Care Policies: Challenges to Practice

BMJ ◽  
1995 ◽  
Vol 310 (6977) ◽  
pp. 475-475
Author(s):  
E. Murphy
Keyword(s):  
Health Care ◽  
Care Policies ◽  
Health Care Policies
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