scholarly journals mLearning- a cost effective initiative for stigma reduction in health care settings

2014 ◽  
Vol 14 (S3) ◽  
Author(s):  
Sree T Sucharitha ◽  
Janani Rajagopal ◽  
Ravi Siriki
Keyword(s):  
Health Care ◽  
Cost Effective ◽  
Stigma Reduction ◽  
Health Care Settings

scholarly journals Evaluation of the Balanced Menus Challenge: a healthy food and sustainability programme in hospitals in Maryland

2014 ◽  
Vol 18 (13) ◽  
pp. 2341-2349 ◽  
Author(s):  
Tarah D Ranke ◽  
C Louise Mitchell ◽  
Diane Marie St. George ◽  
Christopher R D’Adamo
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Cost Effective ◽  
Washington Dc ◽  
Previous Survey ◽  
Structured Interviews ◽  
Health Care Settings ◽  
Retrospective Assessment ◽  
Good Nutrition ◽  
National Effort

AbstractObjectiveThe Balanced Menus Challenge (BMC) is a national effort to bring the healthiest, most sustainably produced meat available into health-care settings to preserve antibiotic effectiveness and promote good nutrition. The present study evaluated the outcomes of the BMC in the Maryland/Washington, DC region.DesignThe BMC is a cost-effective programme whereby participating hospitals reduce meat purchases by 20 % of their budget, then invest the savings into purchasing sustainably produced meat. A mixed-methods retrospective assessment was conducted to assess (i) utilization of the BMC ‘implementation toolkit’ and (ii) achievement of the 20 % reduction in meat purchases. Previous survey data were reviewed and semi-structured interviews were conducted.SettingHospitals located in the Maryland/Washington, DC region, USA, that adopted the BMC.SubjectsTwelve hospitals signed the BMC in the Maryland/Washington, DC region and six were available for interview.ResultsThree hospitals in the Maryland/Washington, DC region that signed the BMC tracked their progress and two achieved a reduction in meat procurement by ≥20 %. One hospital demonstrated that the final outcome goal of switching to a local and sustainable source for meat is possible to achieve, at least for a portion of the meal budget. The three hospitals that reduced meat purchases also received and used the highest number of BMC implementation tools. There was a positive correlation between receipt and usage of implementation tools (r=0·93, P=0·005).ConclusionsThe study demonstrates that hospitals in the Maryland/Washington, DC region that sign the BMC can increase the amount of sustainably produced meat purchased and served.

scholarly journals Occupational Screening for Latent Tuberculosis Infection

2021 ◽  
Vol 1 (9) ◽  
Author(s):  
Sara D. Khangura ◽  
Melissa Severn
Keyword(s):  
Health Care ◽  
Latent Tuberculosis Infection ◽  
Latent Tuberculosis ◽  
Cost Effective ◽  
Tuberculosis Infection ◽  
Economic Evaluations ◽  
Repeated Testing ◽  
Health Care Settings ◽  
Targeted Testing ◽  
The Cost

In people at risk of occupational exposure to tuberculosis, targeted testing for latent tuberculosis infection (e.g., testing for high-risk individuals, testing after tuberculosis exposure) appears to be more cost-effective than repeated testing, such as testing once a year or every 3 years (findings based on 2 economic evaluations that assessed the cost-effectiveness of repeated latent tuberculosis infection screening in workers of health care settings).

scholarly journals Optimal strategies to screen health care workers for COVID-19 in the US: a cost-effectiveness analysis

2022 ◽  
Vol 20 (1) ◽  
Author(s):  
Sigal Maya ◽  
Guntas Padda ◽  
Victoria Close ◽  
Trevor Wilson ◽  
Fareeda Ahmed ◽  
...  
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Health Care Workers ◽  
Cost Effective ◽  
Health Care Settings ◽  
Testing Strategies ◽  
Effectiveness Analysis ◽  
Care Workers ◽  
Antigen Testing ◽  
Quality Adjusted Life

Abstract Background Transmission of SARS-CoV-2 in health care facilities poses a challenge against pandemic control. Health care workers (HCWs) have frequent and high-risk interactions with COVID-19 patients. We undertook a cost-effectiveness analysis to determine optimal testing strategies for screening HCWs to inform strategic decision-making in health care settings. Methods We modeled the number of new infections, quality-adjusted life years lost, and net costs related to six testing strategies including no test. We applied our model to four strata of HCWs, defined by the presence and timing of symptoms. We conducted sensitivity analyses to account for uncertainty in inputs. Results When screening recently symptomatic HCWs, conducting only a PCR test is preferable; it saves costs and improves health outcomes in the first week post-symptom onset, and costs $83,000 per quality-adjusted life year gained in the second week post-symptom onset. When screening HCWs in the late clinical disease stage, none of the testing approaches is cost-effective and thus no testing is preferable, yielding $11 and 0.003 new infections per 10 HCWs. For screening asymptomatic HCWs, antigen testing is preferable to PCR testing due to its lower cost. Conclusions Both PCR and antigen testing are beneficial strategies to identify infected HCWs and reduce transmission of SARS-CoV-2 in health care settings. IgG tests’ value depends on test timing and immunity characteristics, however it is not cost-effective in a low prevalence setting. As the context of the pandemic evolves, our study provides insight to health-care decision makers to keep the health care workforce safe and transmissions low.

scholarly journals Machine Learning-Based Predictive Analytics Marketed as Improving Health Care Efficiency: What Types of Products and Who is Marketing Them? (Preprint)

2020 ◽  
Author(s):  
Ariadne A Nichol ◽  
Jason N Batten ◽  
Meghan C Halley ◽  
Julia K Axelrod ◽  
Pamela L Sankar ◽  
...  
Keyword(s):  
Machine Learning ◽  
Health Care ◽  
Clinical Training ◽  
Predictive Analytics ◽  
Disease Onset ◽  
Academic Research ◽  
Cost Effective ◽  
Health Care Settings ◽  
Health Care Efficiency ◽  
Regulatory Challenges

BACKGROUND Considerable effort is devoted to development of artificial intelligence, including machine learning-based predictive analytics (MLPA), for use in health care settings. Growth of MLPA could be fueled by payment reforms that hold health care organizations responsible for providing high quality, cost-effective care. Policy analysts, ethicists and computer scientists have identified unique ethical and regulatory challenges from MLPA in health care. However, little is known about the types of MLPA health care products available on the market today or what their stated goals are. OBJECTIVE To better characterize available products, we identified and characterized claims about products currently in use in U.S. health care settings that are marketed as tools to improve health care efficiency by improving quality of care while reducing costs. METHODS We conducted systematic database searches of relevant business news and academic research to identify MLPA products for health care efficiency that met our inclusion and exclusion criteria. We used content analysis to generate MLPA product categories and to characterize the organizations marketing the products. RESULTS We identified 106 products and characterized them based on publicly available information in terms of the types of predictions made, and the size, type, and clinical training of the leadership of the companies marketing them. We identified five categories of predictions made by MLPA products based on the publicly available product marketing materials: disease onset and progression, treatment, cost and utilization, admissions and readmissions, and decompensation and adverse events. CONCLUSIONS Our findings provide a foundational reference to inform analysis of the specific ethical and regulatory challenges arising from the use of MLPA to improve healthcare efficiency.

scholarly journals Optimal strategies to screen health care workers for COVID-19 in the US: a cost-effectiveness analysis

2021 ◽  
Author(s):  
Sigal Maya ◽  
Guntas Padda ◽  
Victoria Close ◽  
Trevor Wilson ◽  
Fareeda Ahmed ◽  
...  
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Health Care Workers ◽  
Cost Effective ◽  
Health Care Settings ◽  
Testing Strategies ◽  
Effectiveness Analysis ◽  
Care Workers ◽  
Antigen Testing ◽  
Quality Adjusted Life

Abstract Background: Transmission of SARS-CoV-2 in health care facilities poses a challenge against pandemic control. Health care workers (HCWs) have frequent and high-risk interactions with COVID-19 patients. We undertook a cost-effectiveness analysis to determine optimal testing strategies for screening HCWs to inform strategic decision-making in health care settings. Methods: We modeled the number of new infections, quality-adjusted life years lost, and net costs related to six testing strategies including no tests. We applied our model to four strata of HCWs, defined by the presence and timing of symptoms. We conducted sensitivity analyses to account for uncertainty in inputs. Results: When screening recently symptomatic HCWs, conducting only a PCR test is preferable; it saves costs and improves health outcomes in the first week post-symptom onset, and costs $83,000 per quality-adjusted life year gained in the second week post-symptom onset. When screening HCWs in the late clinical disease stage, none of the testing approaches is cost-effective and thus no testing is preferable, yielding $11 and 0.003 new infections per 10 HCWs. For screening asymptomatic HCWs, antigen testing is preferable to PCR testing due to its lower cost. Conclusions: Both PCR and antigen testing are beneficial strategies to identify infected HCWs and reduce transmission of SARS-CoV-2 in health care settings. IgG testing clinical value depends on test timing and immunity characteristics, however is not cost-effective in a low prevalence setting. As the context of the pandemic evolves, our study provides insight to health-care decision makers to keep the health care workforce safe and transmissions low.

scholarly journals Popular Opinion Leader Intervention for HIV Stigma Reduction in Health Care Settings

2013 ◽  
Vol 25 (4) ◽  
pp. 327-335 ◽  
Author(s):  
Li Li ◽  
Jihui Guan ◽  
Li-Jung Liang ◽  
Chunqing Lin ◽  
Zunyou Wu
Keyword(s):  
Health Care ◽  
Opinion Leader ◽  
Hiv Stigma ◽  
Stigma Reduction ◽  
Popular Opinion ◽  
Health Care Settings

Teletinnitus Program at the VA Gulf Coast Veterans Health Care System

2014 ◽  
Vol 4 (1) ◽  
pp. 23-29
Author(s):  
Constance Hilory Tomberlin
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Patient Care ◽  
Health Care System ◽  
Gulf Coast ◽  
New Technology ◽  
Cost Effective ◽  
Veterans Health ◽  
Potential Benefits ◽  
Care System

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

Student Preparation for Dysphagia Practice: Universities and Practicum Sites Supporting a Common Outcome

2016 ◽  
Vol 1 (13) ◽  
pp. 122-129 ◽  
Author(s):  
Wendy Chase ◽  
Lucinda Soares Gonzales
Keyword(s):  
Health Care ◽  
Student Performance ◽  
Classroom Setting ◽  
Medical Settings ◽  
Student Preparation ◽  
Health Care Settings ◽  
The University ◽  
University Of Connecticut

This article will describe the approach to dysphagia education in a classroom setting at the University of Connecticut (UCONN), explore the disparity between student performance in schools vs. health care settings that was discovered at UCONN, and offer suggestions for practicum supervisors in medical settings to enhance student acquisition of competence.

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