scholarly journals The Cost of Shoulder Arthroscopy: A Comparison with National Tariff

2008 ◽  
Vol 90 (7) ◽  
pp. 587-591 ◽  
Author(s):  
Anthony Hearnden ◽  
Duncan Tennent
Keyword(s):  
Cost Analysis ◽  
Shoulder Arthroscopy ◽  
National Level ◽  
Subacromial Decompression ◽  
Resource Group ◽  
The Cost ◽  
Work Done ◽  
Cuff Repair ◽  
Arthroscopic Operations ◽  
Healthcare Resource Group

INTRODUCTION ‘Payment by results’ was introduced with the aim of providing each trust with a transparent and fair remuneration for the work done. Hospitals are paid a tariff for each Healthcare Resource Group (HRG). The tariff is calculated at a national level, by means of a complex manipulation of historic financial data. However, the financial viability of a hospital relies on these payments and so accuracy is vital. PATIENTS AND METHODS We conducted a cost analysis of shoulder arthroscopic procedures carried out at an elective orthopaedic unit. This unit is self contained and well audited, providing an unique opportunity to make a more accurate cost analysis. We calculated the cost of the facility, consumables/implants, anaesthetics and staff pay. This was then compared with the amount paid to the trust. RESULTS All arthroscopic operations performed at our institution attract a tariff of £1780. Our cost of a subacromial decompression was £1307, a profit of £473. A rotator cuff repair was £2672, a loss of £892. CONCLUSIONS The tariff is inaccurate. The arthroscopic HRG is too general and fails to address the extra time and expense of equipment some procedures utilise. We found cost was very sensitive to length of operation. Delays and even teaching can make a ‘profitable operation’ lose money for the trust.

scholarly journals History and evolution of shoulder arthroscopy

2020 ◽  
Vol 1 ◽  
pp. 11-15
Author(s):  
Sanjay S. Desai
Keyword(s):  
Knee Arthroscopy ◽  
Shoulder Arthroscopy ◽  
Arthroscopic Surgery ◽  
Light Bulb ◽  
Subacromial Decompression ◽  
Double Row ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair ◽  
Modern Form ◽  
Repair Techniques

The invention of the incandescent light bulb by Edison in 1879, led to the introduction of the laparo-thoracoscope in 1910. Attempts were made to use this device in the knee joint as well. Development of the arthroscope really took off after the introduction of “cold-light” and rod lens optical system by Hopkins in 1960. Kenji Takagi and later Masaki Watanabe get the credit for developing the modern form of arthroscopy. The spillover of knee arthroscopy into the shoulder was inevitable and began in 1980’s. Shoulder arthroscopy started with instability repair, followed by subacromial decompression. Through the 1980’s and 1990’s, with the development in biotechnology, more sophisticated tools and anchors became available leading to refinement of instability repair procedures. The 2000’s saw improvement in arthroscopic rotator cuff repair techniques including the double- row and trans-osseous equivalent. The last decade has witnessed the development of more complex arthroscopic procedures such as Latarjet and Superior Capsule Reconstruction. However, arthroscopic surgery continues to be equipment intensive and we need to remind ourselves that the arthroscope is no “magic wand” and good clinical evaluation continues to prevail.

Identyfikacja kosztów pogorszenia reputacji przedsiębiorstwa z perspektywy interesariuszy

2014 ◽  
pp. 10-15
Author(s):  
Danuta Szwajca ◽  
Alina Rydzewska ◽  
Tomasz Nawrocki
Keyword(s):  
Cost Analysis ◽  
Economic Costs ◽  
Crisis Situation ◽  
Modern Economy ◽  
The Cost ◽  
A Company ◽  
Crisis Situations

In the realities of modern economy even the best-managed company is not able to avoid threats and bad decisions, that can cause a crisis. Each crisis situation, that a company experiences, generates not only measurable economic costs, but also more difficult to assess and measure costs of a deteriorated reputation. These costs are the result of infringement of interests or failing to satisfy different stakeholders expectations. The aim of this article is an attempt to identify the cost of reputation deterioration in the context of the various interests of stakeholders groups. In the first part, the paper presents the effects of good and bad reputation, the reputation "contamination" path in a crisis situation and a cost analysis caused by it. The second part is empirical, where the identification of crisis situations measurable costs and reputation deterioration based on the examples of three selected companies was performed.

LIFE SKILLS EDUCATION FOR SCHOOL DROP OUTS IN TAMAN SARI, DISTRICT BOGOR REGENCY

2019 ◽  
Vol 1 (2) ◽  
pp. 46
Author(s):  
Stefani Nawati EKORESTI
Keyword(s):  
Life Skills ◽  
Economic Value ◽  
Skills Training ◽  
Poor People ◽  
Housing Conditions ◽  
The Cost ◽  
Skills Education ◽  
Work Done ◽  
Drop Outs ◽  
Life Skills Education

Taman Sari Sub-District, Bogor Regency has the potential for fertile soil. But these lands have not been tilled properly. Narrow housing conditions, especially for poor people, do not allow residents to plant crops. Causing the lack of consumption of vegetables; which causes residents become easily sick. In addition, there is also a lot of plastic waste, especially bottled drinking water and other things that come from tourists and fishermen who have not been processed. This condition gave rise to the idea to provide life skills training in making vertical gardens, hydroponic plants and waste management. Besides the need for makeup and haircutting skills also needed especially for orphans fostered by Yasayan Usawatun Hasanah. Community Service Activities (PkM) aims to foster community awareness of the cleanliness of the environment and empower citizens to be more creative and entrepreneurial. Therefore, in addition to the types of activities requested by the residents, UPBJJ-UT Bogor will also teach about identifying the economic value of the work done in the form of determining the cost of goods sold / production. This activity was attended by 50 orphans and it ran smoothly and successfully. Now orphans already have life skills that hope can lift their economy.

Economic impact of the use of the National Surgical Quality Improvement Program

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Alvine Fansi ◽  
Angela Ly ◽  
Julie Mayrand ◽  
Maggy Wassef ◽  
Aldanie Rho ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Cost Analysis ◽  
Economic Impact ◽  
Quality Improvement Program ◽  
Economic Evaluations ◽  
Complication Rates ◽  
Improvement Program ◽  
Surgical Quality ◽  
Acs Nsqip ◽  
The Cost

Objectives The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) is a validated, risk-adjusted database for improving the quality and security of surgical care. ACS NSQIP can help participating hospitals target areas that need improvement. The aim of this study was to systematically review the literature analyzing the economic impact of using NSQIP. This paper also provides an estimation of annual cost savings following the implementation of NSQIP and quality improvement (QI) activities in two hospitals in Quebec. Methods In June 2018, we searched in seven databases, including PubMed, Embase, and NHSEED for economic evaluations based on NSQIP data. Contextual NSQIP databases from two hospitals were collected and analyzed. A cost analysis was conducted from the hospital care perspective, comparing complication costs before and after 1 year of the implementation of NSQIP and QI activities. The number and the cost of complications are measured. Costs are presented in 2018 Canadian dollars. Results Out of 1,612 studies, 11 were selected. The level of overall evidence was judged to be of moderate to high quality. In general, data showed that, following the implementation of NSQIP and QI activities, a significant decrease in complications and associated costs was observed, which improved with time. In the cost analysis of contextual data, the reduction in complication costs outweighed the cost of implementing NSQIP. However, this cost analysis did not take into account the costs of QI activities. Conclusions NSQIP improves complication rates and associated costs when QI activities are implemented.

scholarly journals A cost analysis to address issues of budget constraints on the implementation of the indoor residual spray programme in two districts of Maputo Province, Mozambique

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Neide Canana
Keyword(s):  
Sensitivity Analysis ◽  
Cost Analysis ◽  
Financial Analysis ◽  
Indoor Residual Spraying ◽  
Economic Cost ◽  
Cost Information ◽  
Financial Cost ◽  
Provider Perspective ◽  
The Government ◽  
The Cost

Abstract Background It is frequently said that funding is essential to ensure optimal results from a malaria intervention control. However, in recent years, the capacity of the government of Mozambique to sustain the operational cost of indoor residual spraying (IRS) is facing numerous challenges due to restrictions of the Official Development Assistance. The purpose of the study was to estimate the cost of IRS operationalization in two districts of Maputo Province (Matutuíne and Namaacha) in Mozambique. The evidence produced in this study intends to provide decision-makers with insight into where they need to pay close attention in future planning in order to operationalize IRS with the existent budget in the actual context of budget restrictions. Methods Cost information was collected retrospectively from the provider perspective, and both economic and financial costs were calculated. A “one-way” deterministic sensitivity analysis was performed. Results The average economic costs totaled US$117,351.34, with an average economic cost per household sprayed of US$16.35, and an average economic cost per person protected of US$4.09. The average financial cost totaled US$69,174.83, with an average financial cost per household sprayed and per person protected of US$9.84 and US$2.46, respectively. Vehicle, salary, and insecticide costs were the greatest contributors to overall cost in the economic and financial analysis, corresponding to 52%, 17%, and 13% in the economic analysis and 21%, 27%, and 22% in the financial analysis, respectively. The sensitivity analysis was adapted to a range of ± (above and under) 25% change. There was an approximate change of 14% in the average economic cost when vehicle costs were decreased by 25%. In the financial analysis, the average financial cost was lowered by 7% when salary costs were decreased by 25%. Conclusions Altogether, the current cost analysis provides an impetus for the consideration of targeted IRS operationalization within the available governmental budget, by using locally-available human resources as spray operators to decrease costs and having IRS rounds be correctly timed to coincide with the build-up of vector populations.

scholarly journals National Economic Burden Associated with Management of Periodontitis in Malaysia

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Tuti Ningseh Mohd Dom ◽  
Rasidah Ayob ◽  
Khairiyah Abd Muttalib ◽  
Syed Mohamed Aljunid
Keyword(s):  
Societal Perspective ◽  
Economic Burden ◽  
Census Data ◽  
Adult Population ◽  
National Level ◽  
Indirect Costs ◽  
Treatment Costs ◽  
High Prevalence ◽  
National Economic ◽  
The Cost

Objectives. The aim of this study is to estimate the economic burden associated with the management of periodontitis in Malaysia from the societal perspective.Methods. We estimated the economic burden of periodontitis by combining the disease prevalence with its treatment costs. We estimated treatment costs (with 2012 value of Malaysian Ringgit) using the cost-of-illness approach and included both direct and indirect costs. We used the National Oral Health Survey for Adults (2010) data to estimate the prevalence of periodontitis and 2010 national census data to estimate the adult population at risk for periodontitis.Results. The economic burden of managing all cases of periodontitis at the national level from the societal perspective was approximately MYR 32.5 billion, accounting for 3.83% of the 2012 Gross Domestic Product of the country. It would cost the nation MYR 18.3 billion to treat patients with moderate periodontitis and MYR 13.7 billion to treat patients with severe periodontitis.Conclusion. The economic burden of periodontitis in Malaysia is substantial and comparable with that of other chronic diseases in the country. This is attributable to its high prevalence and high cost of treatment. Judicious application of promotive, preventive, and curative approaches to periodontitis management is decidedly warranted.

The cost of depression – A cost analysis from a large database

2013 ◽  
Vol 147 (1-3) ◽  
pp. 137-143 ◽  
Author(s):  
Katja Kleine-Budde ◽  
Romina Müller ◽  
Wolfram Kawohl ◽  
Anke Bramesfeld ◽  
Jörn Moock ◽  
...  
Keyword(s):  
Cost Analysis ◽  
Large Database ◽  
The Cost

scholarly journals Cost Analysis of Methylprednisolone Treatment of Multiple Sclerosis Patients

1998 ◽  
Vol 25 (3) ◽  
pp. 222-229 ◽  
Author(s):  
Lynda S. Robson ◽  
Charlene Bain ◽  
Shann Beck ◽  
Suzanne Guthrie ◽  
Peter C. Coyte ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Cost Saving ◽  
Cost Analysis ◽  
Home Care ◽  
Care Program ◽  
Sensitivity Analyses ◽  
Patient Treatment ◽  
Fiscal Year ◽  
Multiple Sclerosis Patients ◽  
The Cost

ABSTRACT:Background:Intravenous methylprednisolone (IVMP) is the treatment of choice for multiple sclerosis (MS) patients undergoing acute exacerbation of disease symptoms and yet its cost has not been accurately determined. Determination of this cost in different settings is also pertinent to consideration of cost-saving alternatives to in-patient treatment.Methods:Cost analysis from the point of view of the health care system of IVMP treatment of MS patients receiving treatment in association with a selected Toronto teaching hospital in fiscal year 1994/95 was carried out. Costs of any concurrent treatments were excluded.Results:Total cost for 92 patients, based on a 4 dose regime, was estimated to be $78,527. The the cost per patient was $1,1181.84 for in-patients (IP), $714.64 for out-patients of the MS Clinic (OP) and $774.21 for patients whose treatment was initiated in the Clinic, but completed in the home (HC). Sensitivity analyses indicated: 1) IP treatment was in all cases more expensive than that of OP or HC; 2) the cost savings of OP vs. HC was sensitive to assumptions made regarding Clinic overhead, Clinic nursing costs and Home Care Program overhead.Conclusion:Alternatives to in-patient care must be considered carefully. In this study, both out-patient and in-home treatment were cost-saving alternatives to in-patient treatment, but large differences in the cost of hospital out-patient vs. in-home care could not be demonstrated.

scholarly journals Procedure for detecting tobamovirus in tomato and pepper seeds decreases the cost analysis

Bragantia ◽  
2018 ◽  
Vol 77 (4) ◽  
pp. 590-598
Author(s):  
João Eduardo Melo Almeida ◽  
Antonia dos Reis Figueira ◽  
Priscilla de Sousa Geraldino Duarte ◽  
Mauricio Antônio Lucas ◽  
Nara Edreira Alencar
Keyword(s):  
Cost Analysis ◽  
The Cost

scholarly journals How effective is the MERCOSUR's network of protected areas in representing South America's ecoregions?

Oryx ◽  
2005 ◽  
Vol 40 (1) ◽  
pp. 112-116 ◽  
Author(s):  
Alvaro Soutullo ◽  
Eduardo Gudynas
Keyword(s):  
Protected Areas ◽  
National Level ◽  
Conservation Priorities ◽  
Regional Approach ◽  
Iucn Categories ◽  
Efficient Protection ◽  
Cost Efficient ◽  
The Cost

We evaluate the effectiveness of the MERCOSUR's network of protected areas in representing South America's ecoregions. The region contains 1,219 non-overlapping protected areas covering nearly 2,000,000 km2. Fifty percent of the reserves are <100 km2 and 75% <1,000 km2. Less than a half of the 75 ecoregions in the MERCOSUR have at least 10% of their area within protected areas, and only 13 when just reserves in IUCN categories I–IV are considered. In general, forests are better represented than other biomes. At the national level the network of protected areas in Uruguay is the least developed in the region, with those of Bolivia and Chile the most developed. For 10% of each ecoregion to be protected at least another 500,000 km2 would have to be incorporated into the network. Such expansion would be more efficient if conservation priorities are identified using a regional approach. This is of particular relevance for the cost-efficient protection of the 20 ecoregions that are shared by two or more countries. While only c. 20% of the ecoregions found in Brazil are shared with other countries, >75% of the ecoregions in Bolivia, c. 70% in Argentina, >60% in Chile, and all the ecoregions in Paraguay and Uruguay are shared with other countries. Overall, although it currently covers 14% of the region, the network of protected areas of the MERCOSUR still performs poorly in protecting its ecoregions.

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