scholarly journals Financial Impact and Causes of Chronic Musculoskeletal Disease Cases in Malaysia Based on Social Security Organization of Malaysia Claims Record

2018 ◽  
Vol 7 (3.24) ◽  
pp. 23
Author(s):  
Norsheila Zainal Abidin ◽  
Jafri Mohd. Rohani ◽  
Athirah Nadia Nordin ◽  
Raemy Md. Zein ◽  
Augeny Satik anak Ayak

This paper analyzed total direct cost that is paid by the Social Security Organization of Malaysia (SOCSO) to the Malaysian workers due to musculoskeletal disease. The objectives of this study are 1) to determine the total direct costs incurred as a result of cases of chronic musculoskeletal injuries that was approved by SOCSO from 2009 to 2014 and 2) to examine the age category imposed for the total average cost of the highest MSDs claims for the four categories setting. The data provided by SOCSO on occupational diseases and adopt the top-down approach which includes of 416 claims reported between 2009 and 2014. The categories recorded are the highest total direct cost for types of industries, types of injury, causes of accident and type of body parts. The age claimant is then identified from total average cost earned from the highest total direct cost of the four categories. Manufacturing industry, strenuous movement, sprain and strain and back are recorded as highest total direct cost with the cost of RM 5,181,282.34, RM 7,088,839.51, RM 8,753,975.13, and RM 5,526,590.69, respectively. The age group of 35 – 44 years is recorded as the highest total average cost of these four parameters. This study will provide the basis for future studies and intervention on MSD related injuries in working environment in Malaysia.  

Author(s):  
Venkateswarlu Konuru ◽  
Kamala Sangam ◽  
Anifa Mohammed ◽  
Swathi Kanneganti

Objective:  Diabetes Mellitus (DM) is a major cause of disability, morbidity and mortality Worldwide. The objective of this study is to evaluate the Pharmacoeconomic direct health care cost in type II Diabetes with complications and Diabetes alone: A cost of illness study. Methods:  A Prospective observational study was conducted for one year at the Care diabetes Center; Warangal. The enrolled patients were followed and the information collected contains: total direct costs, which include direct medical costs and direct nonmedical cost. The data observed was analyzed for the average cost incurred in treating the diabetic patient. Results:  The total average costs per diabetic patient without complications was Rs. 8695.7±1341,  this includes the average direct medical cost Rs. 6366.50± 561.12, the average lab cost Rs. 1368.84±64.8, the average direct non Medical Cost was Rs. 960.36±14.04 compared to  those with DM complications,the total average cost was Rs. 12960.73±549.96 for macro vascular complications, Rs. 11039.11±265.36 for micro vascular complications. To treat Diabetes with comorbidities which include both micro and macro complications the total average cost was  Rs. 16658.13±1393.44, the average direct medical cost was Rs. 14071.77±2884.68, the average lab cost Rs. 1628.04±51, the average direct non Medical Cost was Rs.958.32±13.08. The costs were found to increase progressively with the increase in the number of complications. Costs also differed significantly across the types of complications. Conclusion: Our study concludes that the cost of Diabetes with complications resulted about 2 times higher than compared to Diabetes alone.Key words:  Cost analysis; diabetes; economics; health care; direct medical cost; non medical cost


2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Rafael Fernandes Bel Homo ◽  
Antônio Fernandes Costa Lima

ABSTRACT Objective: to identify the average direct cost of maintaining the patency of totally implanted central venous catheter with heparin at a Day Hospital of a public hospital of high complexity specialized in the treatment of cancer patients, and estimate the average direct cost of replacing heparin with sodium chloride 0.9%. Method: quantitative, exploratory-descriptive study, with a sample of 200 non-participant observations of the maintenance of totally implanted central venous catheters with heparin. The average direct cost was calculated by multiplying the (clocked) time spent by professionals to complete the procedure by the direct unit cost of workforce, added to the cost of materials and solutions. Results: the estimated total direct cost of catheter maintenance with heparin was US$ 9.71 (SD=1.35) on average, ranging from US$ 7.98 to US$ 23.28. The estimated total direct cost of maintenance with 0.9% sodium chloride in the place of heparin was US$ 8.81 (SD=1.29) on average, resulting in a reduction of US$ 0.90 per procedure. Conclusion: the results contributed to propose strategies to assist in cost containment/minimization in this procedure. The replacement of heparin by 0.9% sodium chloride proved to be an option to reduce the total average direct cost.


2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 17-17
Author(s):  
Xinyuan Wu ◽  
Elena B. Elkin ◽  
Jason Chih-Shan Chen ◽  
Ashfaq A. Marghoob

17 Background: Basal cell carcinoma (BCC) is the most common cancer in the US, affecting more than 3 million people every year, and the incidence of BCC is increasing. Traditional management of BCC involves multiple physician visits and a pre-treatment biopsy which may be unnecessary. We assessed the costs of treating BCC, comparing traditional management with a simplified scheme. Methods: We developed a decision analytic model to compare the costs of traditional BCC management with a simplified Detect and Treat (DAT) scheme that eliminates pre-treatment biopsy. We assumed that all patients had an unequivocal BCC diagnosis based on clinical and dermoscopic findings. In the traditional approach, all patients had a biopsy prior to treatment. In the DAT scheme, well delineated lesions ≤1cm in diameter on the trunk and extremities were treated with shave removal and Mohs indicated lesions were referred to Mohs for on-site histologic check, both eliminating pre-treatment biopsy. Distributions of lesion location, size and treatment modality, and estimates of clinical diagnostic accuracy and success of shave removal were from the literature and from an analysis of 240 consecutive BCC cases seen over 5 years at our institution. Costs were based on assumptions about the number of dermatologist visits, tests and procedures required for each strategy, and unit prices from the 2014 Medicare physician fee schedule. Results: The average cost per case in the DAT scheme was $449 for non-Mohs-indicated lesions and $819 for Mohs-indicated lesions, compared with $566 and $864, respectively, with traditional management. DAT was associated with a savings of $117 (21% of total average cost) per non-Mohs-indicated case and $45 (5% of total average cost) per Mohs-indicated case. The combined weighted average savings per case was $95 (15% of total average cost). The magnitude of savings varied with changes in model parameters, but conclusions were similar under a wide range of plausible scenarios. Conclusions: A simplified management strategy that avoids routine pre-treatment biopsy can reduce the cost of treating BCC without compromising quality of care.


2016 ◽  
Vol 22 (1) ◽  
pp. 2-17 ◽  
Author(s):  
M.N. Darghouth ◽  
Daoud Ait-Kadi ◽  
Anis Chelbi

Purpose – The authors consider a system which is a part of a complex equipment (e.g. aircraft, automobile, medical equipment, production machine, etc.), and which consists of N independent series subsystems. The purpose of this paper is to determine simultaneously the system design (reliability) and its preventive maintenance (PM) replacements periodicity which minimize the total average cost per time unit over the equipment useful life, taking into account a minimum required reliability level between consecutive replacements. Design/methodology/approach – The problem is tackled in the context of reliability-based design (RBD) considering at the same time the burn-in of components, the warranty commitment and the maintenance strategy to be adopted. A mathematical model is developed to express the total average cost per time unit to be minimized under a reliability constraint. The total average cost includes the cost of acquiring and assembling components, the burn-in of each component, preventive and corrective replacements performed during the warranty and post-warranty periods. A numerical procedure is proposed to solve the problem. Findings – For any given set of input data including components reliability, their cost and the costs of their preventive and corrective replacements, the system design (reliability) and the periodicity of preventive replacement during the post-warranty period is obtained such as the system’s total average cost per time unit is minimized. The obtained results clearly indicate that a decrease in the number of PM actions to be performed during the post-warranty period increases the number of components to be added at each subsystem at the design stage. Research limitations/implications – Given that the objective function (cost rate function) to be minimized is non-linear and involves several integer variables, it has not been possible to derive the optimal solution. A numerical procedure based on a heuristic approach has been proposed to solve the problem finding a nearly optimal solution for a given set of input data. Practical implications – This paper offers to manufacturers a comprehensive approach to look for the most economical combination of the reliability level to be given to their products at the design stage, on one hand, and the PM policy to be adopted, on the other hand, given the offered warranty and service for the products and reliability requirements during the life cycle. Originality/value – While the RBD problem has been largely treated, most of the published works have focussed on the development or the improvement of solving techniques used to find the optimal configuration. In this paper the authors provide a more comprehensive approach that considers simultaneously RBD, the burn-in and warranty periods, along with the maintenance policy to be adopted. The authors also consider the context of products whose component failures cannot be rectified through repair actions. They can only be fixed by replacement.


2020 ◽  
Vol 16 (1) ◽  
pp. 59
Author(s):  
Ferry Runturambi ◽  
Rine Kaunang ◽  
Theodora Maulina Katiandagho

This study aims to analyze the income of potato farming in Sinsingon Village, Passi Timur District, Bolaang Mongondow Regency. This research was conducted in Sinsingon Village, Passi Timur District, Bolaang Mongondow Regency. Sampling in this study was carried out by simple random sampling, as many as 30 farmers who worked on potatoes. This research uses primary and secondary data. Primary data collection was carried out by direct interview with potato farmers in Sinsingon Village. Secondary data were collected from the Sinsingon Village Office and Passi Timur Sub-district Agriculutural Extension Office. Data analysis uses the formula for income and R / C ratio. The results showed that the average potato farm receipts per farmer was Rp. 18,746,000 and the total average cost per farmer is Rp. 10,891,458.33 and produce an average income per farmer of Rp. 7,854,541.67 so as to obtain an R / C ratio of> 1 which is 1.72, it means that the potato farming in Sinsingon Village, Passi Timur District is experiencing profit so that this business is worth the effort.*eprm*


2021 ◽  
Vol 23 (06) ◽  
pp. 1-9
Author(s):  
Bhawna Gupta ◽  
◽  
Sangeeta Gupta ◽  
Sweta Srivastav ◽  
◽  
...  

In this research, we have developed a deterministic inventory model for an item having linear demand in variable deterioration rate. The shortage is allowed and fully backlogged. In developing the model, we have assumed that lead time is not equal to zero. Here we developed an optimal policy that minimizes that the total average cost. The model is illustrated by a suitable numerical example and sensitivity analysis has been carry- out.


2009 ◽  
Vol 1 (3) ◽  
pp. 473-483 ◽  
Author(s):  
R. Begum ◽  
S. K. Sahu ◽  
R. R. Sahoo

The paper contains an order-level inventory model having the demand rate to be a function of time. Here shortages are allowed and completely backlogged. An optimal model is developed by considering exponential demand which minimizes the total average cost. Numerical examples are used to illustrate the developed model. Sensitivity analysis of the optimal solution with respect to major parameters is carried out.  Keywords: Inventory; EOQ; Finite production; Shortages; Exponential demand. © 2009 JSR Publications. ISSN: 2070-0237 (Print); 2070-0245 (Online). All rights reserved.  DOI: 10.3329/jsr.v1i3.2054              J. Sci. Res. 1 (3), 473-483 (2009)     


2001 ◽  
Vol 2 (1) ◽  
pp. 11-18 ◽  
Author(s):  
C. Lucioni ◽  
B. Costa ◽  
A. Sessa

The influenza is an acute viral infection that strikes respiratory tract and its diffusion is characteristic of epidemic and pandemic reoccurence. Globally the influenza represents, for the entity of its social impact (measurable in terms of morbility, hospitalization and mortality), a heavy healt care problem. In Italy the estimated incidence is 10-15%: the influenza is the third death cause for infectiuos disease, after AIDS and tubercolosis. This study is based on the Studio 606, the first italian study that allow us to pass from the presumptive phase to the observational one. The Studio 606 has been projected and realized by the Società Italiana di Medicina Generale (SIMG), involving about 200 general practitioners (MMG) in two sample region, Lombardia and Puglia. The study has been developed between December the 15th, 1998 and March the 15th, 1999. The influenza causes especially indirect costs: most of people affected with influenza doesn’t go to work for about five days and these absences create an average cost per capita of £558.000. This indirect cost represents 87% of total average cost of one single influenza event.


2017 ◽  
Vol 2 (2) ◽  
Author(s):  
Destanul Aulia, SKM, MBA-HM, MEc, PhD ◽  
Sri Fajar Ayu ◽  
Nefonafratilova Nefonafratilova

Abstrak Stroke dibagi dalam dua kategori, yaitu stroke iskemik dan hemoragik. Setiap tahunnya terdapat 15 juta orang di seluruh dun­ia yang mengalami stroke. Pengobatan stroke memerlukan biaya yang tinggi. Beban akibat penyakit jantung dan stroke dari tahun 2012 hingga 2030 mencapai Rp. 1,7 triliun. Penelitian ini bertujuan untuk menganalisis perbandingan biaya langsung dan tidak langsung yang dikelarkan oleh pasien stroke di RSUD Kota X tahun 2017. Hasil penelitian menunjukkan bahwa jum­lah pasien stroke iskemik lebih banyak dibandingkan pasien stroke hemoragik. Secara rata-rata, lama hari rawat untuk pasien stroke hemoragik lebih lama dibandingkan stroke iskemik. Namun demikian, total biaya pasien stroke jenis iskemik lebih be­sar dibandingkan total biaya pasien stroke hemoragik. Biaya rata-rata yang dikeluarkan pasien stroke hemoragik lebih besar Rp 3.763.750 dibandingkan biaya rata-rata pasien stroke iskemik. Total biaya langsung pasien stroke yaitu Rp. 527.895.000 (54,7%) dan total biaya tidak langsung yaitu Rp. 437.295.000 (45,3%). Disarankan agar masyarakat lebih teratur dalam me­mantau kesehatan, pergerakan tekanan darah dan kemungkinan gejala stroke.Abstract Stroke is divided into two categories, ischemic and hemorrhagic. Each year there are 15 million people around the world who suffer a stroke. Stroke treatment requires a high cost. The burden of heart disease and stroke from 2012 to 2030 reaches Rp. 1,7 trillion. This study aimed to analyze the comparison of direct and indirect costs of stroke patient in X hospital in 2017. The results showed that the number of ischemic stroke patients more than hemorrhagic stroke patients. The average cost of hemorrhagic stroke patients is greater at Rp 3,763,750 than the average cost of ischemic stroke patients. The total direct cost of stroke patients is Rp. 527,895,000 (54.7%) and the total indirect cost of Rp. 437,295,000 (45.3%). It is recommended that the public more actively to monitor health, blood pressure movements, and symptoms of stroke. 


2010 ◽  
Vol 96 (1) ◽  
pp. 20-29
Author(s):  
Jerry C. Calvanese

ABSTRACT Study Objective: The purpose of this study was to obtain data on various characteristics of peer reviews. These reviews were performed for the Nevada State Board of Medical Examiners (NSBME) to assess physician licensees' negligence and/or incompetence. It was hoped that this data could help identify and define certain characteristics of peer reviews. Methods: This study examined two years of data collected on peer reviews. The complaints were initially screened by a medical reviewer and/or a committee composed of Board members to assess the need for a peer review. Data was then collected from the peer reviews performed. The data included costs, specialty of the peer reviewer, location of the peer reviewer, and timeliness of the peer reviews. Results: During the two-year study, 102 peer reviews were evaluated. Sixty-nine percent of the peer-reviewed complaints originated from civil malpractice cases and 15% originated from complaints made by patients. Eighty percent of the complaint physicians were located in Clark County and 12% were located in Washoe County. Sixty-one percent of the physicians who performed the peer reviews were located in Washoe County and 24% were located in Clark County. Twelve percent of the complaint physicians were in practice in the state for 5 years or less, 40% from 6 to 10 years, 20% from 11 to 15 years, 16% from 16 to 20 years, and 13% were in practice 21 years or more. Forty-seven percent of the complaint physicians had three or less total complaints filed with the Board, 10% had four to six complaints, 17% had 7 to 10 complaints, and 26% had 11 or more complaints. The overall quality of peer reviews was judged to be good or excellent in 96% of the reviews. A finding of malpractice was found in 42% of the reviews ordered by the medical reviewer and in 15% ordered by the Investigative Committees. There was a finding of malpractice in 38% of the overall total of peer reviews. The total average cost of a peer review was $791. In 47% of the peer reviews requested, materials were sent from the Board to the peer reviewer within 60 days of the original request and 33% took more than 120 days for the request to be sent. In 48% of the reviews, the total time for the peer review to be performed by the peer reviewer was less than 60 days. Twenty seven percent of the peer reviews took more than 120 days to be returned. Conclusion: Further data is needed to draw meaningful conclusions from certain peer review characteristics reported in this study. However, useful data was obtained regarding timeliness in sending out peer review materials, total times for the peer reviews, and costs.


Sign in / Sign up

Export Citation Format

Share Document