scholarly journals Costs of nursing procedures/interventions: an integrative literature review

2020 ◽  
Vol 73 (suppl 6) ◽  
Author(s):  
Paula Buck de Oliveira Ruiz ◽  
Caroline Rife Nobrega ◽  
Cínthia Prates Vigna ◽  
Antônio Fernandes Costa Lima
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Indirect Costs ◽  
Direct Costs ◽  
Scientific Production ◽  
Case Study Method ◽  
Total Cost ◽  
The Cost ◽  
Nursing Professionals

ABSTRACT Objectives: to analyze the scientific production of nurses regarding the costs of procedures/interventions performed by nursing professionals. Methods: integrative literature review with a sample of 17 primary articles selected from the CINAHL, Scopus, EMBASE databases and the PubMed portal. Results: all studies were conducted in hospitals, with quantitative, exploratory-descriptive studies, considering the case study method, with the description of costs method adopted, and the number of Brazilian publications stood out (12; 70.58%). The calculation of direct costs was most common due to the absence/difficulty of accessing information in the studied hospitals. This made it impossible to obtain the indirect costs that would be necessary for the composition of the total cost. Conclusions: it was shown that studies about the cost of procedures/interventions are still scarce, often covering only the calculation of direct costs. Nurses need to develop studies on such costs using the same methodology in different contexts of health care.

scholarly journals Economic burden of migraine in Latvia and Lithuania: direct and indirect costs

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ágnes Lublóy
Keyword(s):  
Health Care ◽  
Resource Utilization ◽  
Financial Burden ◽  
Productivity Loss ◽  
Indirect Costs ◽  
Direct Costs ◽  
Health Care Resource ◽  
Total Cost ◽  
Direct And Indirect Costs ◽  
Health Care Resource Utilization

Abstract Background Migraine is a primary headache disorder which affects all aspects of life. The financial burden of migraine imposed on the society might be substantial. This study aims at estimating the economic cost of migraine in Latvia and Lithuania, including both direct and indirect costs. Direct costs encompass the costs of migraine-related health care resource utilization. Indirect costs are related to productivity loss, the potential or expected earnings lost due to migraine. Methods Direct cost is assessed by using the prevalence method, a widely used cost-of-illness approach. The prevalence rate of migraine and the migraine-related health care resource utilization are proxied from the literature, whereas unit cost of medical services and procedures are retrieved from national databases and providers. For estimating the indirect cost of migraine, we follow the human capital approach. We quantify three components of indirect costs: reduced labour force participation, absence from work and reduced productivity while at work. The number of unemployed migraineurs, days missed from work and days lost due to impairment while at work are drawn from the literature. Unemployment rate and average income in Latvia and Lithuania are then inserted to assess indirect costs. Results We find that the mean per-person total cost of migraine is €801 annually in Latvia, and €721 in Lithuania. In both countries around 30% of total cost is direct cost; cost related to a wide array of migraine-related medical services and interventions. The total cost of migraine is €112.26 million in Latvia, corresponding to 0.42% of Latvia’s GDP. The total cost of migraine is €149.62 million in Lithuania, corresponding to 0.35% of Lithuania’s GDP. In both countries two thirds of total cost is related to lost workdays due to absenteeism and presenteeism. Conclusions The financial burden of migraine imposed on the society is substantial in Latvia and Lithuania. Improvements in care for patients with migraine, such as easier access to structured headache assessment services, wider availability of various procedures and preventive medications would significantly increase direct costs. Nevertheless, this cost increase might be far outweighed by lower migraine-related productivity loss, especially as the prevalence of migraine is the highest in the most productive years of life.

scholarly journals Sex Difference in the Socioeconomic Burden of Osteoporosis among South Koreans

Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1304
Author(s):  
Eun-Whan Lee ◽  
Jin Young Nam
Keyword(s):  
Indirect Costs ◽  
Direct Costs ◽  
Policy Support ◽  
Main Diagnosis ◽  
Secondary Diagnosis ◽  
Total Cost ◽  
Health And Nutrition ◽  
Socioeconomic Burden ◽  
The Cost ◽  
Prevalence Of Osteoporosis

Background: The prevalence of osteoporosis is increasing with the aging of the population and the socioeconomic burden. The purpose of this study was to determine the socioeconomic burden of osteoporosis in Korea. Methods: The prevalence of osteoporosis was analyzed using 2017 National Patients Sample and Korea National Health and Nutrition Examination Survey data. Direct costs were divided into healthcare and non-healthcare costs, and indirect costs were calculated by assessing the cost of loss of productivity for labor loss due to disease. Results: The prevalence of osteoporosis diagnosis was 1.91% in total, which was 13 times higher in women than in men (3.57% vs. 0.26%). The socioeconomic cost of osteoporosis was 299.1 million USD based on main diagnosis, and the cost was 13 times higher in women than in men (277.6 vs. 21.5 million USD). The total cost based on main and secondary diagnosis was 981.8 million USD. Similarly, the cost was seven times higher in women than in men (862.4 vs. 119.4 million USD). Conclusions: Osteoporosis increases the socioeconomic burden of disease, and it is significantly higher in women than in men. The policy support for the implementation of prevention and management programs would be necessary to reduce the burden of osteoporosis.

scholarly journals The costs of COVID-19 and the cost-effectiveness of testing

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Beatriz González López-Valcárcel ◽  
Laura Vallejo-Torres
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Indirect Costs ◽  
Large Degree ◽  
Dominant Strategy ◽  
Special Focus ◽  
Content Type ◽  
Total Cost ◽  
Global Cost ◽  
The Cost

Purpose This paper aims to provide an estimation of the costs of the coronavirus (COVID-19) pandemic with a special focus on Spain. Costs include macroeconomic costs of foregone gross domestic product (GDP) attributable to the pandemic and the direct and indirect costs of prevention, treatment and lost productivity. This study also analyzes the cost-effectiveness of the test-tracking-quarantine (TTQ) strategy in Spain. Design/methodology/approach The macroeconomic costs of foregone GDP attributable to the pandemic are estimated for different countries and areas by comparing the present GDP forecasts for 2020 and 2021 with counterfactuals estimated before the COVID-19 crisis aftermath. The total cost of the COVID-19 for Spain in 2020 was obtained using the cost of illness approach with a bottom-up process. A cost-effectiveness analysis of the TTQ strategy in Spain is based on the estimation of the total costs of TTQ and the health gains and avoided health-care costs associated with the TTQ strategy. A sensitivity analysis explores the consequences of uncertainty in key parameters. Findings The GDP cost of the COVID-19 is by far larger than all the other components of the cost. The global cost of the Covid-19 crisis in 2020–2021 is estimated at 14% of 2019 GDP (around 12,206 mm$). In the specific case of Spain, it amounts to 24% of the 2019 GDP; which is 397.3 m €. Spain is and will be by far the European country most economically affected by the pandemic. In Spain 2020, the GDP cost accounts for 94.7% of the total cost of the COVID-19 and health-care direct costs are only 2.14%. TTQ is a dominant strategy in Spain. For each euro spent on it, 7 euros will be recovered only in terms of saved health-care resources. Research limitations/implications Given the large degree of uncertainty and the fast-evolving nature of the epidemic, a number of assumptions are required to arrive at the estimates provided in this study. The results were found to be robust to the assumptions applied. Practical implications TTQ is a key strategy for the contention of the epidemy and it is justified from the economic perspective. Originality/value This is the first estimation of the cost of the COVID-19 and the cost-effectiveness of the TTQ strategy for Spain.

scholarly journals Financial impact of nursing professionals staff required in an Intensive Care Unit

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Thamiris Ricci de Araújo ◽  
Mayra Gonçalves Menegueti ◽  
Maria Auxiliadora-Martins ◽  
Valéria Castilho ◽  
Lucieli Dias Pedreschi Chaves ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Quantitative Research ◽  
Case Study Method ◽  
Monthly Cost ◽  
Average Quantity ◽  
The Right ◽  
The Cost ◽  
Nursing Professionals

ABSTRACT Objective: to calculate the cost of the average time of nursing care spent and required by patients in the Intensive Care Unit (ICU) and the financial expense for the right dimension of staff of nursing professionals. Method: a descriptive, quantitative research, using the case study method, developed in adult ICU patients. We used the workload index - Nursing Activities Score; the average care time spent and required and the amount of professionals required were calculated using equations and from these data, and from the salary composition of professionals and contractual monthly time values, calculated the cost of direct labor of nursing. Results: the monthly cost of the average quantity of available professionals was US$ 35,763.12, corresponding to 29.6 professionals, and the required staff for 24 hours of care is 42.2 nurses, with a monthly cost of US$ 50,995.44. Conclusion: the numerical gap of nursing professionals was 30% and the monthly financial expense for adaptation of the structure is US$ 15,232.32, which corresponds to an increase of 42.59% in the amounts currently paid by the institution.

APPLICATION OF THE CASE STUDI METHOD IN THE EDUCATIONAL PROCESS OF PREPARING THE PROVISOR

2020 ◽  
Vol 22 (9) ◽  
pp. 4-7
Author(s):  
Nikiforova E.B. ◽  
Davitavyan N.A. ◽  
Shevchenko A.I.
Keyword(s):  
Health Care ◽  
Educational Technology ◽  
Educational Process ◽  
Professional Activity ◽  
Federal State ◽  
Case Study Method ◽  
State Budget ◽  
Educational Standard ◽  
Competency Based

The development of the pharmaceutical industry is one of the priority tasks of our state, aimed at providing the population of the Russian Federation with modern safe and effective medicines. The solution to this problem is impossible without the formation of a highly qualified personnel potential that meets the demand and expectations of the pharmaceutical market and society as a whole. In this regard, in the system of training of pharmacists in recent years, quite dynamic and flexible transformations have been taking place, dictated by the urgent needs of domestic health care. It should be noted that in the process of implementing this educational standard, the competency-based approach to organizing the process of training modern pharmacists comes to the fore. One of the effective tools for the formation of professional competencies in various educational fields is the case study method. Case study is a training method based on the analysis of real situations from various areas of professional activity and contributing to the development of specialist competency. The competency-based orientation of the case study method is in line with modern ideas about the organization of the educational process for the training of pharmacists. The case study method is actively used in the process of teaching disciplines of the curriculum of the Federal State Budget Educational Establishment of Higher Education KubGMU of the Ministry of Health of Russia, specialty 33.05.01 Pharmacy. Examples of case study tasks as educational technology are presented in the work programs of the curriculum disciplines of the specialty 33.05.01 Pharmacy developed at the Department of Pharmacy. Depending on the content of the taught discipline, these tasks simulate a particular situation from the professional activities of pharmacists, offered to students for a comprehensive analysis and evaluation. The use of this educational technology contributes to the integration of knowledge, skills acquired in the learning process and their competency-based profiling in accordance with the current level of development of domestic health care.

scholarly journals THU0548 THE ECONOMIC BURDEN OF ANKYLOSING SPONDYLITIS IN SPAIN. RESULTS OF THE SPANISH ATLAS 2017

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 514.2-514
Author(s):  
M. Merino ◽  
O. Braçe ◽  
A. González ◽  
Á. Hidalgo-Vega ◽  
M. Garrido-Cumbrera ◽  
...  
Keyword(s):  
Health Care ◽  
Ankylosing Spondylitis ◽  
Health Care Costs ◽  
Health Care Cost ◽  
Labour Productivity ◽  
General Health Questionnaire ◽  
Indirect Costs ◽  
Productivity Losses ◽  
The Cost ◽  
Care Costs

Background:Ankylosing Spondylitis (AS) is a disease associated with a high number of comorbidities, chronic pain, functional disability, and resource consumption.Objectives:This study aimed to estimate the burden of disease for patients diagnosed with AS in Spain.Methods:Data from 578 unselected patients with AS were collected in 2016 for the Spanish Atlas of Axial Spondyloarthritis via an online survey. The estimated costs were: Direct Health Care Costs (borne by the National Health System, NHS) and Direct Non-Health Care Costs (borne by patients) were estimated with the bottom-up method, multiplying the resource consumption by the unit price of each resource. Indirect Costs (labour productivity losses) were estimated using the human capital method. Costs were compared between levels of disease activity using the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score (<4 or low inflammation versus ≥4 or high inflammation) and risk of mental distress using the 12-item General Health Questionnaire (GHQ-12) score (<3 or low risk versus ≥3 or high risk).Results:The average annual cost per patient with AS in 2015 amounted to €11,462.3 (± 13,745.5) per patient. Direct Health Care Cost meant an annual average of €6,999.8 (± 9,216.8) per patient, to which an annual average of €611.3 (± 1,276.5) per patient associated with Direct Non-Health Care Cost borne by patients must be added. Pharmacological treatment accounted for the largest percentage of the costs borne by the NHS (64.6%), while for patients most of the cost was attributed to rehabilitative therapies and/or physical activity (91%). The average annual Indirect Costs derived from labour productivity losses were €3,851.2 (± 8,484.0) per patient, mainly associated to absenteeism. All categories showed statistically significant differences (p<0.05) between BASDAI groups (<4 vs ≥4) except for the Direct Non-Healthcare Cost, showing a progressive rise in cost from low to high inflammation. Regarding the 12-item General Health Questionnaire (GHQ-12), all categories showed statistically significant differences between GHQ-12 (<3 vs ≥3), with higher costs associated with higher risk of poor mental health (Table 1).Table 1.Average annual costs per patient according to BASDAI and GHQ-12 groups (in Euros, 2015)NDirect Health CostsDirect Non-Health CostsIndirect CostsTotal CostBASDAI<4917,592.0*557.32,426.5*10,575.8*≥43769,706.9*768.05,104.8*15,579.7*Psychological distress (GHQ-12)<31468,146.8*493.6*3,927.2*12,567.6*≥32609,772.9*807.2*4,512.3*15,092.5*Total5786,999.8611.33,851.211,462.3* p <0.05Conclusion:Direct Health Care Costs, and those attributed to pharmacological treatment in particular, accounted for the largest component of the cost associated with AS. However, a significant proportion of the overall costs can be further attributed to labour productivity losses.Acknowledgments:Funded by Novartis Farmacéutica S.A.Disclosure of Interests:María Merino: None declared, Olta Braçe: None declared, Almudena González: None declared, Álvaro Hidalgo-Vega: None declared, Marco Garrido-Cumbrera: None declared, Jordi Gratacos-Masmitja Grant/research support from: a grant from Pfizzer to study implementation of multidisciplinary units to manage PSA in SPAIN, Consultant of: Pfizzer, MSD, ABBVIE, Janssen, Amgen, BMS, Novartis, Lilly, Speakers bureau: Pfizzer, MSD, ABBVIE, Janssen, Amgen, BMS, Novartis, Lilly

scholarly journals Blockchain in Health Care Innovation: Literature Review and Case Study From a Business Ecosystem Perspective (Preprint)

2020 ◽  
Author(s):  
Shuchih Ernest Chang ◽  
YiChian Chen
Keyword(s):  
Health Care ◽  
Life Cycle ◽  
Literature Review ◽  
Case Studies ◽  
Paradigm Shift ◽  
Potential Health ◽  
Business Ecosystem ◽  
Blockchain Technology ◽  
The Impact

BACKGROUND Blockchain technology is leveraging its innovative potential in various sectors and its transformation of business-related processes has drawn much attention. Topics of research interest have focused on medical and health care applications, while research implications have generally concluded in system design, literature reviews, and case studies. However, a general overview and knowledge about the impact on the health care ecosystem is limited. OBJECTIVE This paper explores a potential paradigm shift and ecosystem evolution in health care utilizing blockchain technology. METHODS A literature review with a case study on a pioneering initiative was conducted. With a systematic life cycle analysis, this study sheds light on the evolutionary development of blockchain in health care scenarios and its interactive relationship among stakeholders. RESULTS Four stages—birth, expansion, leadership, and self-renewal or death—in the life cycle of the business ecosystem were explored to elucidate the evolving trajectories of blockchain-based health care implementation. Focused impacts on the traditional health care industry are highlighted within each stage to further support the potential health care paradigm shift in the future. CONCLUSIONS This paper enriches the existing body of literature in this field by illustrating the potential of blockchain in fulfilling stakeholders’ needs and elucidating the phenomenon of coevolution within the health care ecosystem. Blockchain not only catalyzes the interactions among players but also facilitates the formation of the ecosystem life cycle. The collaborative network linked by blockchain may play a critical role on value creation, transfer, and sharing among the health care community. Future efforts may focus on empirical or case studies to validate the proposed evolution of the health care ecosystem.

scholarly journals IMPLEMENTASI ETIKA BISNIS ISLAM DALAM PERUSAHAAN PENYELENGGARA PERJALANAN IBADAH UMRAH DAN HAJI DI MUBINA TOUR INDONESIA KABUPATEN GRESIK

2020 ◽  
Vol 7 (12) ◽  
pp. 2419
Author(s):  
Aisyah Amini ◽  
Suherman Rosyidi
Keyword(s):  
Literature Review ◽  
Business Ethics ◽  
Economic Condition ◽  
Preliminary Survey ◽  
Case Study Method ◽  
Islamic Business Ethics ◽  
Qualitative Descriptive ◽  
Collecting Techniques ◽  
Descriptive Approach

ABSTRAKPelaksanaan ibadah umrah di Indonesia dari tahun ke tahun mengalami peningkatan yang signifikan. Hal ini didorong dengan semakin baiknya kondisi perekonomian di Indonesia. Untuk itu diperlukan perusahaan penyelenggara perjalanan ibadah umrah dan haji yang memfasilitasi para jamaah untuk melakukan ibadah menuju ke tanah suci. Mengenai hal tersebut, sudah seharusnya perusahaan penyelenggara perjalanan ibadah umrah dan haji menerapkan etika bisnis Islam dalam menjalankan aktivitas bisnisnya. Hal ini sangat penting dikarenakan banyak terjadi pelanggaran etika bisnis Islam yang dilakukan oleh beberapa perusahaan, tidak terkecuali oleh perusahaan travel umrah haji, seperti yang banyak diberitakan dibeberapa media yang dibuktikan dengan banyaknya jamaah yang gagal berangkat ke Baitullah. Penelitian ini menggunakan pendekatan penelitian kualitatif deskriptif dengan metode studi kasus. Teknik pengumpulan data yang digunakan peneliti yaitu survei pendahuluan, observasi, wawancara, dokumentasi dan studi literatur. Berdasarkan hasil penelitian, penelitian ini menunjukkan bahwa Mubina Tour Indonesia kabupaten Gresik telah menerapkan etika bisnis Islam dengan cara menyampaikan secara jujur dan benar, senantiasa berusaha untuk selalu menepati apa yang telah dijanjikan, membekali semua karyawan dengan berbagai skill dan mengemas promosi dengan trik-trik yang menarik.Kata Kunci: Etika Bisnis Islam, Perusahaan Penyelenggara Perjalanan Ibadah Umrah dan Haji. ABSTRACTPerforming Umrah in Indonesia year by year has been experiencing a significant increase. It is motivated by a better economic condition in Indonesia. Therefore, Umrah and Hajj Travel Organizer Company is needed to facilitate Muslim pilgrims to pilgrimage to Mecca. According to this, this kind of company shall implement Islamic business ethics to run their business activities. It is very important because there are many Islamic business ethics violations committed by some companies, unexceptionally Hajj and umrah travel companies as widely reported in several media. It was proven by the large number of pilgrims who failed to go to Baitullah. This research used a qualitative-descriptive approach with the case study method. Data collecting techniques used by the researcher are preliminary survey, observation, interview, documentation, and literature review. The result of the research shows that Mubina Tour Indonesia in Gresik Regency has implemented Islamic business ethics by delivering information honestly and truthfully, always trying to fulfill what has been promised, equipping all employments with many various skills, and packaging promotion with interesting techniques.Keywords: Islamic Business Ethics, Umrah and Hajj Travel Company.

scholarly journals Forest Fires in Greece and Their Economic Impacts on Agriculture

2020 ◽  
Author(s):  
Dimitra Stougiannidou ◽  
Eleni Zafeiriou ◽  
Yannis Raftoyannis
Keyword(s):  
Literature Review ◽  
Forest Fires ◽  
Rural Economy ◽  
Economic Impacts ◽  
Secondary Data ◽  
Indirect Costs ◽  
Ex Post ◽  
Time Space ◽  
The Cost ◽  
Agricultural Areas

Forest fires have increased in the last decades, due to many factors such as climate change, land use change and management. In Greece, wildfires burn cultivated lands and affect significantly the rural economy and society. However, the economic impacts of forest fires on agricultural areas has not been estimated, and this is our aim. After an extended literature review and consultation with the stakeholders, we decided to build a model with many variables. The total cost of fire depends on the cost of prevention and suppression measures, and also direct and indirect costs. Direct costs, as adjusted for the immediate effects of fire, are divided into two categories: direct damages instantaneous and direct losses induced. Direct damages are estimated by a function that calculates the instantaneous damage in permanent crops, seasonal crops, livestock, infrastructure, construction and machinery. Direct losses are estimated by a function that calculates fire-induced costs in permanent crops, seasonal crops, livestock, additional borrowing costs and services costs. For the composition of the time-space model, we will use secondary data, as well as data originated from fieldwork. The literature review showed that the ex post analysis involving detailed consultation with a representative sample of affected farms, provides a more consistent appraisal.

Case Study as a Research Method in Hospitality and Tourism Research: A Systematic Literature Review (1974–2020)

2020 ◽  
pp. 193896552097128
Author(s):  
Kadir Çakar ◽  
Şehmus Aykol
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Research Method ◽  
Case Study Research ◽  
Theory Development ◽  
Case Study Method ◽  
Tourism Research ◽  
Computer Aided Analysis ◽  
Hospitality And Tourism

This systematic literature review aimed to investigate the use of case study method in hospitality and tourism research to increase the awareness about the use of case study as a research method. Data were collected ( n = 871) from 10 leading hospitality and tourism journals published between 1974 and 2020. A thematic analysis of the data was conducted using Leximancer as a computer-aided analysis software. The study findings reveal an overall mislabel and misuse of the case study method. Suggestions are provided to improve case study method applications and increase case study research for more theory development in hospitality and tourism research.

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