scholarly journals PHARMACOECONOMIC STUDY ON DRUG WASTAGE

2020 ◽  
Vol 8 (9) ◽  
pp. 1461-1468
Author(s):  
M. Athira ◽  
◽  
S. Nongthongbam ◽  
S.K Sinha ◽  
N. Meena Devi ◽  
...  
Keyword(s):  
Health Care Services ◽  
Dose Calculation ◽  
Cost Effective ◽  
Pharmacoeconomic Study ◽  
Cancer Drug ◽  
Major Health Problem ◽  
Care Services ◽  
Drug Wastage ◽  
Treatment Data ◽  
Compliance To Treatment

Cost effective analysis are commonly used to evaluate the potential costs and benefits of health care services. They are often conducted under the assumption of no drug wastage which does not reflect the real world scenario. Cancer is a major health problem responsible for 9% deaths all over the world. Anti-cancer drugs are costlier than any other category drugs due to which the compliance to treatment is questionable. Cancer drug wastage occurs when a parenteral drug within a single-use vial is not fully administered to a patient because of body-weight or body surface-area based dose calculation in cancer chemotherapy. We conducted a prospective observational study in chemotherapy OPD where patients undergo I.V chemotherapy treatment. Data was collected for a period of three months on the drugs and its wastage. Analysis was done to find out drugs causing an increment in cost due to wastage.Our analysis showed that wastage incremented cost of treatment by an average of 3% which accounts for Rs 2,39,237.12 per annum without any added benefit. The drug with maximum cost of wastage was found to be oxaliplatin.9.43% increment in cost was due to oxaliplatin alone, the reason was concluded to be limited vial size.

INCIDENCE OF ABDOMINAL TUBERCULOSIS IN PATIENTS PRESENTING WITH PAIN ABDOMEN

2021 ◽  
pp. 13-15
Author(s):  
Pankaj Prasad Verma ◽  
Manjar Ali ◽  
Sanjay Singh ◽  
Vinay Pratap
Keyword(s):  
Health Care Services ◽  
Abdominal Tuberculosis ◽  
Morbidity And Mortality ◽  
Medical Sciences ◽  
Major Health Problem ◽  
Major Health ◽  
Care Services ◽  
Abdominal Symptoms ◽  
Pain Abdomen ◽  
Considerable Morbidity

Tuberculosis is a major health problem worldwide and in India continues to be responsible for considerable morbidity and mortality despite tremendous effort made in diagnosis, prophylaxis and therapy. The disease may involve any system of body but abdomen is one of the commonest site of involvement after lungs. This study is carrying to nd out Incidence of Abdominal Tuberculosis in patients of pain abdomen presenting as acute/chronic cases. The present study was carried out in the Department of Surgery, Rajendra Institute of Medical Sciences, Ranchi, from April 2018 to September 2019. The total number of cases selected disease remains early detection. A continual awareness on the part of the clinician of the possibility of abdominal Tuberculosis in many patients with obscure abdominal symptoms should avoid errors and aid in the detection of a condition, which if treated early, not only produces remarkable remission and relief on the part of for this study was 1800. According to the presentation, the patients were clinically divided into 2 broad groups: those who were admitted as acute emergencies and those who came with a chronic presentation. From these two groups 100 cases were fall in our inclusion criteria. Of these 100 patients, most were in their third or fourth decades of life, and females were approx two times more commonly affected as their male counterparts, maintaining an approximate ratio of 1.86:1. Thus we had a 5.55 % incidence of abdominal Tuberculosis in this series. The development of cheap and efcient procedures for early diagnosis remains one of the practical problems to battle this disease, because the only way to decrease morbidity and mortality of this the patients but also takes unnecessary burden off the health care services.

Characterizing the Financial Value of In-Home Palliative Care for Patients, Payers, and Hospitals

2019 ◽  
Vol 37 (3) ◽  
pp. 196-200
Author(s):  
Saad Akhtar ◽  
Vamshek Srinivasan ◽  
Carol Weisse ◽  
Phil DiSorbo
Keyword(s):  
Palliative Care ◽  
Chronic Conditions ◽  
Health Care Services ◽  
Cost Effective ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Multiple Chronic Conditions ◽  
Care Services ◽  
Financial Benefits ◽  
Inpatient Hospitalizations

Background: The holistic and multidisciplinary approach of in-home palliative care (IHPC) is known to offer high-quality and cost-effective care for patients at the end of life. However, the financial benefits of upstream IHPC programs to hospitals, patients, and payers have not been fully characterized for patients with comorbid chronic conditions. Aim: To characterize the financial benefits that upstream IHPC offers to patients with multiple chronic conditions. Methods: A structured retrospective patient record review was conducted on the number of emergency department (ED) visits, number of inpatient hospitalizations, hospital length of stay (LOS), and payments made to the hospital for all patients (N = 71) enrolled in an IHPC program between January 1, 2016, and June 30, 2016. Discharge history from each patient’s medical record was also assessed. Comparisons were drawn between patients’ LOS on IHPC and an equivalent time period prior to enrollment in IHPC. Results: After patients enrolled in IHPC, average ED and inpatient utilization declined significantly by 41% ( P = .01) and 71% ( P < .001), respectively. The payers for health-care services realized a significant decline of US$2,201 ( P < .001) in hospital payments per patient per month. Inpatient LOS was also significantly lower than expected once patients enrolled in the program ( P = .01). Conclusions: As the need for chronic disease management continues to grow, managers of health systems, managed care organizations, and home health agencies should be cognizant of the financial value that IHPC has to offer.

scholarly journals Strategies to Improve Stroke Care Services in Low- and Middle-Income Countries: A Systematic Review

2017 ◽  
Vol 49 (1-2) ◽  
pp. 45-61 ◽  
Author(s):  
Jeyaraj Durai Pandian ◽  
Akanksha G. William ◽  
Mahesh P. Kate ◽  
Bo Norrving ◽  
George A. Mensah ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care Services ◽  
Cost Effective ◽  
Stroke Care ◽  
Evidence Based ◽  
Middle Income ◽  
Middle Income Countries ◽  
Care Services ◽  
Stroke Services ◽  
Low And Middle Income

Background: The burden of stroke in low- and middle-income countries (LMICs) is large and increasing, challenging the already stretched health-care services. Aims and Objectives: To determine the quality of existing stroke-care services in LMICs and to highlight indigenous, inexpensive, evidence-based implementable strategies being used in stroke-care. Methods: A detailed literature search was undertaken using PubMed and Google scholar from January 1966 to October 2015 using a range of search terms. Of 921 publications, 373 papers were shortlisted and 31 articles on existing stroke-services were included. Results: We identified efficient models of ambulance transport and pre-notification. Stroke Units (SU) are available in some countries, but are relatively sparse and mostly provided by the private sector. Very few patients were thrombolysed; this could be increased with telemedicine and governmental subsidies. Adherence to secondary preventive drugs is affected by limited availability and affordability, emphasizing the importance of primary prevention. Training of paramedics, care-givers and nurses in post-stroke care is feasible. Conclusion: In this systematic review, we found several reports on evidence-based implementable stroke services in LMICs. Some strategies are economic, feasible and reproducible but remain untested. Data on their outcomes and sustainability is limited. Further research on implementation of locally and regionally adapted stroke-services and cost-effective secondary prevention programs should be a priority.

scholarly journals COST-EFFECTIVENESS ANALYSIS OF CEFTRIAXONE AND NON-CEFTRIAXONE ON TYPHOID FEVER PATIENTS

2018 ◽  
Vol 10 (1) ◽  
pp. 87
Author(s):  
Citra Sari Purbandini ◽  
Rani Sauriasari
Keyword(s):  
Cost Effectiveness ◽  
Typhoid Fever ◽  
Health Care Services ◽  
Cost Effective ◽  
Analysis Data ◽  
Cost Effectiveness Analysis ◽  
Care Services ◽  
Effectiveness Analysis ◽  
Study Results ◽  
The Cost

Objective: This study aimed to evaluate the cost-effectiveness of ceftriaxone and non-ceftriaxone therapies in patients with typhoid fever.Methods: The applied method was a cost-effectiveness analysis. Data were retrospectively collected, and sampling was performed using totalsampling based on medical records and hospital information systems. Subjects were limited to patients diagnosed with typhoid fever and usingceftriaxone or non-ceftriaxone antibiotics. A total of 15 patients were investigated, comprising 10 patients on ceftriaxone and five patients using nonceftriaxoneantibiotics. Effectiveness was evaluated by the length of hospitalization. The cost was a median of total costs, consisting of the cost of thedrug, concomitant drugs, medical equipment, laboratory tests, doctor, health-care services, and hospitalization.Results: The results showed the effectiveness of ceftriaxone (3.80±0.789 days) did not differ with the non-ceftriaxone drugs (3.40±1.635 days).However, the total cost of ceftriaxone (Rp 1,929,355) was less than that of non-ceftriaxone antibiotics (Rp 2,787,003). The average cost-effectivenessratio of ceftriaxone group (Rp 507,725/effectiveness) was lower compared to the non-ceftriaxone (Rp 819,707/effectiveness).Conclusions: This study results showed that ceftriaxone was more cost-effective than non-ceftriaxone antibiotics.

Foreign Investment in Hospital Sector in India

2017 ◽  
Vol 52 (4) ◽  
pp. 247-264
Author(s):  
Shailender Kumar Hooda
Keyword(s):  
Health Care ◽  
Foreign Investment ◽  
Health Care Services ◽  
Joint Venture ◽  
Tertiary Care ◽  
Private Investment ◽  
Cost Effective ◽  
Hospital Sector ◽  
Care Services ◽  
The Government

This study examines the status and trends of foreign investment inflow in Indian hospital sector and highlights emerging issues. During the liberalized foreign investment regime between 2000 and 2014, a large number of foreign players have been focusing on Indian hospital sector and have enlarged their presence through partnership and investment in joint venture projects. Though foreign investment inflow in hospitals has increased to almost hundred times, it constitutes a small share within total financing of health care. It is the long-term domestic borrowing that predominates. The overall growth in foreign investment has largely been for providing super-speciality and tertiary care services particularly in the metropolitan cities, while investment for primary and secondary cares, clinical research, drugs development, diagnostic services and rural area remained negligible. The study argues that the private investment can play a complementary role in providing tertiary and speciality care services particularly in the untapped hospital market and it should not be considered as the substitute of public provisioning of health care services. The role of the government is warranted to provide cost-effective cares to general population across remotest area of the country.

PTSD in Active Combat Soldiers: To Treat or Not to Treat

2014 ◽  
Vol 42 (2) ◽  
pp. 161-170 ◽  
Author(s):  
Bethany C. Wangelin ◽  
Peter W. Tuerk
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Care ◽  
Health Care Services ◽  
Treatment Strategies ◽  
Cost Effective ◽  
Public Health Care ◽  
Care Utilization ◽  
Care Services ◽  
Cost Effective Treatment

Treatment of military-related posttraumatic stress disorder (PTSD) is a major public health care concern. Since 2001 over 2.5 million troops have been deployed to Iraq or Afghanistan, many of whom have experienced direct combat and sustained threat. Estimates of PTSD rates related to these wars range from 8% to over 20%, or 192,000 to 480,000 individuals. Already, nearly 250,000 service members of Operations Enduring Freedom, Iraqi Freedom, and New Dawn (OEF/OIF/OND) have sought VA health care services for PTSD. This recent increased need for mental health services comes in addition to the ongoing needs of Vietnam-era and other veterans who continue to suffer from PTSD. PTSD is related to high co-morbidities of other mental health difficulties, poorer physical health status, and increased medical care utilization. Such high demand for services is an important contributor to the large cost associated with combat-related PTSD. Accordingly, promoting successful, cost-effective treatment strategies for PTSD is a chief public health care priority.

Nurse Practitioners and Physician Assistants: Do They Have a Role in Your Practice?

PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 844-850
Author(s):  
Elsa L. Stone
Keyword(s):  
Health Care ◽  
Nurse Practitioners ◽  
Health Care Services ◽  
Current Trend ◽  
Work Force ◽  
Cost Effective ◽  
Physician Assistants ◽  
Quality Health Care ◽  
Care Services ◽  
Quality Health

During the next decade, pediatricians will confront the difficult challenge of providing quality health care services to more children with more diverse and difficult problems, and they will have little or no additional funding to accomplish this task. Despite earlier predictions of surpluses in the pediatric work force, there are now shortages that will worsen if the current trend persists. Pediatric nurse practitioners (PNPs) and some physician assistants are being trained to perform health supervision care and to diagnose and treat the common illnesses of children. Substantial evidence suggests that PNPs provide quality health care services, and that collaborative teams of pediatricians and PNPs can provide high-quality, cost-effective care to a broader spectrum of children than can be served by either professional alone.

scholarly journals Reducing health care costs by rationalizing staffing in primary care settings

2004 ◽  
Vol 10 (3) ◽  
pp. 382-388
Author(s):  
S. Mawajdeh ◽  
S. A. Khoury ◽  
M. Qtaishat ◽  
R. Yoder
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Services ◽  
Cost Effective ◽  
Personnel Costs ◽  
Care Services ◽  
Care Facilities ◽  
Staffing Patterns ◽  
Nationally Representative ◽  
Effective Use

Jordan spends around 9% of its GDP on health care services, a high figure compared with similar developing countries. This study assessed staffing patterns in relation to Ministry of Health expenditures in a nationally representative sample of 97 primary care facilities. The economic costs of primary care facilities amounted to Jordanian dinar [JD] 42.3 million. Personnel costs consumed 53.8% of recurrent costs and in monetary terms the amount of down time [time not being used effectively] amounted to JD 9.7 million [about US$ 13.7 million]. The Ministry should consider changing the functioning of its primary care facilities to obtain a more cost-effective use of staff time

Sign in / Sign up

Export Citation Format

Share Document