Cost-minimization analysis of teledermatology versus conventional care in the Brazilian National Health System

2021 ◽  
Author(s):  
Francisco de Assis Acurcio ◽  
Augusto Afonso Guerra Junior ◽  
Maria Cristina Marino Calvo ◽  
Daniel Holthausen Nunes ◽  
Marco Akerman ◽  
...  
Keyword(s):  
Primary Care ◽  
Cost Saving ◽  
Decision Tree ◽  
Economic Analysis ◽  
Health System ◽  
Cost Minimization ◽  
National Health System ◽  
Conventional Care ◽  
Direct Patient Care ◽  
Cost Minimization Analysis

Aims: Cost-minimization analysis (CMA) comparing the teledermatology service of the State of Santa Catarina, Brazil with the provision of conventional care, from the societal perspective. Patients & methods: All costs related to direct patient care were considered in calculation of outpatient costs. The evaluation was performed using the parameters avoided referrals and profile of hospitalizations. The economic analysis was developed through a decision tree. Results: Totally, 40% of 79,411 tests performed could be managed in primary care, avoiding commuting and expanding the patients’ access. The CMA showed the teledermatology service had a cost per patient of US$196.04, and the conventional care of US$245.66. Conclusion: In this scenario, teledermatology proved to be a cost-saving alternative to conventional care, reducing commuting costs.

A Cost-Minimization Analysis of Orthopaedic Consultations Using Videoconferencing in Comparison with Conventional Consulting

2002 ◽  
Vol 8 (5) ◽  
pp. 283-289 ◽  
Author(s):  
Arto Ohinmaa ◽  
Saija Vuolio ◽  
Kari Haukipuro ◽  
Ilkka Winblad
Keyword(s):  
Primary Care ◽  
Cost Saving ◽  
Cost Minimization ◽  
University Hospital ◽  
Primary Care Centre ◽  
Care Centre ◽  
Total Cost ◽  
Cost Minimization Analysis ◽  
Orthopaedic Patients ◽  
The University

We compared the costs of conventional outpatient visits to the surgical department of the University Hospital of Oulu with those of videoconferencing between the primary care centre in Pyhäjärvi and the University Hospital (separated by 160 km). The cost data were obtained from a randomized controlled trial that included 145 first-admission and follow-up orthopaedic patients. In the telemedicine group the annual fixed costs were €6074 in the hospital and €3910 in the primary care centre. The additional variable costs were €2 in the hospital and €19 in primary care. At a workload of 100 patients, the total cost, including travel and indirect costs, was €87.8 per patient in the telemedicine group and €114.0 per patient in the conventional group (i.e. a total cost saving from the use of teleconsultation of €2620). A cost-minimization analysis showed that telemedicine was less costly for society than conventional care at a workload of more than 80 patients per year. If the distance to specialist care were reduced from 160 km to 80 km, the break-even point increased to about 200 patients per year. Wider utilization of the videoconferencing equipment for other purposes, or the use of less expensive videoconferencing equipment, would make services cost saving even at relatively short distances. The study showed that orthopaedic outpatient telecare can be cost minimizing.

scholarly journals Matching 25% of Medical Students in Family Medicine by 2030: Realistic or Beyond Our Reach?

2021 ◽  
Vol 53 (4) ◽  
pp. 252-255
Author(s):  
Alan K. David
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Family Medicine ◽  
Health System ◽  
National Health System ◽  
Family Doctors ◽  
Residency Programs ◽  
Primary Care Workforce ◽  
The Us ◽  
Physician Income

ABSTRACT: This article examines the America Needs More Family Doctors: 25x2030 Collaborative goal of “25x30”—that 25% of all medical students will enter family medicine residency programs by the year 2030. Filling 25% of all available postgraduate year-1 positions in the match is an important consideration in creating a strong primary care workforce. Data from the National Resident Matching Program (NRMP) matches for 2010 and 2020 are reviewed to examine trends not only in the US MD and DO categories, but also US international medical school graduates (IMGs) and non-US IMG categories over the last 10 years. If the total number of all programs and of all positions offered were held constant in 2030, what shifts in student choices would be required to reach the 25x30 goal in each applicant category as well as for all four categories combined? This discussion explores resources, power, physician income, and other factors that affect student numbers. Until a national health system is developed with national goals and priorities, it is unlikely that 25x30 will become a reality.

scholarly journals A cost-minimization analysis of combination therapy in hypertension: fixed-dose vs extemporary combinations

2013 ◽  
Vol 14 (4) ◽  
pp. 153-160
Author(s):  
Marco Bellone ◽  
Pierluigi Sbarra
Keyword(s):  
National Health ◽  
Cost Minimization ◽  
National Health System ◽  
Antihypertensive Agents ◽  
Cost Savings ◽  
Cost Driver ◽  
Fixed Dose ◽  
Daily Cost ◽  
Cost Minimization Analysis ◽  
Acquisition Costs

BACKGROUND: Cardiovascular disease management and prevention represent the leading cost driver in Italian healthcare expenditure. In order to reach the target blood pressure, a large majority of patients require simultaneous administration of multiple antihypertensive agents.OBJECTIVE: To assess the economic impact of the use of fixed dose combinations of antihypertensive agents, compared to the extemporary combination of the same principles.METHODS: A cost minimization analysis was conducted to determine the pharmaceutical daily cost of five fixed dose combinations (olmesartan 20 mg + amlodipine 5 mg, perindopril 5 mg + amlodipine 5 mg, enalapril 20 mg + lercanidipine 10 mg, felodipine 5 mg + ramipril 5 mg, and delapril 30 mg + manidipine 10 mg) compared with extemporary combination of the same principles in the perspective of the Italian NHS. Daily acquisition costs are estimated based on current Italian prices and tariffs.RESULTS: In three cases the use of fixed‑dose combination instead of extemporary combination induces a lower daily cost. Fixed combination treatment with delapril 30 mg + manidipine 10 mg induces greater cost savings for the National Health System (95,47 €/pts/year), as compared to free drugs combination therapy.CONCLUSIONS: Compared with free drug combinations, fixed‑dose combinations of antihypertensive agents are associated with lower daily National Health Service acquisition costs.

scholarly journals Primary care drug therapy training: the solution for phc nurses?

Curationis ◽  
2000 ◽  
Vol 23 (1) ◽  
Author(s):  
J.C. Rothmann ◽  
J.J. Gerber
Keyword(s):  
Primary Care ◽  
Drug Therapy ◽  
Health System ◽  
National Health System ◽  
Training Programme ◽  
Control Group ◽  
Essential Drugs ◽  
Minor Ailments ◽  
Nursing College ◽  
And Control

The priority of the National Health System in South Africa is primary health care (PHC). The approach involves a health system led by PHC services and includes personal and curative services for acute minor ailments delivered by PHC nurses. The nurses are also responsible for the treatment of these ailments with essential drugs according to protocols as proposed in the Essential Drugs List. A before-after experimental research design was used to evaluate the effect of a competencybased primary care drug therapy (PCDT) training programme for PHC nurses in the treatment of acute minor ailments. An experimental group (n=35) and control group (n=31) consisting of registered nurses undergoing training in PHC at Gold Fields Nursing College were randomly selected. The results showed a significant increase in prescribing outcomes and medicine utilisation.

scholarly journals Primary care utilisation patterns among an urban immigrant population in the Spanish National Health System

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Amaia Calderón-Larrañaga ◽  
Luis A Gimeno-Feliu ◽  
Rosa Macipe-Costa ◽  
Beatriz Poblador-Plou ◽  
Daniel Bordonaba-Bosque ◽  
...  
Keyword(s):  
Primary Care ◽  
Health System ◽  
National Health ◽  
National Health System ◽  
Immigrant Population ◽  
Spanish National Health System ◽  
Care Utilisation
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