scholarly journals A Comprehensive Analysis of the Financial Burden of Diabetes Mellitus at Rafik Hariri University Hospital: The Economic Implications from the Public Sector Perspective in Lebanon

2015 ◽  
Vol 2 (6) ◽  
Author(s):  
Akram Echtay
Keyword(s):  
Diabetes Mellitus ◽  
Public Sector ◽  
Financial Burden ◽  
Comprehensive Analysis ◽  
University Hospital ◽  
Economic Implications ◽  
The Public

scholarly journals Economic cost of congenital CMV in the UK

2018 ◽  
Vol 104 (6) ◽  
pp. 559-563 ◽  
Author(s):  
Jenny Retzler ◽  
Nick Hex ◽  
Chris Bartlett ◽  
Anne Webb ◽  
Sharon Wood ◽  
...  
Keyword(s):  
Public Sector ◽  
Vaccine Development ◽  
Cost Model ◽  
Financial Burden ◽  
Secondary Data ◽  
Economic Cost ◽  
Future Research ◽  
The Public ◽  
The Uk

ObjectiveCongenital cytomegalovirus (cCMV) is the most common infectious cause of congenital disability. It can disrupt neurodevelopment, causing lifelong impairments including sensorineural hearing loss and developmental delay. This study aimed, for the first time, to estimate the annual economic burden of managing cCMV and its sequelae in the UK.DesignThe study collated available secondary data to develop a static cost model.SettingThe model aimed to estimate costs of cCMV in the UK for the year 2016.PatientsIndividuals of all ages with cCMV.Main outcome measuresDirect (incurred by the public sector) and indirect (incurred personally or by society) costs associated with management of cCMV and its sequelae.ResultsThe model estimated that the total cost of cCMV to the UK in 2016 was £732 million (lower and upper estimates were between £495 and £942 million). Approximately 40% of the costs were directly incurred by the public sector, with the remaining 60% being indirect costs, including lost productivity. Long-term impairments caused by the virus had a higher financial burden than the acute management of cCMV.ConclusionsThe cost of cCMV is substantial, predominantly stemming from long-term impairments. Costs should be compared against investment in educational strategies and vaccine development programmes that aim to prevent virus transmission, as well as the value of introducing universal screening for cCMV to both increase detection of children who would benefit from treatment, and to build a more robust evidence base for future research.

scholarly journals Acesso à insulinoterapia de usuários com diagnóstico de Diabetes Mellitus acompanhados em ambulatório especializado

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Mariana da Conceição Santana Lima ◽  
Paulo Henrique Fernandes Santos ◽  
Keila Cristianne Trindade Da Cruz ◽  
Lucas Cardoso Dos Santos ◽  
Valéria Bertonha Machado ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Comprehensive Health Care ◽  
Cross Sectional ◽  
The Public ◽  
Comprehensive Health ◽  
Distrito Federal ◽  
Structured Questionnaire

Objetivo: Caracterizar o perfil e o acesso à insulinoterapia dos usuários com diagnóstico de Diabetes Melittus atendidos no Ambulatório de Endocrinologia de um hospital universitário do Distrito Federal. Método: Estudo transversal, realizado de abril a maio de 2019. A amostra constituiu-se de 60 participantes com 18 anos ou mais. Foi aplicado questionário estruturado e os dados descritivos analisados pelo software PSPP. Resultados: Verificou-se que a maioria (86,7%) são mulheres, que os participantes obtêm insulina (93,3%), antidiabéticos orais (50,0%) e insumos (93,3%) no serviço público, e que metade desses participantes os adquirem na unidade de saúde. Ainda metade (53,3%) relatou ter interrompido o tratamento devido à falta desses medicamentos. Conclusão: O estudo evidenciou as fragilidades no acesso às redes de saúde do Distrito Federal em decorrência da falta de investimentos na Atenção Básica e da cultura hegemônica, sendo urgente o investimento nas redes de cuidado à luz das políticas de acesso.Descritores: Acesso aos Serviços de Saúde; Diabetes mellitus; Níveis de Atenção à Saúde; Assistência Integral à Saúde. Objective: To characterize the profile and access to insulin therapy of users with diabetes mellitus treated in the Endocrinology Outpatient Clinic in an university hospital of Distrito Federal. Method: Cross-sectional study, performed from April to May 2019. The sample consisted of 60 participants with 18 years or more. A structured questionnaire was applied and the descriptive data analyzed by the PSPP software. Results: It was found that the majority (86.7%) were women, that participants obtain insulin (93.3%), oral antidiabetics (50.0%) and inputs (93.3%) in the public service, and that half of these participants acquire it at the health unit. Half (53.3%) reported having interrupted the treatment due to the lack of these medications. Conclusion: The study showed the weaknesses in access to networks of health of Distrito Federal due to the lack of investment in primary health care and the hegemonic culture, being urgent the investment in care networks of care in the light of the access policies.Descriptors:  Health Services Accessibility; Diabetes Mellitus; Health Care Levels; Comprehensive Health Care. Objetivo: caracterizar el perfil y el acceso a la terapia con insulina de los usuarios diagnosticados con Diabetes Melittus atendidos en la Clínica Ambulatoria de Endocrinología de un hospital universitario en el Distrito Federal. Método: estudio transversal, realizado de abril a mayo de 2019. La muestra consistió en 60 participantes de 18 años o más. Se aplicó un cuestionario estructurado y los datos descriptivos fueron analizados por el software PSPP. Resultados: se encontró que la mayoría (86.7%) son mujeres, los participantes reciben insulina (93.3%), antidiabéticos orales (50.0%) e insumos (93.3%) en el servicio público, y la mitad de estos participantes los adquieren en el centro de salud. Todavía la mitad (53.3%) informó suspender el tratamiento debido a la falta de estos medicamentos. Conclusión: El estudio mostró las debilidades en el acceso a las redes de salud en el Distrito Federal debido a la falta de inversiones en atención primaria y cultura hegemónica, siendo urgente invertir en redes de atención a la luz de las políticas de acceso.Palabras clave: Accesibilidad a los Servicios de Salud; Diabetes Mellitus; Niveles de Atención de Salud; Atención Integral de Salud.

scholarly journals Assessing the Impact of Out-of-Pocket Expenditures for Prevention of COVID-19 Infection on Households: Evidence From Malaysia

2021 ◽  
Vol 58 ◽  
pp. 004695802110624
Author(s):  
Hafiz Jaafar ◽  
Nur Amalina Abd Laziz ◽  
Muslimah Ithnin ◽  
Amirah Azzeri
Keyword(s):  
Cost Sharing ◽  
Household Income ◽  
Public Universities ◽  
Preventive Measures ◽  
Financial Burden ◽  
Descriptive Study ◽  
Economic Implications ◽  
The Public ◽  
The Government ◽  
The Impact

COVID-19 infection resulted in significant economic implications to patients as well as a considerable financial burden to the general population for preventive measures. A descriptive study was conducted among staff at one of the public universities in Malaysia to estimate the monthly out-of-pocket expenditures for preventive measures used for COVID-19 infection. The study tool includes questions on household out-of-pocket expenditure and the measurements of the impact of the expenditure on household income. It was found that the average cumulative monthly expenditures related to the preventive measures were US$ 45.90 (Ringgit Malaysia 187.77), which was 4.3% of the household income. The highest expenditures were for traditional and complementary medicine followed by nutraceutical/supplements and disposable facemask. 8% of the households in this study incurred more than ten per cents of their monthly household income for expenditures related to COVID-19 preventive measures. Several households are experiencing substantial financial implications for preventive measures related to COVID-19 infection. This study highlights the out-of-pocket expenditures incurred for preventive measures were substantial for certain households. Effective initiatives from the government on providing subsidized protective personal equipment and a cost-sharing approach could help to alleviate the household financial burden.

Economic Implications of Migration into the Federal Republic of Germany, 1988–1992

1995 ◽  
Vol 29 (3) ◽  
pp. 693-709
Author(s):  
Arne Gieseck ◽  
Ullrich Heilemann ◽  
Hans Dietrich von Loeffelholz
Keyword(s):  
Economic Growth ◽  
Public Sector ◽  
Labor Markets ◽  
Federal Republic ◽  
Social System ◽  
West Germany ◽  
Federal Republic Of Germany ◽  
Economic Implications ◽  
The Public ◽  
The Social

An analysis of the effects of the last wave of migration into West Germany on labor markets, public finances and economic growth, this study points at the often ignored fact that the migrants were rather successful in finding jobs and thus helped in eliminating labor shortages in certain industries. Simulations with a macroeconometric model for the FRG indicate that in 1992 the GDP was almost 6 percent higher than without migration, that 90,000 jobs were created and that migration created a surplus of DM14 billion in the public sector, compared to the baseline. This study also makes clear, however that these effects mainly depend on a quick absorption of migrants by FRG labor markets, and as to the social system, the relief may be only transitory.

scholarly journals Patterns in the Delivery of Psychiatric Care in Saskatchewan 1971–1972 (II): Types of Contacts and Some Patient Career Characteristics

1977 ◽  
Vol 22 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Carl D'arcy
Keyword(s):  
Public Sector ◽  
Private Sector ◽  
Psychiatric Care ◽  
Average Length ◽  
Average Rate ◽  
University Hospital ◽  
Care Utilization ◽  
Chronic Patients ◽  
The Public ◽  
Number Of Patients

A previous paper dealt with an overview of service sectors and patient volumes (2), whereas this one concentrates on types of contacts and some patient career characteristics. Analysis of a comprehensive psychiatric care utilization data file for Saskatchewan for the 1971–1972 period shows that ‘public’ sector patients were hospitalized for a greater average length of time than were ‘private’ sector patients. This may reflect differences in the styles of practice, exigencies of the demand for hospital beds in the ‘private’ as opposed to the ‘public’ sector and/or intrinsic differences in the nature of the problem treated in each sector. Some interesting facts regarding patterns of contact were uncovered. The bimodal nature of the ‘psychiatric population’ was further evident from the data which show that the majority of patients used relatively few services whereas a few used a large number of services. This suggests that the majority of the people seen for psychiatric reasons by medical practitioners were suffering from relatively minor psychiatric disorders. Heavy users of services were much more likely to have had some ‘public’ or University Hospital-based contact. Conversely, light users were predominantly private sector patients. In the ‘public’ sector, those who had had some inpatient treatment were consistently higher users of all services. It is evident that psychiatrists held a dominant position in this community-oriented public sector, having seen a large number of patients, but having had a low average rate of services per patient. In contrast, community nurses saw relatively few patients but saw them very often. This no doubt reflects their role in providing ‘maintenance’ services to chronic patients in approved homes in the community. In the ‘private’ sector, 69 percent of the services were delivered by GPs and 23 percent by psychiatrists. Patients seen by psychiatrists were more likely to have had ‘public’ sector activity than were those seen only by GPs; also once in the ‘public’ sector, they were likelier to have had inpatient as well as outpatient treatment. This suggests a ‘sifting’ of the more ‘difficult’ patients through the private specialist sector into the public sector.

scholarly journals Economic burden of diabetes mellitus and its socio-economic impact on household expenditure in an urban slum area

2017 ◽  
Vol 5 (5) ◽  
pp. 1808 ◽  
Author(s):  
Sophia D. Fernandes ◽  
Sunny D. A. Fernandes
Keyword(s):  
Diabetes Mellitus ◽  
Public Awareness ◽  
Financial Burden ◽  
Urban Slum ◽  
Diabetic Patients ◽  
Economic Implications ◽  
Total Cost ◽  
Awareness Campaigns ◽  
The Government ◽  
Socio Economic Impact

Background: India is on the brink of an epidemic of diabetes mellitus (DM). In the near future, DM will pose a severe burden on the already fragile and under-resourced health care system in India.Methods: A prospective community based cohort study was taken up for assessing the financial burden on households of patients with DM in an urban slum of Mumbai to reflect the economic implications of DM.Results: The mean age of participants was 51 years. Forty (33.33%) out of 120 were suffering from diabetes for more than 5 years and it was proved statistically that the total cost of expenditure on treatment per month was significantly related to the duration of DM. On an average the monthly direct expenditure was INR 687.5 per patient and indirect expenditure was INR 348.75 per patient. Catastrophic expenditure was borne by 5.8% of the participants.Conclusions: Direct cost forms the major component of the total cost of DM management. The expenditure on the management of Diabetes increases with the duration of the illness. As the out-of-pocket expenditure is the mainstay of financing the cost of diabetes mellitus in India, there is a possibility of these households of DM patients might be pushed into the poverty trap. It is recommended that the Government facilities for management of DM should be strengthened and quality of services should be improved in the interest of diabetic patients. Public awareness campaigns about the economic implications of DM and services provided by the government should be carried out.

scholarly journals Dimensions of tax burden: a review on OECD countries

2020 ◽  
Vol 25 (49) ◽  
pp. 27-43
Author(s):  
Ferdi Celikay
Keyword(s):  
Public Sector ◽  
Trading Volume ◽  
Financial Burden ◽  
Generalized Method Of Moments ◽  
Tax Burden ◽  
Positive Direction ◽  
Content Type ◽  
The Public ◽  
Industry Sector ◽  
Per Capita

Purpose The tax burden, defined as the ratio of the collected taxes in a particular period against the total product, is commonly used to determine the effect of fiscal and tax policies on the socioeconomic structure. The purpose of this study is to examine how the changes in some macroeconomic indicators affect the tax burden. Design/methodology/approach System generalized method of moments approach is used for 34 Organisation for Economic Co-operation and Development (OECD) members in the period of 1993-2016. Findings Based on the research findings, variables such as income per capita, foreign trading volume, the capacity of employment, unemployment and economic share of industry sector effect tax burden in a statistically significant and positive direction. The reason that lies behind the positive effect of unemployment on tax burden is the fact that the sense of social state is not abandoned. Thus, it is predicted that the state will increase public transfer expenditures in the short term due to unemployment, this increase will impose a financial burden on the public sector both in the medium and long term and finally, there will be an increase in the tax burden. Originality/value Results in the literature suggest that there are many reasons for increasing tax burden such as socio-economic development, financial and organizational structure and the globalization process. However, according to this study, it seems that gross domestic product per capita, the size of the industry sector, openness, employment capacity and unemployment rate also have a positive and significant effect on tax burden in the long run. Ultimately, these results demonstrate that tax burden, one of the most important indicators of the public sector size in the sample of the states and period in hand, is influenced positively by all independent variables and increases slightly but surely. These results suggest that the tax state is still a determinative factor in the socioeconomic field within its taxation tools.

Vocational rehabilitation for young stroke survivors in gauteng public healthcare: Perceptions from occupational therapist1

Work ◽  
2021 ◽  
pp. 1-17
Author(s):  
Greea Dreyer ◽  
Matty van Niekerk
Keyword(s):  
South Africa ◽  
Public Sector ◽  
Focus Groups ◽  
Work Ability ◽  
Financial Burden ◽  
Occupational Therapists ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Stroke Survivors ◽  
The Public

BACKGROUND: The prevalence of working-aged stroke survivors is increasing yearly. Stroke is an expensive disease, causing financial burden to the government, the family and caregivers of the patient, thus making it imperative for working-aged stroke survivors to work to remain financially independent. Survivors’ need to work necessitates occupational therapists to shift their focus from basic activities of daily living, to rehabilitating work. OBJECTIVES: This study aimed to determine the perceptions of occupational therapists working with younger stroke survivors in public hospitals and clinics in Gauteng South Africa, about rehabilitating working-aged stroke survivors’ work ability. METHODS: Ethical clearance was obtained. A qualitative research design was used to obtain narrative, descriptive data from six focus groups. Therapists from public healthcare settings, who had more than six months’ experience and had worked in neurological rehabilitation within the six months preceding the focus group, were invited to participate. Focus groups were audio recorded and transcribed. Inductive content analysis was used to identify themes and categories. RESULTS: Few participants are involved in rehabilitating younger stroke survivors’ work ability or facilitating return to work (RTW). The study identified perceived barriers and enablers to rendering OT services that meet working-aged stroke survivors’ needs. CONCLUSIONS: Despite enabling employment equity laws in South Africa, OTs working in the public sector appear to experience a sense of futility when trying to rehabilitate young stoke survivors to RTW. Fragmentation of the public sector and limited resources impede successful RTW for working-aged stroke survivors. Survivors’ employment status and motivation to RTW facilitated rehabilitating work ability.

scholarly journals Using the ABC costing system - Activity-based costing to calculate costs in the public sector

2020 ◽  
Vol 8 (7) ◽  
pp. 188-202
Author(s):  
THAYANE DE SOUZA AMARAL ◽  
ARMANDO ARAUJO DE SOUZA JUNIOR ◽  
ROSELY COSTA DA SILVA BANDEIRA ◽  
DERCIO LUIZ REIS
Keyword(s):  
Public Sector ◽  
University Hospital ◽  
Activity Based Costing ◽  
Registration System ◽  
Acquisition Process ◽  
The Public ◽  
Material Resources ◽  
Costing System ◽  
The Cost

The calculation of costs in the public sector translates into a way of assessing management efficiency. However, there are great difficulties encountered in implementing this system. With the regulation of the Price Registration System - SRP, there is now the possibility for an agency to buy or contract for its own use and allow other agencies to participate (or ask for a ride) in the same bidding instrument, as long as it is of interest. homogeneous. This article presents a study that measured the cost of purchasing inputs at a university hospital in the city of Manaus by adhering to price registration procedures using the ABC cost. A case study was carried out and the data were collected through documentary research, mapping the acquisition process and unstructured interviews. Subsequently, the ABC costing method was used to measure the cost of the service performed (object of the study) for the acquisition of these inputs. The results of the study indicate that the ABC costing method is the most adequate to measure the costs of services performed in the public sector, since it avoids the arbitrary nature of the apportionment, allocating the values ​​referring to the human and material resources applied in the acquisition process.

scholarly journals Data-driven E-Government: Exploring the Socio-Economic Ramifications

2019 ◽  
Vol 11 (1) ◽  
pp. 81-90 ◽  
Author(s):  
Ebenezer Agbozo ◽  
Benjamin Kwesi Asamoah
Keyword(s):  
Public Sector ◽  
Exploratory Study ◽  
Data Driven ◽  
Government Policies ◽  
Technological Innovations ◽  
Economic Implications ◽  
The Public ◽  
Sector Decision ◽  
Public Sector Decision Making ◽  
Insight Into

The evident benefits of big data, artificial intelligence and machine learning in society have begun to influence the transition towards a data-driven public sector. Decision-making in the public sector is in an infancy phase of a revolution owing to the inclusion of these new technological innovations. Research has revealed that data-driven e-government policies improve socio-economic development in some nations. Despite the immense opportunities data-driven e-government models have for governments, similar to every system, there are ramifications. This study explores the concept of data-driven e-government as well as investigates the socio-economic implications such an e-government model can have on society. Findings of this exploratory study add insight into a field which is in its early days and still unfocused, as well as making recommendations for policymakers.

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