scholarly journals Economic Evaluation of Diagnosis Tuberculosis in Hospital Setting

10.5772/54479 ◽  
2013 ◽  
Author(s):  
Luciene C.
Keyword(s):  
Economic Evaluation ◽  
Hospital Setting

scholarly journals PHP28 ECONOMIC EVALUATION OF NEWTECHNOLOGIES IN THE HOSPITAL SETTING: THE EXPERIENCE OFTHEAZIENDA OSPEDALIERA Dl VERONA, ITALY

2005 ◽  
Vol 8 (6) ◽  
pp. A189
Author(s):  
P Marini ◽  
C Filippi ◽  
G Ghirlanda ◽  
V Perilli ◽  
G Scroccaro
Keyword(s):  
Economic Evaluation ◽  
Hospital Setting

scholarly journals Economic Evaluation of Carbetocin as Prophylaxis for Postpartum Hemorrhage in the Philippines

2020 ◽  
Author(s):  
Jamaica Roanne Briones ◽  
Pattarawalai Talungchit ◽  
Montarat Thavorncharoensap ◽  
Usa Chaikledkaew
Keyword(s):  
Economic Evaluation ◽  
Cost Effectiveness ◽  
Postpartum Hemorrhage ◽  
Budget Impact ◽  
Hospital Setting ◽  
Cost Effective ◽  
The Philippines ◽  
Cost Utility ◽  
Third Party ◽  
Additional Costs

Abstract Background: Cost-effectiveness and budget impact of carbetocin was evaluated as an alternative to oxytocin for postpartum hemorrhage (PPH) prophylaxis in the Philippines.Methods: A model-based economic evaluation was employed to assess cost-effectiveness of carbetocin compared to oxytocin for PPH. Population of interest were women undergoing either vaginal delivery (VD) or cesarean section (CS) in a public hospital setting with costs and outcomes evaluated in six weeks. Cost-utility was analyzed using a government and societal perspectives while the budget impact was determined using a third party payer’s perspective. Incremental Cost Effectiveness Ratio (ICER) was evaluated using the set threshold in the country of 150,000 PhP per QALY gained.Results: Carbetocin was not cost-effective in the Philippines. Deterministic results in a government perspective for CS was at 724,081 PhP while for VD was over 2 million PhP. Deterministic and probabilistic results in the societal perspective for CS and VD were near these respective ICER values and did not also favor carbetocin use. Moreover, the treatment effects of carbetocin in reference to oxytocin were identified as the most sensitive parameter used. On budget impact, if 50% of deliveries would switch to carbetocin for the fiscal years assessed, additional incremental cumulative costs of 1.08 billion PhP for VD and 1.86 billion PhP for CS would be needed.Conclusion: The incremental benefit of carbetocin does not justify the additional costs incurred from purchasing the drug given a Philippine context. Price reduction of carbetocin is recommended if the drug would be publicly reimbursed in the country.

scholarly journals Applying Hospital Evidence to Paramedicine: Issues of Indirectness, Validity and Knowledge Translation

CJEM ◽  
2015 ◽  
Vol 17 (3) ◽  
pp. 281-285 ◽  
Author(s):  
Blair Bigham ◽  
Michelle Welsford
Keyword(s):  
Emergency Medicine ◽  
Economic Evaluation ◽  
Best Practices ◽  
Resource Availability ◽  
Hospital Care ◽  
Critical Appraisal ◽  
Scientific Evidence ◽  
Hospital Setting ◽  
Hospital Environment ◽  
Mobile Environment

AbstractThe practice of emergency medicine (EM) has been intertwined with emergency medical services (EMS) for more than 40 years. In this commentary, we explore the practice of translating hospital based evidence into the prehospital setting. We will challenge both EMS and EM dogma—bringing hospital care to patients in the field is not always better. In providing examples of therapies championed in hospitals that have failed to translate into the field, we will discuss the unique prehospital environment, and why evidence from the hospital setting cannot necessarily be translated to the prehospital field. Paramedicine is maturing so that the capability now exists to conduct practice-specific research that can inform best practices. Before translation from the hospital environment is implemented, evidence must be evaluated by people with expertise in three domains: critical appraisal, EM, and EMS. Scientific evidence should be assessed for: quality and bias; directness, generalizability, and validity to the EMS population; effect size and anticipated benefit from prehospital application; feasibility (including economic evaluation, human resource availability in the mobile environment); and patient and provider safety.

Economic evaluation of hemodialysis: Implications for technology assessment in Greece

2005 ◽  
Vol 21 (1) ◽  
pp. 40-46 ◽  
Author(s):  
Daphne Kaitelidou ◽  
Panagiotis N. Ziroyanis ◽  
Nikolaos Maniadakis ◽  
Lycurgus L. Liaropoulos
Keyword(s):  
Human Capital ◽  
Economic Evaluation ◽  
National Health System ◽  
Hospital Setting ◽  
Human Capital Approach ◽  
Potential Productivity ◽  
Productivity Cost ◽  
Friction Method ◽  
Absence From Work ◽  
Esrd Patients

Objectives:Hemodialysis is a well-established treatment for 74 percent of end-stage renal disease (ESRD) patients in Greece. The purpose of this study is to provide an estimate of the direct cost of dialysis in a public hospital setting and an estimate of the loss of production for ESRD patients. The results will be useful for public health facility planning purposes.Methods:A socioeconomic prevalence-based analysis was performed using micro-economic evaluation of health-care resources consumed to provide hemodialysis for ESRD patients in 2000. Lost productivity costs due to illness were estimated for the patient and family using the human capital approach and the friction method. Indirect morbidity costs due to absence from work and long-term were estimated, as well as mortality costs. Mean gross income was used for both patient and family.Results:Total health-sector cost for hemodialysis in Greece exceeds €171 million, or €182 per session and €229 per inpatient day. There were 2,046 years lost due to mortality, and the potential productivity cost was estimated at €9.9 million, according to the human capital approach, and €303.000, according to the friction method. Total morbidity cost due to absence from work and early retirement was estimated at more than €273 million, according to the human capital approach, and €12.5, according to the friction method.Conclusions:Providing hemodialysis care for 0.05 percent of the population suffering from ESRD absorbs approximately 2 percent of total health expenditure in Greece. In addition to the cost for the National Health System, production loss due to mortality and morbidity from the disease are also considerable. Promoting alternative technologies such as organ transplantation and home dialysis as well as improving hemodialysis efficiency through satellite units are strategies that may prove more cost-effective and psychologically advantageous for the patients.

scholarly journals PSY34 Economic Evaluation of Ferinject in the Treatment of Anemia Patients in the Greek Hospital Setting: a Cost Minimization Analysis

2011 ◽  
Vol 14 (7) ◽  
pp. A416
Author(s):  
V. Fragoulakis ◽  
G. Kourlaba ◽  
D. Goumenos ◽  
M. Konstantoulakis ◽  
N. Maniadakis
Keyword(s):  
Economic Evaluation ◽  
Cost Minimization ◽  
Hospital Setting ◽  
Cost Minimization Analysis ◽  
Greek Hospital

Exploring the Validity and Operational Impact of Using Allied Health Assistants to Conduct Dysphagia Screening for Low-Risk Patients Within the Acute Hospital Setting

2020 ◽  
Vol 29 (4) ◽  
pp. 1944-1955 ◽  
Author(s):  
Maria Schwarz ◽  
Elizabeth C. Ward ◽  
Petrea Cornwell ◽  
Anne Coccetti ◽  
Pamela D'Netto ◽  
...  
Keyword(s):  
At Risk ◽  
Allied Health ◽  
Assessment Tool ◽  
Hospital Setting ◽  
Low Risk ◽  
False Negatives ◽  
Exact Agreement ◽  
Risk Patients ◽  
Impact Phase ◽  
Operational Impact

Purpose The purpose of this study was to examine (a) the agreement between allied health assistants (AHAs) and speech-language pathologists (SLPs) when completing dysphagia screening for low-risk referrals and at-risk patients under a delegation model and (b) the operational impact of this delegation model. Method All AHAs worked in the adult acute inpatient settings across three hospitals and completed training and competency evaluation prior to conducting independent screening. Screening (pass/fail) was based on results from pre-screening exclusionary questions in combination with a water swallow test and the Eating Assessment Tool. To examine the agreement of AHAs' decision making with SLPs, AHAs ( n = 7) and SLPs ( n = 8) conducted an independent, simultaneous dysphagia screening on 51 adult inpatients classified as low-risk/at-risk referrals. To examine operational impact, AHAs independently completed screening on 48 low-risk/at-risk patients, with subsequent clinical swallow evaluation conducted by an SLP with patients who failed screening. Results Exact agreement between AHAs and SLPs on overall pass/fail screening criteria for the first 51 patients was 100%. Exact agreement for the two tools was 100% for the Eating Assessment Tool and 96% for the water swallow test. In the operational impact phase ( n = 48), 58% of patients failed AHA screening, with only 10% false positives on subjective SLP assessment and nil identified false negatives. Conclusion AHAs demonstrated the ability to reliably conduct dysphagia screening on a cohort of low-risk patients, with a low rate of false negatives. Data support high level of agreement and positive operational impact of using trained AHAs to perform dysphagia screening in low-risk patients.

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