Balancing The Use Of Cost-Effectiveness Analysis Across All Types Of Health Care Innovations
Cost-effectiveness analysis (CEA) is an important tool for assessing and pointing the way toward better health care efficiency. The number of published CEAs on health care interventions has blossomed, averaging 34 per year in the 1990 to 1999 time frame and increasing to more than 500 per year in the 2010 to 2014 period. Advances in computing and data storage technology, along with a workforce with the appropriate statistical, health economic, modeling, and computational skills, will enable continued growth in the application of CEA, which can be used for the benefit of providers, payers, patients, and governments. The fou...
Source: Health Affairs Blog - April 14, 2017 Category: Health Management Authors: James R. Baumgardner and Peter J. Neumann Tags: Costs and Spending Drugs and Medical Innovation Health Equity Quality cost effectiveness analysis cost-effectiveness Second Panel on Cost-Effectiveness in Health and Medicine Source Type: blogs
Ten Gripes of Buprenorphine Doctors
I recently gave a lecture to medical students about opioid dependence and medication assisted treatment using buprenorphine, methadone, or naltrexone. I was happy to see their interest in the topic, in contrast to the utter lack of interest in learning about buprenorphine shown by practicing physicians. In case someone from the latter group comes across this page, I’ll list a few things to do or to avoid when caring for someone on buprenorphine (e.g. Suboxone).
1. Buprenorphine does NOT treat acute pain, so don’t assume that it will. Patients are fully tolerant to the mu-opioid effects of buprenorphine, so they...
Source: Suboxone Talk Zone - March 25, 2017 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Acute Pain Addiction Buprenorphine Chronic pain Suboxone surgery buprenorphine stigma Source Type: blogs
Ten Gripes of Buprenorphine Doctors
I recently gave a lecture to medical students about opioid dependence and medication assisted treatment using buprenorphine, methadone, or naltrexone. I was happy to see their interest in the topic, in contrast to the utter lack of interest in learning about buprenorphine shown by practicing physicians. In case someone from the latter group comes across this page, I’ll list a few things to do or to avoid when caring for someone on buprenorphine (e.g. Suboxone).
1. Buprenorphine does NOT treat acute pain, so don’t assume that it will. Patients are fully tolerant to the mu-opioid effects of buprenorphine, so they...
Source: Suboxone Talk Zone - March 25, 2017 Category: Addiction Authors: admin Tags: Acute Pain Addiction Buprenorphine Chronic pain Suboxone surgery buprenorphine stigma Source Type: blogs
Costs of A Hospital Monopoly in One Underserved County
By NIRAN AL-AGBA, MD
There is a growing body of evidence that hospital mergers lead to higher prices for consumers, employers, insurance, and government. It is imperative to educate patients and lawmakers as to how the consolidation of hospitals and medical practices raise costs, decrease access, eliminate jobs, and ultimately reduce care quality as a result. Lawmakers should focus on this “first pillar” of cost control as they go back to the drawing board.
In 2010, there were 66 hospital mergers in this country. Since the Affordable Care Act went into effect the rate of hospital consolidation has increased by 70...
Source: The Health Care Blog - February 28, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
DrExit: Costs of A Hospital Monopoly in One Underserved County
By NIRAN AL-AGBA, MD
There is a growing body of evidence that hospital mergers lead to higher prices for consumers, employers, insurance, and government. It is imperative to educate patients and lawmakers as to how the consolidation of hospitals and medical practices raise costs, decrease access, eliminate jobs, and ultimately reduce care quality as a result. Lawmakers should focus on this “first pillar” of cost control as they go back to the drawing board.
In 2010, there were 66 hospital mergers in this country. Since the Affordable Care Act went into effect the rate of hospital consolidation has increased by 7...
Source: The Health Care Blog - February 28, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
New Clinical Decisions: Thromboprophylaxis after...
New Clinical Decisions: Thromboprophylaxis after Knee Arthroscopy via Now@NEJMPosted oninfosnack. (Source: Kidney Notes)
Source: Kidney Notes - February 12, 2017 Category: Urology & Nephrology Authors: Joshua Schwimmer Source Type: blogs
On The Pulse - July 2016
< table border="0" width="100%" cellpadding="0" cellspacing="5" > < tr > < td width="80" valign="top" > < a href="http://www.onmedica.com/blogView.aspx?blogid=c816ff24-dc8c-4dfc-a40e-a55399bd4674 & postID=fa0a2482-5674-4157-bcb2-f4531852aa82" > < img src="http://www.onmedica.com/getResource.aspx?resourceID=38d442f2-aedc-4aa6-91eb-8f3434f9aed7 & width=80" border="0" alt="" > < /a > < /td > < td valign="top" > Exercise is as effective as arthroscopic menisectomy for patients with knee pain < /td > < /tr > < /table > (Source: OnMedica Blogs)
Source: OnMedica Blogs - July 28, 2016 Category: Journals (General) Source Type: blogs
An unusual wrist injury
A 30 year old man attends the Emergency Department after injuring his right wrist. He was playing rugby and landed awkwardly during a tackle with his hand trapped underneath another player. On arrival he is complaining of significant pain in his right wrist with reduced movement in all directions.
Clinical Case Report
Examination:
Examination of the wrist reveals reduced movement in flexion and extension and significant pain on pronation and supination.
You notice a hollow where his ulna styloid normally sits on the dorsum of his wrist.
+ Show Clinical Image of wrist on arrival
expand(document.getElementB...
Source: Life in the Fast Lane - May 6, 2016 Category: Emergency Medicine Authors: Dan Stevens Tags: Clinical Case Education Orthopedics dislocation DRUJ relocation Trauma Volar Distal Ulnar Dislocation wrist injury Source Type: blogs
Plus ça change
I mean no disrespect to my Australian hosts when I say that I've seen this all before. The details differ, but the same underlying themes emerge. And when stories are placed side by side, it can be confusing to the public.In Australia, the government strongly encourages private health insurance coverage for a portion of the population, a policy that was designed to reduce overcrowding in the public hospitals. There are a whole series of regulations that influence both corporate and individual behavior in this arena. These rules have essentially created the private health insurance market in the count...
Source: Not running a hospital - February 3, 2016 Category: Hospital Management Source Type: blogs
Plus a change
I mean no disrespect to my Australian hosts when I say that I ' ve seen this all before. The details differ, but the same underlying themes emerge. And when stories are placed side by side, it can be confusing to the public.In Australia, the government strongly encourages private health insurance coverage for a portion of the population, a policy that was designed to reduce overcrowding in the public hospitals. There are a whole series of regulations that influence both corporate and individual behavior in this arena. These rules have essentially created the private health insurance market in the country....
Source: Not running a hospital - February 3, 2016 Category: Hospital Management Source Type: blogs
Professional and Olympic Athletes Using Platelet Rich Plasma for Joint Pain and Muscle Injuries
Platelet rich plasma (PRP) has been used medically since the late 1990’s. Dentists were the first to use this natural healing mechanism to improve outcomes of dental surgery and tooth extractions. PRP has been used since 2000 for accelerated healing during surgery, following orthopedic, thoracic and cardiac surgical procedures. PRP has found wide use in non-surgical orthopedic treatment of knee and shoulder pain. It can be used for a variety of common sports injuries.
Platelet rich plasma can heal injured tendons, ligaments, muscle, cartilage and bone. Major league sports has discovered the incredible natural heal...
Source: Sarasota Neurology - January 12, 2016 Category: Neurology Authors: admindan Tags: Back Pain Platelet Rich Plasma Uncategorized Hines Ward injuries joint pain knee pain Major League Baseball NFL olympic orthopedic Pittsburgh Steelers PRP PRP therapy prp therapy sarasota rafael nadal Tiger Woods Source Type: blogs
Appropriate Use Of Reference Pricing Can Increase Value
The California Public Employees Retirement System (CalPERS) purchases coverage for 1.3 million employees (and their families) of the state of California, and of other public entities such as municipalities and transit systems. The organization’s purchasing strategy seeks to stimulate providers to compete with each other on price as well as performance, thereby increasing the value offered by the health care system.
CalPERS has long been recognized as a leader in value-based purchasing, including defined contributions towards insurance premiums, quality reporting, and promotion of Accountable Care Organizations. Many of t...
Source: Health Affairs Blog - July 7, 2015 Category: Health Management Authors: Ann Boynton and James C. Robinson Tags: Costs and Spending Drugs and Medical Technology Equity and Disparities Featured Health Professionals Hospitals Insurance and Coverage Payment Policy Population Health Quality ACOs CalPERS Consumers health care market health car Source Type: blogs
On The Pulse - 26th June 2015
Arthroscopic interventions have no lasting benefit for people with persistent knee pain (Source: OnMedica Blogs)
Source: OnMedica Blogs - June 27, 2015 Category: Journals (General) Source Type: blogs
Platelet Rich Plasma PRP Therapy in Sarasota Florida for Joint and Foot Pain
Platelet Rich Plasma PRP Therapy in Sarasota Fl for Joint and Foot Pain
Patients are being treated currently at Sarasota Neurology with PRP (platelet rich plasma) for a wide variety of joint pain and other pain issues. Among the more common uses for PRP are knee pain, shoulder pain and other painful conditions such as plantar fasciitis, tennis elbow, some types of low back pain. PRP can also be used in patients that have residual joint pain from having had orthopedic arthroscopic knee or shoulder surgery.
PRP works to heal painful joints by using the patients’ own natural healing mechanism. The injured or damaged ti...
Source: Sarasota Neurology - May 28, 2015 Category: Neurology Authors: admindan Tags: Back Pain Platelet Rich Plasma Uncategorized foot pain natural healing foot pain plantar fasciitis platelet rich plasma therapy sarasota florida prp sarasota florida Source Type: blogs
