Physician financial incentives to reduce unplanned hospital readmissions: A propensity score weighted cohort study
Unplanned hospital readmissions are associated with adverse patient outcomes and substantial healthcare costs. It remains unknown whether physician financial incentives for enhanced discharge planning can reduce readmission risk. (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - May 13, 2024 Category: General Medicine Authors: John A. Staples, Ying Yu, Mayesha Khan, Hiten Naik, Guiping Liu, Jeffrey R. Brubacher, Ahmer Karimuddin, Jason M. Sutherland Tags: Clinical Research Study Source Type: research

Cost-effectiveness of a complex continuum of care intervention targeting women and children: protocol for an economic evaluation of the Bukhali trial in South Africa
Introduction As nearly two-thirds of women presenting at their first antenatal visit are either overweight or obese in urban South Africa, the preconception period is an opportunity to optimise health and offset transgenerational risk of both obesity and non-communicable diseases. This protocol describes the planned economic evaluation of an individually randomised controlled trial of a complex continuum of care intervention targeting women and children in Soweto, South Africa (Bukhali trial). Methods and analysis The economic evaluation of the Bukhali trial will be conducted as a within-trial analysis from both provider ...
Source: BMJ Open - May 13, 2024 Category: General Medicine Authors: Palmer, T., Leiva Granados, R., Draper, C., Norris, S. A., Batura, N. Tags: Open access, Health economics Source Type: research

Societal costs before and up to 1  year after the first fracture liaison service visit in patients requiring anti-osteoporosis treatments
ConclusionSocietal and healthcare costs in the year following the first FLS visit significantly decreased compared to those costs preceding the first visit. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - May 13, 2024 Category: Orthopaedics Source Type: research

Societal costs before and up to 1  year after the first fracture liaison service visit in patients requiring anti-osteoporosis treatments
ConclusionSocietal and healthcare costs in the year following the first FLS visit significantly decreased compared to those costs preceding the first visit. (Source: Archives of Osteoporosis)
Source: Archives of Osteoporosis - May 13, 2024 Category: Orthopaedics Source Type: research

Linking factors to incisional hernia following pancreatic surgery: a 14-year retrospective analysis
ConclusionsThe study underscores a notable association between biliary stent placement and increased IH risk after PD, mediated by elevated SSI incidence. Pancreatic fistulas were not directly correlated with IH in the studied cohorts. Further research is necessary to validate these findings and guide clinical practice. (Source: Hernia)
Source: Hernia - May 12, 2024 Category: Sports Medicine Source Type: research

Comparison of Long-Term Healthcare Cost and Utilisation of Nonoperative and Surgical Management of Thumb CMC Arthritis
Conclusions: CMC arthritis treatment incurs high healthcare cost and utilisation independent of other medical comorbidities. At 3 years postoperatively, the annual healthcare cost and utilisation for surgical patients were less than those for patients who underwent conservative management, but this difference was insufficient to offset the initial surgical cost. Level of Evidence: Level III (Therapeutic).PMID:38726498 | DOI:10.1142/S2424835524500206 (Source: Hand Surgery)
Source: Hand Surgery - May 10, 2024 Category: Surgery Authors: Alfred P Yoon Hao Wu William T Chung Lu Wang Kevin C Chung Source Type: research

Regional impact assessment of air quality improvement: The air quality lifecourse assessment tool (AQ-LAT) for the West Midlands combined authority (WMCA)
Environ Pollut. 2024 Apr 29:123871. doi: 10.1016/j.envpol.2024.123871. Online ahead of print.ABSTRACTPoor air quality is the largest environmental health risk in England. In the West Midlands, UK, ∼2.9 million people are affected by air pollution with an average loss in life expectancy of up to 6 months. The 2021 Environment Act established a legal framework for local authorities in England to develop regional air quality plans, generating a policy need for predictive environmental impact assessment tools. In this context, we developed a novel Air Quality Lifecourse Assessment Tool (AQ-LAT) to estimate electoral ward-lev...
Source: Environmental Pollution - May 10, 2024 Category: Environmental Health Authors: James Hall Jian Zhong Sue Jowett Andrea Mazzeo G Neil Thomas John R Bryson Steve Dewar Nadia Inglis Mark Wolstencroft Catherine Muller William Bloss Roy Harrison Suzanne Bartington Source Type: research

Self-management programs within rehabilitation yield positive health outcomes at a small increased cost compared to usual care: A systematic review and meta-analysis
CONCLUSIONS: Self-management as an intervention is low cost and could improve health-related quality of life.PROSPERO REGISTRATION: CRD42021275472.PMID:38729404 | DOI:10.1016/j.apmr.2024.05.007 (Source: Health Physics)
Source: Health Physics - May 10, 2024 Category: Physics Authors: Sara Whittaker Natasha K Brusco Keith D Hill Nicholas F Taylor Source Type: research

Comparison of Long-Term Healthcare Cost and Utilisation of Nonoperative and Surgical Management of Thumb CMC Arthritis
Conclusions: CMC arthritis treatment incurs high healthcare cost and utilisation independent of other medical comorbidities. At 3 years postoperatively, the annual healthcare cost and utilisation for surgical patients were less than those for patients who underwent conservative management, but this difference was insufficient to offset the initial surgical cost. Level of Evidence: Level III (Therapeutic).PMID:38726498 | DOI:10.1142/S2424835524500206 (Source: Hand Surgery)
Source: Hand Surgery - May 10, 2024 Category: Surgery Authors: Alfred P Yoon Hao Wu William T Chung Lu Wang Kevin C Chung Source Type: research