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Cost-effectiveness of behavioural counselling intervention compared with non-intervention for adult patients with metabolic syndrome to prevent cardiovascular diseases and type 2 diabetes in Japan: a microsimulation modelling study
Conclusions This study suggests that even small effects of counselling and education on behavioural modification may lead to the prevention of acute life-threatening events and chronic diseases, in addition to the reduction of medication resulting from metabolic syndrome, which results in cost savings. (Source: BMJ Open)
Source: BMJ Open - April 5, 2024 Category: General Medicine Authors: Akune, Y., Anezaki, H., Nakao, Y. M., Goto, R. Tags: Open access, Health economics Source Type: research

Medical Insurance Representatives Perceptions on National Health Insurance Primary Healthcare Re-Engineering in South Africa: A Qualitative Study
This study sought to explore perceptions of medical insurance company personnel on PHC re-engineering as part of NHI restructuring. A qualitative research design was adopted in this study. Semi-structured interviewed were conducted on 10 participants. Their responses were audio recorded and transcribed utilizing Microsoft Word® documents. Nvivo® was used to facilitate the analysis of data. A thematical approach was used to categories codes into themes. Although participants were in agreement with the current healthcare reform in South Africa. The findings of this study have highlighted several gaps in the NHI Bill at the...
Source: Primary Care - April 4, 2024 Category: Primary Care Authors: Vivian Naidoo Fatima Suleman Varsha Bangalee Source Type: research

Building the Infrastructure to Integrate Social Care in a Safety Net Health System
Am J Public Health. 2024 Apr 4:e1-e7. doi: 10.2105/AJPH.2024.307602. Online ahead of print.ABSTRACTA recent National Academies report recommended that health systems invest in new infrastructure to integrate social and medical care. Although many health systems routinely screen patients for social concerns, few health systems achieve the recommended model of integration. In this critical case study in an urban safety net health system, we describe the human capital, operational redesign, and financial investment needed to implement the National Academy recommendations. Using data from this case study, we estimate that othe...
Source: American Journal of Public Health - April 4, 2024 Category: International Medicine & Public Health Authors: Christopher M Callahan Amy Carter Hannah S Carty Daniel O Clark Tedd Grain Seth L Grant Kimberly McElroy-Jones Deanna Reinoso Lisa E Harris Source Type: research

Building the Infrastructure to Integrate Social Care in a Safety Net Health System
Am J Public Health. 2024 Apr 4:e1-e7. doi: 10.2105/AJPH.2024.307602. Online ahead of print.ABSTRACTA recent National Academies report recommended that health systems invest in new infrastructure to integrate social and medical care. Although many health systems routinely screen patients for social concerns, few health systems achieve the recommended model of integration. In this critical case study in an urban safety net health system, we describe the human capital, operational redesign, and financial investment needed to implement the National Academy recommendations. Using data from this case study, we estimate that othe...
Source: Am J Public Health - April 4, 2024 Category: International Medicine & Public Health Authors: Christopher M Callahan Amy Carter Hannah S Carty Daniel O Clark Tedd Grain Seth L Grant Kimberly McElroy-Jones Deanna Reinoso Lisa E Harris Source Type: research

Designing and implementing a bundle of care for patients with early-stage breast cancer: lessons from a pilot program
We present a case study on the design and implementation of a value-based bundled package of care for patients with early-stage breast cancer treated in the private health sector in Australia. Value-based healthcare is an essential change to how we deliver healthcare, shifting the focus from paying for individual services provided to a focus on the health outcomes gained over a full cycle of care. The Australian health system has unintentionally created barriers to value-based cancer care through fragmented care pathways and complex funding arrangements where patients can unexpectedly encounter high out-of-pocket costs. A ...
Source: Australian Health Review - April 3, 2024 Category: Hospital Management Authors: Yvonne Zissiadis Helen Ballal Nicola Forsyth Angela Ives Lee Jackson Anna Montgomery Sarah Wise Wen Chan Yeow Christobel Saunders Source Type: research

Cost of Treatment for Brain Metastases Using Data From a National Health Insurance
CONCLUSIONS: Whole-brain radiation therapy was the least costly radiation technique. Similar per-treatment prices for Gamma Knife and linear accelerator SRS support their use in treating BMs. Stereotactic radiation therapy in general was costlier on a per-use basis than SRS, prompting further scrutiny on its frequent use. Hippocampal avoidance intensity modulated radiation therapy was the costliest radiation therapy on a per-use basis by a moderate amount, prompting further discussion about its comparative cost effectiveness against other radiation modalities. This study underscores the importance of multiple consideration...
Source: Cancer Control - April 3, 2024 Category: Cancer & Oncology Authors: Joseph Crooks Oralia Dominic Matthew Shepard Alexander Yu Yun Liang Stephen M Karlovits Rodney E Wegner Source Type: research