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Total 383 results found since Jan 2013.

Can competition improve hospital quality of care? A difference-in-differences approach to evaluate the effect of increasing quality transparency on hospital quality
AbstractPublic reporting on the quality of care is intended to guide patients to the provider with the highest quality and to stimulate a fair competition on quality. We apply a difference-in-differences design to test whether hospital quality has improved more in markets that are more competitive after the first public release of performance data in Germany in 2008. Panel data from 947 hospitals from 2006 to 2010 are used. Due to the high complexity of the treatment of stroke patients, we approximate general hospital quality by the 30-day risk-adjusted mortality rate for stroke treatment. Market structure is measured (com...
Source: The European Journal of Health Economics - January 8, 2022 Category: Health Management Source Type: research

Cost-effectiveness of a photopethysmographic procedure for screening for atrial fibrillation in 6 European countries
ConclusionThe model results showed a strong dependence of the results on the country-specific costs for stroke treatment. The use of the investigated screening method is close to cost-neutral or cost-reducing in the Western European countries and Greece. In countries with low price levels, higher cost increases due to AF screening are to be expected. Lower costs of anticoagulation, which are expected due to the upcoming patent expiry of direct anticoagulants, have a positive effect on the cost result.
Source: Health Economics Review - February 26, 2022 Category: International Medicine & Public Health Source Type: research

The management of anticoagulants in patients with atrial fibrillation and history of falls or risk of falls: protocol for a systematic review and meta-analysis - Galvain T, Hill R, Donegan S, Lisboa P, Lip GYH, Czanner G.
BACKGROUND: Atrial fibrillation affects an estimated 33 million individuals worldwide and is a major cause of stroke, heart failure, and death. Anticoagulants substantially reduce the risk of stroke but are also associated with an increased risk of bleedin...
Source: SafetyLit - April 14, 2022 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Cost-effectiveness of follow-up invasive coronary angiography after percutaneous coronary stenting: a real-world observational cohort study in Japan
Conclusions FUICA increased the costs but did not improve clinical benefits. Thus, FUICA is not economically more attractive than CF alone. Trial registration number UMIN000039768.
Source: BMJ Open - August 30, 2022 Category: General Medicine Authors: Shiina, T., Goto-Hirano, K., Takura, T., Daida, H. Tags: Open access, Health economics Source Type: research

Cost-effectiveness of targeted screening for non-valvular atrial fibrillation in the United Kingdom in older patients using digital approaches
CONCLUSIONS: Screening for NVAF at ≥75 years of age could result in fewer NVAF-related strokes. NVAF screening is cost-effective and may be cost-saving depending on the program chosen.PMID:36757910 | DOI:10.1080/13696998.2023.2179210
Source: Journal of Medical Economics - February 9, 2023 Category: Health Management Authors: Shreeya Patel Thitima Kongnakorn Andreas Nikolaou Yassir Javaid Ruth Mokgokong Source Type: research

Explaining health care expenditure variation: large‐sample evidence using linked survey and health administrative data
ABSTRACT Explaining individual, regional, and provider variation in health care spending is of enormous value to policymakers but is often hampered by the lack of individual level detail in universal public health systems because budgeted spending is often not attributable to specific individuals. Even rarer is self‐reported survey information that helps explain this variation in large samples. In this paper, we link a cross‐sectional survey of 267 188 Australians age 45 and over to a panel dataset of annual healthcare costs calculated from several years of hospital, medical and pharmaceutical records. We use this da...
Source: Health Economics - March 12, 2013 Category: Health Management Authors: Randall P. Ellis, Denzil G. Fiebig, Meliyanni Johar, Glenn Jones, Elizabeth Savage Tags: Special Issue Paper Source Type: research

Do they know what is at risk? health risk perception among the obese
Abstract The perception of health risks and risky health behaviors are closely associated. In this paper, we investigate the accuracy of health risk perceptions among obese individuals, aged 50–62 years. We compare subjective risk perceptions for various diseases elicited in the American Life Panel to individual's objective risks of the same diseases. We find that obese individuals significantly underestimate their 5‐year risks of arthritis or rheumatism and hypertension, whereas they systematically overestimate their 5‐year risks of a heart attack and a stroke. Obese individuals are thus aware of some but not all ...
Source: Health Economics - May 10, 2013 Category: Health Management Authors: Joachim Winter, Amelie Wuppermann Tags: Research Article Source Type: research

Economics of neurology 101: The dismal science meets the dismal prognosis
In the coming decades, we are faced with a massive demographic shift: the nation as a whole is getting older, by leaps and bounds. The number of persons in the oldest demographic, ages 85 and older, is expected to expand from 5.8 million in 2010 to 8.7 million in 2030, to 19 million in 2050.1 Barring miracle cures, these persons will carry a disproportionate burden of chronic neurologic diseases, including dementia, parkinsonism, and stroke. By these measures, the demand for neurologists should increase dramatically.
Source: Neurology - May 20, 2013 Category: Neurology Authors: Ney, J. P., Nuwer, M. R. Tags: All Clinical Neurology, Parkinson's disease/Parkinsonism, All Cognitive Disorders/Dementia EDITORIALS Source Type: research

Accelerated death rate in population-based cohort of persons with traumatic brain injury - Selassie AW, Cao Y, Church EC, Saunders LL, Krause J.
OBJECTIVES:: To determine the influence of preexisting heart, liver, kidney, cancer, stroke, and mental health problems and examine the influence of low socioeconomic status on mortality after discharge from acute care facilities for individuals with traum...
Source: SafetyLit: All (Unduplicated) - July 14, 2013 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

The effect of diabetes complications on health‐related quality of life: the importance of longitudinal data to address patient heterogeneity
ABSTRACT We estimate the impact of six diabetes‐related complications (myocardial infarction, ischaemic heart disease, stroke, heart failure, amputation and visual acuity) on quality of life, using seven rounds of EQ‐5D questionnaires administered between 1997 and 2007 in the UK Prospective Diabetes Study. The use of cross‐sectional data to make such estimates is widespread in the literature, being less expensive and easier to collect than repeated‐measures data. However, analysis of this dataset suggests that cross‐sectional analysis could produce biased estimates of the effect of complications on QoL. Using fix...
Source: Health Economics - July 11, 2013 Category: Health Management Authors: Maria Alva, Alastair Gray, Borislava Mihaylova, Philip Clarke Tags: Research Article Source Type: research