Publications by authors named "Stuart Redding"
Background/objectives: The Government of Kerala initiated a pilot screening programme for diabetic retinopathy in 16 Family Health Centres in Thiruvananthapuram district in 2019 in collaboration with the ORNATE India project. The evaluation of this pilot included a study of its costs and cost-effectiveness to inform decisions about extending the programme throughout Kerala.
Subjects/methods: The participants comprise all 5307 people who were screened for diabetic retinopathy under the pilot programme for whom data could be collected.
Article Synopsis
- The study estimates the annual economic impact of blindness and moderate to severe visual impairment (MSVI) among Indians aged 40 and older with diabetes in 2019, focusing on costs related to screening, treatment, and lost productivity.
- The total costs include approximately 42.3 billion INR for screenings, 2.87 billion INR for treatment (if 20% receive care), and a staggering 472 billion INR in lost economic activity, along with the loss of 2.86 million quality-adjusted life years (QALYs).
- The findings highlight the significant economic burden of these conditions and suggest that implementing effective screening and treatment programs could help lessen these costs in the future.
Despite the concerns and efforts of policy makers, it has proved difficult to restrain the growth in hospital admissions in England. Using data from Hospital Episode Statistics (HES), in this paper we perform, for all patients treated in English hospitals between 1997/8 and 2014/15, an age, period, cohort (APC) analysis to examine how far trends in emergency and elective hospital admissions and bed days can be explained by: the effects of the age distribution of the population, together with rising numbers of older people; cohort effects due to differing admission rates of people born in different years, and period effects, effects relating to a specific year which cannot be explained by either age or cohort effects. This time period was chosen to cover a time of significant policy upheaval in the NHS, including significant reforms to the ways in which hospitals were funded, managed and had patients referred to them.
View Article and Find Full Text PDFAttempts to control hospital expenditure by managing down General Practitioner (GP) referrals are reoccurring features of UK health policy. However, despite the best efforts of GPs to benchmark referral criteria, patient health may be damaged and other costs created by constraining referrals to targets. This paper adopts an indirect method to indicate whether rationing practice referrals may damage population health by distorting the use of health resources away from patients' interests.
View Article and Find Full Text PDFObjectives: The growth of COVID-19 infections in England raises questions about system vulnerability. Several factors that vary across geographies, such as age, existing disease prevalence, medical resource availability and deprivation, can trigger adverse effects on the National Health System during a pandemic. In this paper, we present data on these factors and combine them to create an index to show which areas are more exposed.
View Article and Find Full Text PDFObjective: Various studies find that the share of emergencies in hospital admissions is higher in deprived areas, but both the explanation and policy implications are unclear. We estimate the extent to which this finding is due to a different disease mix in deprived areas, rather than other explanations such as patient behaviour and general practitioner effectiveness.
Design: Secondary analysis using English Hospital Episode Statistics data, with disease for elective and emergency admissions in 2008/2009 coded at 186 blocks or 1230 categories and aggregated to lower layer super output area of residence.