A new (electronic) health insurance card for Germans could eliminate errors in documenting exemption from charges. Electronic prescribing, if introduced nationally, would lead to improved medication-related information and the availability of structural and control data. An analytical model for Germany has shown that DM1 billion would be saved from improved prescription information simply in terms of the number of avoided hospital stays now paid for by the health-care system. However, the distribution of costs and benefits among the participants in health-care would be very uneven. For example, doctors would have the largest investment and operating costs, but would enjoy only marginal savings (less than 2% of investment).
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http://dx.doi.org/10.1177/1357633X020080S225 | DOI Listing |
BMC Geriatr
December 2024
ZHAW Zurich University of Applied Sciences, Winterthur Institute of Health Economics, Winterthur, Switzerland.
Background: Fall prevention programmes are essential interventions in societies with aging populations. This study assessed the fall rate and other health outcomes, as well as the cost-effectiveness of a home-based fall prevention programme for community-dwelling older people. In a single home visit, trained physical or occupational therapists performed fall risk assessments, eliminated environmental risk factors, and provided tailored exercises.
View Article and Find Full Text PDFWorld Neurosurg
December 2024
Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. Harrison St. Suite #300, Chicago, IL, 60612.
Objective: To evaluate outcomes for workers' compensation (WC) versus commercially insured (CI) patients undergoing lumbar decompression (LD) at an ambulatory surgical center (ASC).
Methods: This is a retrospective cohort study utilizing propensity score matched groups. Patients undergoing elective LD at an ASC with two-year follow-up were identified and grouped based on insurance type (WC or CI).
J Am Acad Dermatol
December 2024
Department of Dermatology, University of Connecticut School of Medicine, Farmington, CT, United States of America; Department of Dermatology, VA Connecticut Healthcare System, Newington, CT, United States of America. Electronic address:
Dermatologic disease can result in disability. In part two of this continuing medical education (CME) article, we highlight disabilities that may result from dermatologic conditions. We introduce guidelines for caring for patients with disabilities including how to identify, assess, and document patients' disabilities and provide patient-centered care and support.
View Article and Find Full Text PDFJ Infect Chemother
December 2024
Department of Otolaryngology-Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Introduction: Deep neck infections are lethal diseases; however, factors related to their prevention remain unclear. The national emergency declaration in April 2020, in response to COVID-19, spurred widespread adoption of nonpharmaceutical interventions (NPIs) such as hand washing, mask wearing, and social distancing.
Methods: This retrospective cohort study examines the impact of these interventions on the incidence of deep neck infections in Japan through interrupted time series analysis using National Database of Health Insurance Claims and Specific Health Checkups of Japan Open Data.
Soc Sci Med
December 2024
NYU Grossman School of Medicine, 550 First Avenue, New York, NY, 10016, USA.
The COVID-19 pandemic increased maternal depression and anxiety, imperiling both mothers' own wellbeing and that of their children. To date, however, little is known about the extent to which these increases are attributable to economic hardships commonly experienced during the pandemic: income loss, job loss, and loss of health insurance. Few studies have examined the individual impacts of these hardships, and none have lasted beyond the first year of the pandemic.
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