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Can J Kidney Health Dis
January 2025
Division of Nephrology, Department of Medicine, University of Alberta Hospital, University of Alberta, Edmonton, Canada.
Purpose Of Program: Canada's growing prevalence of people with kidney failure receiving kidney replacement therapy has necessitated the expansion of dialysis programs. Although facility-based hemodialysis is the predominant dialysis modality in Canada, it is substantially costlier than home dialysis (peritoneal or home hemodialysis). Initiatives to increase the uptake of home dialysis typically consist of didactic and experiential education.
View Article and Find Full Text PDFPLOS Glob Public Health
December 2024
Department of Health Metrics Sciences, University of Washington, Seattle, Washington, United States of America.
Antiretroviral therapy (ART) is needed across the lifetime to maintain viral suppression for people living with HIV. In South Africa, obstacles to reliable access to ART persist and are magnified in rural areas, where HIV services are also typically costlier to deliver. A recent pilot randomized study (the Deliver Health Study) found that home-delivered ART refills, provided at a low user fee, effectively overcame logistical barriers to access and improved clinical outcomes in rural South Africa.
View Article and Find Full Text PDFHealth Soc Care Deliv Res
December 2024
Centre for Advancement in Realist Evaluation and Synthesis, Vancouver, Canada.
Background: First-contact physiotherapists assess and diagnose patients with musculoskeletal disorders, determining the best course of management without prior general practitioner consultation.
Objectives: The primary aim was to determine the clinical and cost-effectiveness of first-contact physiotherapists compared with general practitioner-led models of care.
Design: Mixed-method realist evaluation of effectiveness and costs, comprising three main phases: A United Kingdom-wide survey of first contact physiotherapists.
Stud Health Technol Inform
November 2024
Centre for Excellence in Universal Design, National Disability Authority.
This paper examines the social value and economic benefits of Universal Design (UD) Homes, with a focus on assessing the potential financial savings arising in various areas of expenditure due to investment in UD Homes. Investment in the provision of UD Homes can result in a win-win outcome, leading to improved quality of life and more cost-effective forms of investment. UD Homes are found to be particularly cost-effective in the context of age friendly housing due to the potential to reduce the need for costlier forms of long-term residential care and the avoidance of injurious falls.
View Article and Find Full Text PDFCureus
August 2024
Department of General Medicine, SRM (Sri Ramaswamy Memorial) Medical College Hospital and Research Centre, Chengalpattu, IND.
Background: Intensive medical care units (IMCUs) usually admit patients who are in critical medical need and require the utmost attention of healthcare professionals, along with the best treatment options available. These patients are prone to infections and require various antibiotics for the treatment. Varying costs of antibiotics, variable dosage forms, and antibiotic resistance cause an economic burden on patients Methodology: This study was designed and conducted prospectively to evaluate the prescribing pattern of antibiotics at the IMCU in a tertiary care hospital.
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