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| http://dx.doi.org/10.25259/IJMR_221_2024 | DOI Listing |
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A cost-reducing reimbursement programme? Effects of value-based reimbursement on healthcare costs.
Front Public Health
December 2024
Department of Health, Medicine and Caring Sciences (HMV), Linköping University, Linköping, Sweden.
Value-based reimbursement programmes have become increasingly common in attempts to bend the cost curve of healthcare without negative effects on quality. The aim of this study was to analyse the effect of introducing a value-based reimbursement programme on the cost to third-party payer. We performed a retrospective observational study with a before and after design based on the introduction of a value-based reimbursement programme in Sweden.
View Article and Find Full Text PDFWhy do we need quality measures in emergency medicine?
J Am Coll Emerg Physicians Open
December 2024
Department of Emergency Medicine Stanford University Palo Alto California USA.
Quality measures increasingly influence the delivery and reimbursement of care provided in emergency departments. While emergency physicians are accustomed to using quality measures to improve care delivery, payors, including the Centers for Medicare and Medicaid Services (CMS), are increasingly adjusting reimbursement to measure performance as a means to bend the cost curve and improve the value of healthcare services. The American College of Emergency Physicians Quality and Patient Safety Committee presents this whitepaper to guide practicing emergency physicians through the policy context of implementing measures in emergency care and understanding its impact reimbursement.
View Article and Find Full Text PDFMobile device-based 3D scanning is superior to scoliometer in assessment of adolescent idiopathic scoliosis.
Spine Deform
December 2024
Department of Orthopaedic Surgery, Stanford University School of Medicine, 453 Quarry Rd, 3rd Floor, MC 5658, Palo Alto, CA, USA.
Purpose: Screening for adolescent idiopathic scoliosis (AIS) currently relies on clinical evaluations by trained practitioners, most commonly using a scoliometer. Modern structured light 3D scanning can generate high-quality 3D representations of surface anatomy using a mobile device. We hypothesized that a mobile-based 3D scanning system would provide accurate deformity assessments compared to a scoliometer.
View Article and Find Full Text PDFThe diagnostic validity of the cervical side bend-rotation test for C 1/2 dysfunction.
J Man Manip Ther
November 2024
Division of Physical Therapy, Medical University of South Carolina, South Carolina, USA.
Introduction: Neck pain and headaches are common, with a reported lifetime prevalence of up to 66%. Upper cervical segmental dysfunction has been implicated as meaningful in neck pain and multiple headache types. Several tests have been described to assess upper cervical joint dysfunction, including the flexion-rotation test (FRT), the side bend-rotation test (SBRT), and joint play assessment (PA).
View Article and Find Full Text PDFObservation and modeling of potential sub-threshold damage growth mechanism for nitinol in ultra-high cycle fatigue.
Int J Fatigue
January 2025
U.S. Food and Drug Administration (FDA), Silver Spring, MD, USA.
Article Synopsis
- - Nitinol components in medical devices often face fatigue fractures due to small cracks starting at non-metallic inclusions before traditional crack growth occurs; understanding these cracks is essential for assessing device durability.
- - The study involved rotary bend fatigue tests on nitinol wire up to 2 billion cycles, measuring crack initiation from inclusions and calculating the stress intensity threshold.
- - The researchers propose that a smooth feature surrounding inclusions, observable under a scanning electron microscope, indicates ongoing crack growth, leading to a damage curve that helps predict the maximum allowable defect size for design life and loading conditions.
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