1,477 results match your criteria: "Center for Health Economics[Affiliation]"

Profiles of met and unmet care needs in the oldest-old primary care patients with depression - results of the AgeMooDe study.

J Affect Disord

April 2024

Institute of Social Medicine, Occupational Health und Public Health, Medical Faculty, University of Leipzig, Philipp-Rosenthal-Straße 55, 04103 Leipzig, Germany.

Background: Unmet care needs have been associated with an increased risk of depression in old age. Currently, the identification of profiles of met and unmet care needs associated with depressive symptoms is pending. Therefore, this exploratory study aimed to identify profiles of care needs and analyze associated factors in oldest-old patients with and without depression.

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Context: Across the member countries of the Organisation for Economic Co-Operation and Development, policy makers are searching for new ways to pay hospitals for inpatient care to move from volume to value. This paper offers an overview of the latest reforms and their evidence to date.

Methods: We reviewed reforms to DRG payment systems in 10 high-income countries: Australia, Austria, Canada (Ontario), Denmark, France, Germany, Norway, Poland, the United Kingdom (England), and the United States.

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The Implementation of an Electronic Medical Record in a German Hospital and the Change in Completeness of Documentation: Longitudinal Document Analysis.

JMIR Med Inform

January 2024

Chair of Quality Development and Evaluation in Rehabilitation, Institute of Medical Sociology, Health Services Research, and Rehabilitation Science, Faculty of Human Sciences & Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.

Background: Electronic medical records (EMR) are considered a key component of the health care system's digital transformation. The implementation of an EMR promises various improvements, for example, in the availability of information, coordination of care, or patient safety, and is required for big data analytics. To ensure those possibilities, the included documentation must be of high quality.

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How do individuals rate their health compared to others? findings based on a nationally representative sample in Germany.

BMC Public Health

January 2024

Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg Center for Health Economics, Hamburg, Germany.

Background: The aim of this study is to explore the determinants of health comparisons (i.e., how individuals rate their health compared to other individuals in their age bracket) in the general adult population (total sample and in different age groups).

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Looking AHEAD to State Global Budgets for Health Care.

N Engl J Med

January 2024

From the Department of Medicine, Brigham and Women's Hospital (S.G.), and the Section of Health Policy and Equity, Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center (S.G., R.K.W.) - both in Boston; and the Cardiovascular Division, John T. Milliken Department of Medicine, Washington University School of Medicine in St. Louis, and the Center for Health Economics and Policy, Washington University in St. Louis - both in St. Louis (K.J.M.).

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Is loneliness associated with cancellation of medical appointments during the COVID-19 pandemic? Evidence from the Hamburg City Health Study (HCHS).

BMC Health Serv Res

January 2024

Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg Center for Health Economics, Hamburg, Germany.

Background: The COVID-19 pandemic engendered numerous societal and economic challenges in addition to health-related concerns. Maintenance of healthcare utilization assumed immense significance during this period. However, few studies have examined the association between loneliness and cancelled medical appointments during the COVID-19 pandemic.

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Cannabis for medical use versus opioids for chronic non-cancer pain: a systematic review and network meta-analysis of randomised clinical trials.

BMJ Open

January 2024

Department of Health Research Methods, Evidence, and Impact (HEI), Department of Health Research Methods, Evidence, and Impact (HEI), McMaster University, Ontario, Canada.

Objective: The objective of this study is to evaluate the comparative benefits and harms of opioids and cannabis for medical use for chronic non-cancer pain.

Design: Systematic review and network meta-analysis.

Data Sources: EMBASE, MEDLINE, CINAHL, AMED, PsycINFO, PubMed, Web of Science, Cannabis-Med, Epistemonikos and the Cochrane Library (CENTRAL) from inception to March 2021.

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International strategies, experiences, and payment models to incentivise day surgery.

Health Policy

February 2024

Department of Health Care Management, Technische Universität Berlin, Administrative office H80, Straße des 17. Juni 135, Berlin 10623, Federal Republic of Germany.

The importance of day surgery as a less costly alternative compared to conventional inpatient hospital stays is growing internationally. The rate of day surgery activities has increased across Europe. However, this trend has been heterogeneous across countries, and might still be below its potential.

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Background: The COVID-19 pandemic has disrupted healthcare utilization globally, but little is known about the effects among patients with cardiovascular diseases (CVDs) and other multimorbidities. This study analyzed the impacts of COVID-19 on healthcare utilization for patients aged 30 years and older with cardiovascular diseases (CVDs) with or without other chronic disease comorbidities in Indonesia.

Methods: We designed a retrospective cohort study based on the Indonesian National Health Insurance (NHI) sample data from 2016-2020.

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Correction: Clinical and laboratory features associated with macrophage activation syndrome in Still's disease: data from the international AIDA Network Still's Disease Registry.

Intern Emerg Med

January 2024

Department of Medical Sciences, Surgery and Neurosciences, Research Center of Systemic Autoinflammatory Diseases, Behçet's Disease Clinic and Rheumatology-Ophthalmology Collaborative Uveitis Center, University of Siena, Siena, Italy.

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Disease burden of COPD in the Chinese population: a systematic review.

Ther Adv Respir Dis

January 2024

Department of Respiratory Diseases, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan, People's Republic of China.

Background: Chronic obstructive pulmonary disease (COPD) is one of the main contributors to the global burden of disease.

Objectives: This systematic review aimed to evaluate the disease burden of COPD in the Chinese population and to determine the factors influencing the economic burden of the disease.

Design: This is a systematic review study.

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Article Synopsis
  • The COVID-19 pandemic has significantly affected the mental health of healthcare and public health professionals, highlighting the need for organizational support during such emergencies.
  • This systematic review seeks to identify effective mental health interventions for healthcare workers during public health crises.
  • The review analyzed 36 studies and found that therapy, psychoeducation, and mind-body techniques can alleviate symptoms of anxiety and burnout, with psychoeducation boosting resilience and mind-body methods improving quality of life.
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Sexual Violence against Children with Disabilities: A Danish National Birth Cohort Prospective Study.

Scand J Child Adolesc Psychiatr Psychol

January 2023

National Danish Centre for Research in Social Welfare, Danish National Institute of Social Research, Copenhagen, Denmark.

Background: Children with disabilities are at heightened risk of sexual violence compared to non-disabled peers.

Objective: We aimed to examine the associations between ten childhood disabilities and sexual victimization.

Methods: Data were drawn from the Danish Psychiatric Case Register, the Criminal Register, and other population-based registers.

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Prevalence and correlates of loneliness and social isolation in the oldest old: a systematic review, meta-analysis and meta-regression.

Soc Psychiatry Psychiatr Epidemiol

December 2023

Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg Center for Health Economics, Hamburg, Germany.

Purpose: Conducting a systematic review, meta-analysis and meta-regression regarding the prevalence and correlates of loneliness and social isolation amongst the community-dwelling and institutionalised oldest old (80 years and over).

Methods: Three electronic databases (PsycINFO, CINAHL and Medline) were searched, including studies from inception to January 5, 2023. An additional hand search was conducted by checking included studies' references, and studies that cited included studies.

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Purpose: This study aimed to evaluate the associations between unhealthy eating habits and insomnia symptoms with Internet addiction (IA) among Chinese left-behind children (LBC) based on potential gender difference.

Methods: This cross-sectional study was conducted in junior high schools from an economically disadvantaged area of China in May 2020. Participants were asked to complete the information and scales of socio-demographic characteristics, eating habits (the frequency of eating carbohydrates, fruits, vegetables, protein, and breakfast), insomnia severity and IA.

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Still's disease continuum from childhood to elderly: data from the international AIDA Network Still's disease registry.

RMD Open

December 2023

Department of Medical Sciences, Surgery and Neurosciences, Research Center of Systemic Autoinflammatory Diseases and Behçet's Disease Clinic, University of Siena, Siena, Italy

Article Synopsis
  • - This study investigates whether pediatric-onset, adult-onset, and elderly-onset Still's disease are the same condition or different diseases by comparing demographic, clinical, and treatment response data across these age groups.
  • - Out of 411 patients surveyed, most were adults (76.4%), while 15.8% were pediatric and 7.8% were elderly, with significant differences found in symptoms like skin rash and arthritis being more prevalent in children, and pleuritis in the elderly.
  • - Overall, while some minor differences in symptoms and lab results were noted among the age groups, the study concludes that Still's disease has similar demographic and treatment characteristics across pediatric, adult, and elderly patients.
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Hospitals account for about 40% of all healthcare expenditure in high-income countries and play a central role in healthcare provision. The ways in which they are paid, therefore, has major implications for the care they provide. However, our knowledge about reforms that have been made to the various payment schemes and their country-level effects is surprisingly thin.

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Revision of Malawi's Health Benefits Package: A Critical Analysis of Policy Formulation and Implementation.

Value Health Reg Issues

January 2024

Department of Planning and Policy Development, Ministry of Health, Lilongwe, Malawi.

Objectives: Health benefits packages (HBPs), which define specific health services that can be offered for free or at a reduced cost to fit within public revenues, have been recommended for over 30 years to maximize population health in resource-limited settings. However, there remain gaps in defining and operationalizing HBPs. We propose a combination of design and prioritization methods along with practical strategies to improve the implementation of future iterations of the HBP in Malawi.

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Objectives: There are few studies investigating the determinants of psychosocial outcomes using data exclusively from the oldest old; and even fewer that use longitudinal data. Thus, our aim was to explore the determinants of psychosocial factors (in terms of life satisfaction, loneliness, and depressive symptoms) amongst the oldest old (also stratified by sex) based on representative, longitudinal data from Germany.

Methods/design: Data from "Survey on quality of life and subjective well-being of the very old in North Rhine-Westphalia (NRW80+)" were used.

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Fear of war in Germany: An observational study.

Heliyon

November 2023

Department of Health Economics and Health Services Research, University Medical Center, Hamburg-Eppendorf, Hamburg Center for Health Economics, 20246, Hamburg, Germany.

Background: Given the very limited knowledge, the purpose of this study was to identify the current prevalence and correlates of fear of conventional and of nuclear war in the general adult population (Germany).

Methods: Data were taken from a representative survey (n = 3091 participants; mid-March 2022). Established items were used to quantify fear of conventional war and fear of nuclear war.

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Health poverty among people with type 2 diabetes mellitus (T2DM) in Malaysia.

Soc Sci Med

January 2024

Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.

In the context of the escalating burden of diabetes in low and middle-income countries (LMICs), there is a pressing concern about the widening disparities in care and outcomes across socioeconomic groups. This paper estimates health poverty measures among individuals with type 2 diabetes mellitus (T2DM) in Malaysia. Using data from the National Diabetes Registry between 2009 and 2018, the study linked 932,855 people with T2DM aged 40-75 to death records.

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Purpose: To examine whether patient involvement using a Patient Decision Aid has a positive effect on pain levels, by giving them an active role in choosing a pain schedule for postoperative pain assessment and pain management.

Design: A nonmatched case-control study.

Methods: 101 adults 18 years or older were included to choose between 1 of 3 possible schedules for postoperative pain management.

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Background: Different patient clusters were preliminarily suggested to dissect the clinical heterogeneity in Still's disease. Thus, we aimed at deriving and validating disease clusters in a multicentre, observational, prospective study to stratify these patients.

Methods: Patients included in GIRRCS AOSD-study group and AIDA Network Still Disease Registry were assessed if variables for cluster analysis were available (age, systemic score, erythrocyte sedimentation rate (ESR), C reactive protein (CRP) and ferritin).

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