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Patel Bijal Nitin BN University of the Sciences, Mayes College of Healthcare Business and Policy, 600 S. 43rd Street, Philadelphia, PA, 19104, USA, - - 2014
With increased innovation and development of specialty pharmaceuticals, the US and global healthcare industries are looking to implement appropriate management strategies to control both utilization and costs. Specialty pharmaceuticals are high-cost medications that treat complex, chronic, rare, and difficult-to-manage conditions. These drugs require special drug handling, appropriate clinical outcomes monitoring, ...
Mukwaya Emmanuel E Center for Systems Biomedical Sciences - - 2014
Abstract Context: Chinese herbal medicine (CHM) has been widely used in clinical practice to treat bone disease for thousands of years. They are cost-effective with fewer side effects and are more suitable for long-term use compared with chemically synthesized medicines. Objective: Chinese herbal formula prescribed among the CHMs is safe, ...
Jansen Daniel J DJ Department of Chemistry, The Scripps Research Institute, 10550 North Torrey Pines Road, La Jolla, CA 92037, - - 2014
Terpenoids constitute a significant fraction of molecules produced by living organisms that have found use in medicine and other industries. Problems associated with their procurement and adaptation for human use can be solved using chemical synthesis, which is an increasingly economical option in the modern era of chemistry. This article ...
Martin Ivan I Department of Biomedicine, University of Basel, 4031 Basel, - - 2014
Along with scientific and regulatory issues, the translation of cell and tissue therapies in the routine clinical practice needs to address standardization and cost-effectiveness through the definition of suitable manufacturing paradigms.
Sengottuvelu G G Senior Consultant and Interventional cardiologist, Department of cardiology, Apollo Hospitals, Greams Road, Chennai, - - 2014
Objectives: To study the clinical usefulness, cost benefit and medium term outcome of FFR based management of coronary artery disease of intermediate severity. Background: In spite of the advantages of FFR there is paucity of data in Indian population who have frequent diffuse, small and multi-vessel disease where it would ...
Yokoi Masayuki M The Open University of Japan & Pascal pharmacy. - - 2014
We studied how the separation of dispensing and prescribing of medicines between pharmacies and clinics (the "separation system") can reduce internal medicine costs. To do so, we obtained publicly available data by searching electronic databases and official web pages of the Japanese government and non-profit public service corporations on the ...
Lee Lawrence L Steinberg-Bernstein Centre for Minimally Invasive Surgery and - - 2014
Context: Novel molecular diagnostics, such as the gene expression(GEC) and gene mutation(GMP) testing, may improve the management for thyroid nodules with atypia of unknown significance(AUS) cytology. The cost-effectiveness of an approach combining both tests in different practice settings in North America is unknown. Objective: To determine the cost-effectiveness of two ...
Gómez-Huelgas R R Hospital Regional Universitario de Málaga, Internal Medicine Department, Málaga, Spain. Electronic address: - - 2014
Although the mortality associated to cardiovascular diseases (CVD) has been reduced in the last decades, CVD remains the main cause of mortality in Spain and they are associated with an important morbidity and a huge economic burden. The increasing prevalence of obesity and diabetes could be slowing down the mortality ...
van Acker Kristien K Willebroek, Belgium; Diabetologie: Heilige Familie, Rumst and Centre Santé des Fagnes, Chimay, Belgium; Consultant for Diabetology, Tropical Institute, Antwerp, Belgium; Diabetic Foot Program - - 2014
The study aimed to assess the economic and quality of life (QoL) burden of diabetic foot (DF) disorders and to identify disparities in the recommendations from guidelines and the current clinical practice across the EU5 (Spain, Italy, France, UK, and Germany) countries. Literature search of electronic databases (MEDLINE®, Embase®, and ...
Heimeshoff Mareike M Hamburg Center for Health Economics, University of Hamburg, Esplanade 36, 20354, Hamburg, - - 2013
This is the first study to use stochastic frontier analysis to estimate both the technical and cost efficiency of physician practices. The analysis is based on panel data from 3,126 physician practices for the years 2006 through 2008. We specified the technical and cost frontiers as translog function, using the ...
Matthews Paul M - - 2013
Stratified medicine can reduce the costs of neurological care, bringing benefits to both patients and physicians. The availability of routine genetic testing, new biomarkers and advanced imaging, as well as new technologies for patient-centred data collection, has expanded the potential for patient stratification. Several neurology subspecialities, including stroke, epilepsy and ...
Braschel Nina - - 2013
The trading of emission allowances is an important market instrument in climate policy. However, the inclusion of certain branches of industry in the trading system not only provides incentives for emission reduction, it also entails unwanted side effects. Thus, the objective of the present study is to identify such side ...
Giri Subhasis - - 2013
In this study an analytical hierarchy process (AHP) was used for ranking best management practices (BMPs) in the Saginaw River Watershed based on environmental, economic and social factors. Three spatial targeting methods were used for placement of BMPs on critical source areas (CSAs). The environment factors include sediment, total nitrogen, ...
Sraj Shafic A SA Weston Orthopedic and Sports Medicine Center, Weston, WV. - - 2013
Several wrist arthroscopy towers are commercially available. In this report, the use of a triangular holder as a cheap, mobile, radiolucent tower for wrist arthroscopy is described, which can be useful in a cost-conscious surgical practice.
Chahal Harinder Singh HS Department of Clinical Pharmacy, University of California, San Francisco, Cal., USA ; Haiti Initiative, University of California, San Francisco, Cal., - - 2013
Haiti is the poorest country in the Western Hemisphere and faces numerous challenges, including inadequate medication access for its residents. The objective of this study was to determine the availability, prices, and affordability of essential medicines in Haiti and compare these findings to other countries. We conducted a cross-sectional nationwide ...
Zuo Kevin J - - 2013
Background:As a product of electronic health, teledermatology is a cost-effective means of improving access to care, facilitating specialist consultations, and supporting patient self-management. Even so, use of traditional teledermatology services is limited by infrastructure and costs in the form of digital cameras, computers, and Internet access.Methods:Considering the significant improvement in ...
West Sean - - 2013
Over 50% of physician offices and group practices are replacing their electronic health record (EHR) systems. Dissatisfaction with first-generation systems, physician practice mergers, and hospital acquisitions are all driving the move from legacy EHRs to newer, more sophisticated software. With this painful decision comes the same challenge experienced with a ...
Bluth Martin H - - 2013
Molecular pathology is affecting and influencing the entire clinical laboratory. Furthermore, the union of pathology and molecular medicine continues to mature into an amalgam that will both define and serve the emerging field of personalized medicine. Advances in the understanding of pathobiology, high throughput automation, cost containment, and refined methodology ...
Stander Marthinus Petrus MP HEXOR Pty Ltd, South Africa. - - 2014
The National Department of Health of South Africa recently published guidelines for pharmaco-economic (PE) submissions in accordance with the Medicines and Related Substances Act (Act 101 of 1965), which came into effect on 1 April 2013. These guidelines relate to the compilation of PE submissions for evidence of cost-effectiveness of ...
Young Kate C - - 2013
Cost-effectiveness studies and decision analyses of neurologic practices, treatments, and technologies are increasing in the literature and have an emerging role within both medicine and neurology. Knowledge about these research approaches, how to interpret the results of such studies, as well as an understanding of their limitations will be of ...
Henley M Bradford - - 2013
Orthopedic surgeons will be required to use ICD-10-CM codes for reimbursement and to substantiate the medical necessity for their services beginning October 1, 2014. Implementation of ICD10 will require significant changes in the clinical and administrative processes of orthopedic offices and hospital practices. As in other countries, implementation added costs ...
Hall Mederic M - - 2013
There is much debate in the sports medicine community regarding the need for image guidance during peripheral joint and soft tissue injections. With the increasing availability of office-based ultrasound, many injections that were performed previously with a palpation-guided technique are being performed now under direct sonographic guidance. However some question ...
Blore M L - - 2013
During the last three decades, there has been an increased pursuit of participatory approaches to managing natural resources. In South Africa, this has been evident in the management of protected areas. In particular, land claims, which affect much of the conservation estate in South Africa, frequently result in co-management of ...
Jooste Karien - - 2013
This paper describes the perceptions of nurse managers about their dual role in nursing units as cost centres. The tertiary hospital in the Limpopo province is the first institution to appoint nurse managers with a dual role in cost centres. The development of a conceptual framework for a context-specific programme ...
Awasthi Amit K - - 2013
In recent years, the increased availability of lower-cost telecommunications systems and customized patients monitoring devices made it possible to bring the advantages of telemedicine directly into the patient's home. These telecare medicine information systems enable health-care delivery services. These systems are moving towards an environment where automated patient medical records ...
Bunata Ernest - - 2013
Business intelligence tools can help materials managers and managers in the operating room and procedural areas track purchasing costs more precisely and determine the root causes of cost increases. Data can be shared with physicians to increase their awareness of the cost of physician preference items. Proper use of business ...
Jiao B - - 2013
Traditional Chinese medicine has gained increasing acceptance worldwide as a form of complementary and alternative medicine and has been used to treat systemic lupus erythematosus (SLE) inside and outside of China. Herbal medicines are generally low in cost, plentiful, and cause very little toxicity or few adverse reactions in clinical ...
Kuhlmann Ellen - - 2013
Hospital governance increasingly combines management and professional self-governance. This article maps the new emergent modes of control in a comparative perspective and aims to better understand the relationship between medicine and management as hybrid and context-dependent. Theoretically, we critically review approaches into the managerialism-professionalism relationship; methodologically, we expand cross-country comparison ...
Tyndall John C - - 2013
The impacts of strategically located contour prairie strips on sediment and nutrient runoff export from watersheds maintained under an annual row crop production system have been studied at a long-term research site in central Iowa. Data from 2007 to 2011 indicate that the contour prairie strips utilized within row crop-dominated ...
Cossu R - - 2013
This paper focuses on the dynamics the formation of operational costs of waste management in Italy and the effect of economic measures. Currently incentives and penalties have been internalized by the system no differently from other cost items and revenues. This has greatly influenced the system directing it towards solutions ...
Robertson Jane - - 2013
BACKGROUND: Previous analyses of the listings of trastuzumab on the Australian Pharmaceutical Benefits Scheme (PBS) and HPV vaccine on the National Immunisation Program (NIP) suggest a media influence on policy makers. We examined the timing and content of Australian newspaper reports of medicines in relation to Pharmaceutical Benefits Advisory Committee ...
Pollock Kim - - 2013
Many physicians continue to wrestle with an economy-in-recovery and declining reimbursements. In this business climate, practices can't afford reimbursement process mistakes and inefficiencies; they're simply too expensive. Just a few denied surgical claims can cost a practice thousands of dollars. That's the cost of the annual electronic health records license ...
Culler Steven D SD Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA. - - 2013
Practice facilitation is widely recognized as a promising method for achieving large-scale practice redesign. Little is known, however, about the cost of providing practice facilitation to small primary practices from the prospective of an organization providing facilitation activities. We report practice facilitation costs on 19 practices in South Texas that ...
Yu Jianghua - - 2013
Many best management practices have been developed and implemented to treat the nonpoint source pollution of the aquatic environment in Korea's four major river basins. The performance and cost of these facilities were evaluated and compared using broad categories, including grassed swales, constructed wetlands, vegetated filter strips, hydrodynamic separators, media ...
Sathiyakumar Vasanth - - 2013
OBJECTIVES:: Defensive medicine includes medical practices that exonerate physicians from liability without benefit to patients. The national prevalence of defensive medicine in orthopaedic trauma surgery has not been investigated. METHODS:: In September 2010, 2,000 orthopaedic surgeons randomly chosen from the AAOS registry received invitations to answer a survey on defensive ...
Linley Warren G - - 2013
BACKGROUND: Few studies to date have explored the stated preferences of national decision makers for health technology adoption criteria, and none of these have compared stated decision-making behaviours against actual behaviours. Assessment of the external validity of stated preference studies, such as discrete-choice experiments (DCEs), remains an under-researched area. OBJECTIVES: ...
Nwulu Ugochi - - 2013
PURPOSE OF THE STUDY: To investigate the variation in the net ingredient cost (NIC) of the medications most commonly prescribed by Foundation Year 1 (F1) doctors in a teaching hospital and to compare the effects of working in different specialties and rotations on this cost. DESIGN OF THE STUDY: Retrospective ...
Plebani Mario - - 2013
Utilization management (UM) in health care, based on the collection, assessment and monitoring of data pertaining to patient services and treatment, ultimately assures efficiency and effectiveness. The central role of laboratory services in modern medicine created the need to utilize UM programs in clinical laboratories in order to reduce costs, ...
Myers Renelle - - 2013
Tunneled pleural catheters (TPCs) are a safe, effective, and well-tolerated option for palliation in patients with malignant pleural effusion (MPEs) on an outpatient basis. TPCs are incorporated into international guidelines for the management of MPEs and appear to be the most cost-effective option according to current data.
Desai Parth - - 2013
To analyse various cough and cold formulations available in the Indian market and to study their pharmacological rationale and cost effectiveness, a cross-sectional, observational study was carried out for evaluation of the drugs listed in Current Index of Medical Specialities (CIMS) India, September 2010.The formulations were assessed for their total ...
Aaltonen Katri - - 2013
OBJECTIVE: To explore trends and income related differences in out-of-pocket (OOP) costs for prescription and over-the-counter medicines in Finland in 1985-2006. METHODS: Cross-sectional data collected in Household Budget Surveys conducted in 1985, 1990, 1995, 2001 and 2006 were used to calculate trends in household OOP payments in absolute and relative ...
Shen Zhenyao - - 2013
Best Management Practices (BMPs) are one of the most effective methods to control nonpoint source (NPS) pollution at a watershed scale. In this paper, the use of a topography analysis incorporated optimization method (TAIOM) was proposed, which integrates topography analysis with cost-effective optimization. The surface status, slope and the type ...
Kemp Anna - - 2013
To determine the cost of medicines for selected chronic illnesses and the proportion of discretionary income this would potentially displace for households with different pharmaceutical subsidy entitlements and incomes. We analysed household income and expenditure data for 9,774 households participating in two Australian surveys in 2009-10. The amount of 'discretionary' ...
Rice-Townsend Samuel - - 2013
To characterize variation in practice patterns and resource utilization associated with the management of intussusception at Children's Hospitals. A retrospective cohort study (1/1/09-6/30/11) of 27 Children's Hospitals participating in the Pediatric Health Information System database was performed. Hospitals were compared with regard to their rates of operative management following attempted ...
Diwakar Lavanya L Health Economics Unit, School of Health and Population Sciences, The Public Health Building, University of Birmingham, Birmingham, United - - 2013
To determine the cost-effectiveness of in-utero percutaneous Vesico Amniotic Shunt (VAS) in the management of fetal lower urinary tract obstruction (LUTO). Model based economic analysis using data from the randomised controlled arm of the PLUTO (percutaneous vesico-amniotic shunting for lower urinary tract obstruction) trial. Fetal medicine departments in United Kingdom, ...
Lu Lanting L Peninsula Technology Assessment Group (PenTAG), Peninsula College of Medicine and Dentistry, University of Exeter, UK. - - 2012
Spasticity is common in patients with multiple sclerosis (MS) and is a major contributor to disability. Sativex®, an oromucosal spray containing cannabis-based medicinal products, has been found to be effective in reducing spasticity symptoms. Our objective was to estimate the cost effectiveness of Sativex® plus oral anti-spasticity medicines compared with ...
Mayberry J F - - 2012
BACKGROUND: The guideline offers best practice advice on the care of adults, children and young people with Crohn's disease. AIM: To provide clinically effective and cost-effective evidence-based recommendations to guide clinical practice in a clinical guideline commissioned by the National Institute for Health and Clinical Excellence (NICE). METHODS: A systematic ...
Cascardo Debra - - 2012
Cost management is a vital and critical process in every practice's survival and must be incorporated into your daily operations with full participation and compliance by each and every one of your staff. Your physicians must have a complete understanding of the components of the cost management process and their ...
Roy Vandana - - 2012
Background & objectives: Medicines can account for up to 90 per cent of health care spending by poor people. High costs of medicines contribute to decreased access to healthcare. This study was conducted to assess the cost of medicines and their affordability in the private pharmacies in Delhi, India. Methods: ...
Yousefi Nazila - - 2012
According to World Health Organization (WHO) estimation, more than half of all pharmaceutical products are inappropriately prescribed, distributed, and sold and more than half of all patients use the medicines prescribed for them incorrectly. As more than 40% of therapeutic costs are pharmaceutical costs, this implies a significant waste of ...
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