Research on the cost of health care and how to control it. Covers cardiovascular care in Latin America, emergency-visit costs, insulin pricing, and screening gaps.
A UK study found that virtual wards can safely manage most individuals with mpox, saving an estimated 2,100 hospital bed days. The virtual ward model was widely adopted in the UK to respond to the 2022 global outbreak of mpox.
The study found a significant association between the loss of abortion rights and increased mental distress in females of reproductive age. Restricting access to abortion may disproportionately affect lower socioeconomic status individuals, leading to greater economic and mental health burdens.
Research suggests Medicare reimbursements for complex cataract surgery are far lower than simpler procedures, resulting in a 'negative' margin. This disparity affects ophthalmologist practice patterns and patient accessibility, particularly for vulnerable populations.
A new study confirms that California's tobacco control program significantly reduces smoking rates and lowers health care expenses. Over three decades, the program resulted in a 10% reduction in smoking prevalence and saved Californians $51.4 billion they would have otherwise spent on cigarettes.
Patients with Alzheimer's disease and related dementias exhibit significantly higher readmission rates and overall episode costs compared to their non-dementia counterparts. Judicious preoperative assessment and care planning are strongly advised for this vulnerable patient population, particularly in the post-discharge period.
A new study published in Journal of Clinical Microbiology shows that using multiple PCR panels can identify more pathogens, notably diarrhea-causing E. coli and enteric viruses, and do so more rapidly than a conventional workup. This results in lower healthcare costs, reduced hospitalizations, and decreased antibiotic use.
Researchers examine how sugar reduction strategies affect new product sales, finding that smaller package sizes perform better than regular sizes. Sugar reductions work better if they do not overemphasize the reduced sugar content in new additions.
A global maternal Strep B vaccination program could avert over 200,000 cases and more than 31,000 deaths, as well as reduce disability in children. The study found that a one-dose vaccine program could cost $1.7 billion globally, while saving $385 million in healthcare costs.
Researchers found that autistic adolescents in states without Medicaid waivers had a higher risk of disenrollment, especially after age 22. In contrast, those living in waiver-enabled states remained more likely to stay enrolled.
The study estimates that tap water scald burns result in significant healthcare costs, with average costs of $572 per emergency department visit and $28,431 per hospital stay. Thermostatic mixing valves could reduce the risk of these burns by mixing hot water with cold water.
A new review found that spinal cord stimulation is no better than a placebo for treating low back pain, with probably little to no benefit for people with the condition. The review also highlighted gaps in clinical data and called for future trials to be longer and more comprehensive.
A recent study found that promoting physical activity and behavioral support can help smokers reduce their smoking in the short-term, but delivering lasting benefits is challenging. The research, which recruited over 900 smokers, discovered that engaging with motivational support had some initial benefits, but only a small percentage o...
Researchers at Chalmers University of Technology developed a method to predict fall accidents and cognitive illnesses like Alzheimer's disease using radar sensors that track walking patterns. The technology can help healthcare staff make more reliable risk assessments and tailor interventions for improved patient outcomes.
A study by Le Bonheur Hospital found that high-flow nasal cannula (HFNC) treatment for mild to moderate bronchiolitis is associated with longer hospital stays and higher costs. HFNC usage outside intensive care units resulted in increased resource utilization for pediatric bronchiolitis patients.
A new study published in the Journal of the American Heart Association found that participating in home-based cardiac rehabilitation was associated with a 36% lower likelihood of death from heart-related complications among US military veterans within four years. The study analyzed data from 1,120 veterans who enrolled in a 12-week hom...
Researchers analyzed 140,000 patient records and TV ads from Florida to investigate the effectiveness of DTCA for robotics surgery. The study found that patients exposed to robotic surgery advertising were more likely to choose it over conventional laparoscopic and open surgeries. Additionally, hospital marketers can use DTCA to sway p...
A recent study found that immunotherapy costs accounted for 84% of the net increase in Medicare spending on outpatient cancer care at the end of life. Payments for radiation oncology decreased by 2%, while palliative care spending rose, reflecting a shift towards hypofractionated radiation treatments.
The study estimates the global economic cost of cancers to fall around $25.2 trillion in international dollars by 2050, accounting for 0.55% of global GDP. Lung cancer is identified as the type with the highest economic burden, followed by colon and rectum cancer, breast cancer, liver cancer, and leukemia.
The American Gastroenterological Association recommends integrating non-invasive biomarkers for patients with ulcerative colitis in remission or with current symptoms. Biomarkers provide accurate insights into disease activity, offering a cheaper and more convenient option for monitoring.
A culturally appropriate model of end-of-life care is being developed in Ghana to address the scarcity of palliative care in low-resource communities. COMPASS Ghana aims to provide universal end-of-life care by the end of the decade, utilizing a compassionate community approach that involves patients and caregivers in care provision.
A new algorithm uses patient-reported outcomes to identify patients with cancer who are at increased odds of having unplanned emergency department visits. The algorithm, which calculates a symptom complexity score, has shown that patients with high complexity scores are three times more likely to use the ED.
A multinational study of over 600,000 heart failure patients found that the disease is relatively fatal, with an average annual death rate of 13%, and results in high healthcare costs. The study also identified new treatment opportunities for heart failure with preserved left ventricular function.
Researchers estimate that up to 2% of adults in these regions have heart failure, with significant health risks and costs. The study analyzed digital health records from 11 countries and found that preventive treatment should focus on stopping further worsening of heart failure and kidney function.
A study at Radboud University Medical Center found that pre-hospital troponin measurements can safely identify low-risk patients with chest pain, reducing the need for hospital visits. The results show a small risk of major adverse cardiac events, but also significant cost savings.
The study found that estimated national costs of self-injury mortality rose by 143% from $0.46 trillion to $1.12 trillion over a 20-year period, primarily driven by increases in opioid and alcohol-related deaths. West Virginia has the highest per capita cost at $6,534, with total suicide costs increasing 58% to $502.7 billion.
A pediatric trauma team at Golisano Children's Hospital significantly reduced unnecessary CT scans, minimizing radiation exposure and healthcare costs. The team's efforts, which included adapting existing guidelines and developing new ones, resulted in a 45% reduction in non-indicated scans.
A national study found that only 19% of hospitals were fully compliant with the federal price transparency checklist, with teaching and non-profit hospitals slightly more adherent. Hospitals in competitive markets had lower compliance rates compared to non-competitive markets.
A new USC study reveals that Medicare Advantage plans have seen a 337% increase in enrollment, while traditional Medicare has declined by nearly 3%. This trend suggests that Medicare beneficiaries are increasingly choosing MA plans over traditional Medicare.
A scoping review found evidence-based practices improve patient outcomes and reduce healthcare costs. The study also identified areas for improvement in EBP adoption and implementation.
A new economic model estimates the health benefits and budget impact of Fracture Liaison Services, showing significant reductions in fragility fractures, hospital bed days, and social care costs. The model suggests that FLS implementation would lead to improved patient outcomes and cost-effectiveness.
Researchers at the University of Missouri have designed a soft and breathable material that can be worn on the skin without causing discomfort. The material, made from liquid-metal elastomer composite, has integrated antibacterial and antiviral properties to prevent the formation of harmful pathogens.
A recent study found that nearly half of older adults receive no dental care and half lack dental insurance. After becoming eligible for Medicare, the percentage of people receiving restorative dental care decreased by 8.7%, while complete edentulism increased by almost 5 percentage points among those aged 65 and above.
A study by Pusan National University researchers found that countries closer to the equator have higher suicide rates due to decreased sunlight exposure. The prevalence of suicide increased with latitude, and was found to be higher in men than women, with age also being a significant factor
Replacing biomass-burning cookstoves in sub-Saharan Africa could save 463,000 lives and $66 billion in health costs. However, adoption has been sluggish due to high upfront costs, with many households unable to afford cleaner alternatives.
Researchers at Rice University have developed light-activated nanoscale drills that can kill pathogenic fungi, providing a potential new treatment option for fungal infections. The molecular machines target the mitochondria of fungal cells, disrupting cellular metabolism and leading to cell death.
The Geriatric Fracture Program at Cedars-Sinai Medical Center has been shown to reduce hospital stays by 2.12 days and lower hospital-related costs by $5,316 for patients aged 65 and older. The program's comprehensive care approach, including bone strength assessments and fall prevention strategies, is effective in improving outcomes.
Over half of women with urinary tract infections experience impairment in sex life, sleep, and exercise, as well as reduced quality of life. The study also found significant costs associated with uncomplicated UTIs among US females.
An international task force led by UNIGE and HUG has developed a preventive protocol to address the growing number of people affected by Alzheimer's disease. The guidelines focus on four pillars: risk assessment, risk communication, risk reduction, and cognitive enhancement.
A study by researchers in Brazil found that loss of muscle mass during COVID-19 hospitalization is associated with the development of persistent symptoms such as weakness, shortness of breath, and fatigue. The study also showed that patients who lost more muscle mass had higher healthcare costs six months after discharge.
A study suggests that adding extra anesthesiology residency positions can be financially beneficial for hospitals, with cost savings ranging from $440,000 to $1.9 million over three years. This expansion may help address the projected shortage of anesthesia care professionals and reduce staffing costs.
A study by the American Society of Anesthesiologists found that inaccurately recording anesthesia start times results in lost billing time for anesthesia practices and medical centers. The study analyzed 40,312 procedures and determined a potential loss of $638,671.57 in one year.
The number of cardiovascular disease-related deaths in the US rose significantly between 2019 and 2020, with Asian, Black and Hispanic populations most affected. The largest single-year increase since 2015 was seen in CVD deaths among these populations, highlighting structural and societal disparities.
The pandemic exacerbated workforce shortages, low wages, and increased consumer responsibility in self-directed care. Policies like the Appendix K guidelines showed potential to alleviate unmet care needs, but further flexibility is needed to support consumers and workers.
An evidence-based fall prevention program implemented in 33 medical units across 8 hospitals reduced non-injurious falls by 17% and injurious falls by 9%. The program resulted in $22 million in savings over a 5-year study period, with a cost of each fall estimated at $62,521.
The Collaborative for Telehealth and Aging has published the first-ever guidelines for offering telehealth services to older patients. The principles provide general rules for behavior, while the guidelines offer specificity for each principle, aiming to achieve individual goals for programs and providers.
A nationwide study led by Harvard researchers found that patients in health systems receive marginally better care but report slightly better experiences, while care comes at a much higher price. The analysis suggests that health systems have not realized their potential for better care at equal or lower cost.
The American College of Physicians recommends using cognitive behavioral therapy (CBT) or second-generation antidepressants as initial treatment for adults with moderate to severe major depressive disorder. The guideline also suggests considering combination therapy and discussing patient preferences when selecting a treatment.
A survey of primary care clinicians revealed that 44% of patients experience cost-related insulin underuse, with those experiencing poor diabetes control not being more likely to report underuse. Clinicians can address this issue by using empathy to discuss cost barriers and increase the likelihood of changing insulin prescriptions.
A study by Kennesaw State University researcher Weiwei Chen found that COVID surges led to poorer outcomes for non-COVID patients in hospitals overwhelmed with COVID cases. The odds of an in-hospital death were 1.2 times higher among non-COVID patients than before the pandemic.
A new study published in CMAJ found that COPD patients who undergo major surgery are more likely to die and incur higher healthcare costs than similar patients without COPD. The study included 932 patients aged 35+ in Ontario, with COPD patients being older, more frail, and having lower income.
A new study reveals that replacing traditional wood- and charcoal-burning stoves in sub-Saharan Africa could save up to 463,000 lives yearly due to reduced air pollution. The OnStove tool provides a data-based way to calculate costs and benefits of transitioning to cleaner alternatives.
A study by UC Davis Health researchers found that telehealth visits saved patients around 53.7 million miles of travel, eliminated the need for 42.4 injuries and 0.7 fatalities, and reduced greenhouse gas emissions by 21,466 metric tons over two years.
Researchers at Aston University discovered that mechanical vibrations can improve balance control and strengthen calf muscles. The study, published in Scientific Reports, suggests that whole-body vibration could be used to reduce falls and hospital bed days in older people.
The immunization program costs in low- and middle-income countries are driven mainly by the cost of delivery, with a funding gap projected to decline in the coming years. To bridge this gap, both national-level scale-up and resource mobilization are essential for improving vaccine financing.
Researchers have developed an innovative amputated human limb model to evaluate molecularly targeted fluorescent probes for human tissues. The model allows for controlled testing of imaging agents with zero risk to patients, improving the accuracy and safety of surgical procedures.
A new study published in the Annals of Internal Medicine shows that direct oral anticoagulant (DOAC) drugs are more effective and cost-effective than low molecular weight heparin for treating cancer-associated thrombosis. The research compared the three DOACs with low molecular weight heparin using a computer model that simulated major...
The American College of Physicians recommends bisphosphonates as initial pharmacologic treatment to reduce fracture risk in osteoporosis patients. Long-term use may increase risks, so treatment duration should be limited to 5 years or less.
Researchers at NYU School of Global Public Health found that healthcare costs and out-of-pocket expenditures have continued to rise despite the Affordable Care Act improvements. Women with employer-sponsored insurance report greater difficulty paying for needed health care services, particularly dental and mental health care.
A cost-effectiveness analysis of direct oral anticoagulants (DOACs) versus low-molecular-weight heparin (LMWH) for cancer-associated thrombosis found that DOACs are more medically effective and cost-effective. The most cost-effective DOAC, apixaban, was also shown to be the least costly anticoagulant.
A randomized trial found that non-invasive interventions for treating spine pain improved disability and quality of life but did not decrease healthcare spending. Both treatments provided a small but significant reduction in pain-related disability at 12 months.