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.
Researchers estimate that truth saved $1.9 billion in health care costs associated with tobacco use by preventing youth from starting to smoke. The campaign's expansion would be an excellent public health investment due to its cost-effectiveness.
A new UK study shows that using NIOX MINO to measure inflammation in asthma patients can lead to a £341-£554 annual cost saving. This is achieved by optimizing treatment, reducing visits to casualty and hospital admissions, and lowering cortisone inhaler doses.
A new UNC study finds that chronic low-back pain has more than doubled in North Carolina since the early 1990s, with a significant increase in prevalence across all ages and racial groups. The study suggests that increased healthcare costs for back problems may be due to rising prevalence rather than increased service use.
Chronic stress can lead to neglected oral hygiene habits, increasing the risk of periodontal disease. Regular exercise, balanced diet, and adequate sleep can help maintain healthy teeth and gums, reducing stress's negative impact on overall health and potentially lowering healthcare expenses.
The EXPRESS study found that urgent assessment and treatment of minor stroke patients in a specialist clinic reduces recurrent strokes by 80% and fatal/disabling strokes by 0.3%. This results in lower hospital admissions, bed-days, and costs, generating £624 savings per patient.
A retrospective study of 235,473 patients found that traditional open appendectomies may be preferable to laparoscopic surgeries due to higher costs and increased risks. The study suggests that the benefits of laparoscopic surgery are limited in most cases, contradicting recent trends.
A new study from the University of Minnesota finds that cellulosic ethanol has fewer negative effects on human health due to lower emissions of fine particulate matter. The study estimates that transitioning to cellulosic ethanol could reduce environmental and health costs by as much as half compared to gasoline.
A new re-engineered hospital discharge program, RED, has been designed to reduce hospital utilization within 30 days of discharge. The study found that the intervention resulted in a 33.9% lower observed cost for patients who received the program compared to those in the usual care group.
Researchers at Rice University and Duke University Medical Center found no increase in death rates after states dropped regulations on heart procedures. Dropping CON rules led to increased entry of new cardiac-care facilities, potentially raising costs per procedure.
A study found that hospitals in states where Medicaid does not cover routine male circumcision are half as likely to perform the procedure, leading to increased risk of HIV infection among lower-income children. The study also highlights disparities in healthcare services for Hispanic communities.
A Texas study shows that hospitals with automated health information systems have fewer complications, lower death rates, and reduced costs. The research found that increased automation of clinical information systems was associated with a 15% decrease in in-hospital deaths for patients with heart attacks.
A study found that increased use of health information technology (HIT) in hospitals led to fewer patient deaths, complications, and lower healthcare costs. The use of electronic notes, order entry, and clinical decision support systems was associated with significant reductions in mortality rates.
The article explores the growing trend of health tourism and global healthcare trade, highlighting the benefits and concerns surrounding cross-border e-health services, private healthcare abroad, foreign direct investment in healthcare, and migration of healthcare professionals. Key findings include the increasing demand for low-cost m...
The study highlights two countries that effectively cover all but one percent of their population through individual mandates and premium assistance. They also curb high administrative costs, spending about five percent on healthcare compared to seven percent in the US.
The DIAMOND study found that treatment success is similar for patients receiving step-up or step-down treatment for new onset indigestion. However, the step-up strategy was more cost-effective at six months due to lower medication costs.
A study by the University of Rochester School of Medicine and Dentistry found that basic science research requires significant institutional support. The study calculated the total expenses for 25 new faculty members and found a shortfall of $39.9 million, requiring additional funding from other sources.
Several congressional proposals aim to cover the uninsured through expanded Medicare coverage, building on public programs and group purchase of private insurance. These plans demonstrate that universal coverage can be achieved with little or no additional total health spending.
Physicians warn that assigning monetary value to every aspect of a doctor's time could impair quality and increase costs. Experiments show money-primed subjects are less willing to help others in need. A new trend in primary care, the 'patient-centered medical home,' aims to restore balance by compensating for unreimbursed time.
A comprehensive study of nearly 150,000 people in six states found that substance abuse increases medical care costs for other health problems. The study suggests that targeting older adults with substance abuse disorders could lead to significant cost savings and improved health outcomes.
A study by researchers at Rush University Medical Center suggests that decompressive surgery without fusion for spinal stenosis offers good value and that fusion surgery for spondylolithesis offers less value. The study analyzed over 3,900 patients and found that laminectomy costs $77,000 per QALY gained, while spinal fusion surgery co...
A new report suggests that routine dental cleanings and periodontal scaling can lower medical care costs for people with diabetes. The study found significant reductions in medical expenses, with costs decreasing by an average of 11-12% per month.
A study found that psychiatric patients in Medicare plans with equal cost sharing for mental health services had higher use of those services compared to those in plans with greater cost sharing. Individuals in full-parity plans were more likely to visit a mental health practitioner within 7 and 30 days after a hospitalization.
A simple questionnaire can replace a doctor's exam to qualify for a job, providing a more accurate forecast of competency. The test is highly effective, with 98% accuracy, and can help those previously deemed unemployable find suitable work. This innovation brings excellent news for employers, reducing medical costs and litigation risks.
Dr. Marc Nuwer, UCLA professor, argues that US healthcare's high cost is due to individualistic approach and lack of attention to care-related expenditures. He recommends educating physicians about costs to reduce defensive medicine and promote more efficient care.
A USC team applied engineering principles to reduce operating room turnover time at three California hospitals, resulting in a 21% average reduction. The implemented changes improved patient flow, reduced queuing, and enhanced communication between staff members.
The high cost of childhood vaccines leads to financial strain for physicians, with prices varying widely across medical practices. Many physicians are paying too much for vaccines while receiving too little reimbursement, but new data can help improve these areas.
A new study predicts a severe shortage of general surgeons in US hospitals by 2010, with the number of available surgeons failing to keep pace with public demand. The shortage is expected to worsen over time, leading to longer wait times for emergency treatment and elective surgeries.
A new study reveals childhood constipation can lead to serious health issues, pain, and low self-esteem, with treatment costs equivalent to those of asthma or ADHD. Simple changes in diet and behavior, such as regular bowel movements and high-fiber foods, can help prevent or correct constipation.
A study at Duke University Medical Center found that ventricular assist devices (VADs) have high hospital costs and high early death rates among Medicare recipients. The study analyzed data on nearly 3,000 patients who received a VAD between 2000 and 2006, finding that only half were alive one year later.
A recent study published in JAMA found that Medicare patients who receive ventricular assist devices (VADs) experience high rates of death, illness, and prolonged hospital stays. The study analyzed data from 2000 to 2006 and found that VAD recipients had a one-year survival rate of 51.6% compared to 30.8% for those without the device.
Double-balloon enteroscopy is a cost-effective approach for patients with obscure gastrointestinal bleeding, offering reduced costs and complications compared to other diagnostic methods. The study suggests that an initial capsule-directed double-balloon enteroscopy may be preferred over other options due to its potential for fewer com...
A new survey reveals that more than half of US chronically ill adults skip necessary care due to financial constraints. The study also finds high rates of medical errors, poorly coordinated care, and long waits for primary care physicians.
Medicare's funding cut for dual-energy X-ray absorptiometry (DXA) may discontinue critical health services for osteoporosis patients. The test is essential for identifying those at risk and monitoring bone health, potentially leading to increased fractures and costs.
A study found a significant increase in radiology tests in managed care settings, with an average cost per patient increasing by $214 over 10 years. Newer technologies like CT and MRI scans also saw a rise, but their use was not as efficient as expected.
Healthcare opinion leaders strongly support fundamental provider payment reform to encourage high-quality and efficient care. The survey also reveals a preference for bundled approaches and incentives for providers, with only 1% expressing satisfaction with the current fee-for-service system.
Research from the University of Bath found that marriage dowry payments and medical expenses are major causes of poverty in Bangladesh. The study surveyed 2,000 households and found that almost half moved out of poverty over a decade, but around one-fifth remained chronically poor.
The study reveals that diabetes prescriptions increased, with more medications prescribed per patient and higher costs, from $6.7 billion in 2001 to $12.5 billion in 2007. Insulin use decreased, while the use of newer drugs like glitazones increased.
A study found that diabetes treatment costs increased from $6.7 billion in 2001 to $12.5 billion in 2007, driven by the rise of newer, more expensive medications. The average number of medications per patient also increased, with only 47% prescribed a single drug in 2007.
Community-based organizations are developing Local Access to Care Programs (LACPs) to provide low-cost healthcare access to growing numbers of uninsured adults. The programs build on county-based care traditions, offering discounted fees or free care from network providers.
A new study finds that millions of children from low- to middle-income families are uninsured, even with one parent having private health insurance. The study highlights the vulnerabilities of these children and the unaffordability of healthcare for many families.
A proposed value-added tax for universal health insurance vouchers would create incentives for cost-containment and health care quality. The plan aims to overhaul the U.S. tax system to achieve fundamental reform of health care, with significant decreases in other taxes.
A RAND Corporation study found that a unique patient identification number system could eliminate record errors, simplify electronic medical records and increase overall efficiency. The proposed system would help address concerns around patient privacy by reducing the exposure of personal information during searches.
China's high out-of-pocket medical expenses hinder its progress in providing adequate health insurance coverage. The country needs to improve health insurance coverage and quality by tackling rising costs and the distribution of funds. Implementing a per-patient-episode system, like South Korea, may help reduce costs.
Dr. Marcia Angell warns against a US-style model of healthcare, highlighting inefficiencies and poorer outcomes compared to Canada's public system. She advocates for expanding and reinforcing Canada's medicare system to ensure better health outcomes.
The Commonwealth Fund report compares Senator McCain and Senator Obama's health reform proposals, revealing divergent approaches to expanding health insurance. While both plans aim to reduce the number of uninsured, their strategies differ: Senator Obama strengthens employer coverage and public programs, while Senator McCain encourages...
A new study published in Health Services Research compared the costs of physician-owned specialty hospitals with those of full-service hospitals. The results show that specialty hospitals, particularly orthopedic and surgical ones, are not more cost-efficient than their full-service counterparts.
The integration of sophisticated medical technologies with advanced information systems and clinical expertise can significantly improve patient care while lowering treatment costs. Real-time monitoring technologies, such as Zephyr's Smart Fabric technology, can detect key metabolic functions and provide significant savings in chronic ...
A computer-based model suggests that early initiation of antiretroviral therapy and CD4 count monitoring provide significant health benefits in low- and middle-income countries. This approach was associated with a substantial increase in life expectancy and reduction in lifetime medical costs compared to symptom-based strategies.
A survey of 515 patients found they were split almost 50/50 on the effectiveness of 'pay for performance for patients' schemes. Smokers and obese individuals thought paying for lifestyle changes was a good idea, citing lower healthcare costs and increased motivation.
A retrospective analysis of 30,000 female Medicare patients found that osteoporosis fractures resulted in $15,522 per person in medical expenses over three years. The study also highlighted the need for osteoporosis prevention and treatment to mitigate fracture-related costs.
A study by Henry Ford Health found that 90% of patients who underwent cardiac nuclear stress testing did so appropriately under updated guidelines. However, 21 patients received unnecessary tests, highlighting the potential for savings through adherence to test-appropriateness criteria.
A study by researchers at UCSF found that California's state tobacco control program saved $86 billion in personal healthcare costs over 15 years. The program prevented 3.6 billion packs of cigarettes from being smoked, resulting in significant health cost reductions.
A new study published in PLOS Medicine found that tobacco control programs in California reduced personal health care expenditures by $86 billion between 1989 and 2004. The program's cost savings grew over time, reaching 7.3% in 2003-2004, and represented a significant return on investment for the state.
The report finds that working-age Americans are struggling with medical bills, with nearly two-thirds having problems or debt. Many delay or avoid needed care due to cost concerns, with one-third spending 10% or more of their income on out-of-pocket expenses.
A randomized controlled trial found that silver-coated endotracheal tubes significantly reduced the incidence of microbiologically confirmed ventilator-associated pneumonia, with a 34.2% relative reduction in risk. The tubes were also associated with a delayed occurrence of pneumonia and no notable adverse events.
A recent study by Harvard researchers found that coronary CTA is more cost-effective than current tests for diagnosing low-risk women with acute chest pain. The study suggests that CT angiography can reduce total healthcare costs by $380 and emergency department costs by $410 compared to standard care.
A new study by the University of Manchester reveals that stabbings are costing the National Health Service (NHS) over £3 million a year. The research found that stabbings account for almost three-quarters of all penetrating trauma injuries, with an average cost to the NHS per victim of £7,196.
According to a study published in Obesity, over 86% of Americans are expected to be overweight or obese by 2030 if current trends continue. This would result in significant healthcare costs and an increased risk of various health conditions.
A new study found that out-of-pocket healthcare costs for disabled children in the US vary significantly by state. Families in Georgia and Louisiana face the highest costs, while those in Massachusetts pay the least. The financial burden of caring for a child with disabilities is estimated to be high due to their greater medical needs.
A new study by Washington University in St. Louis found that families with children's special needs face different financial burdens depending on their state. On average, US families shoulder an extra $774 per year for out-of-pocket care costs, with wealthier states having lower costs.