Do We Present Abstracts on Ethical, Legal, Cost-Effectiveness and Patient Care Issues at Major Gastroenterology Congresses?

2007 ◽  
Vol 26 (1) ◽  
pp. 71-74
Author(s):  
E. Archavlis ◽  
K. Triantafyllou ◽  
A. Adamopoulos ◽  
T. Emmanuel ◽  
C. Tzathas ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Patient Care ◽  
Legal Cost

scholarly journals The Technological Impact of COVID-19 on the Future of Education and Health Care Delivery

2020 ◽  
Vol 4S;23 (8;4S) ◽  
pp. S367-S380 ◽  
Author(s):  
Shalini Shah
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Cost Effectiveness ◽  
Patient Care ◽  
Health Care System ◽  
Continuing Medical Education ◽  
Fellowship Programs ◽  
Virtual Meetings ◽  
Medical Meetings ◽  
Care System

Background: The unexpected COVID-19 crisis has disrupted medical education and patient care in unprecedented ways. Despite the challenges, the health-care system and patients have been both creative and resilient in finding robust “temporary” solutions to these challenges. It is not clear if some of these COVID-era transitional steps will be preserved in the future of medical education and telemedicine. Objectives: The goal of this commentary is to address the sometimes substantial changes in medical education, continuing medical education (CME) activities, residency and fellowship programs, specialty society meetings, and telemedicine, and to consider the value of some of these profound shifts to “business as usual” in the health-care sector. Methods: This is a commentary is based on the limited available literature, online information, and the front-line experiences of the authors. Results: COVID-19 has clearly changed residency and fellowship programs by limiting the amount of hands-on time physicians could spend with patients. Accreditation Council for Graduate Medicine Education has endorsed certain policy changes to promote greater flexibility in programs but still rigorously upholds specific standards. Technological interventions such as telemedicine visits with patients, virtual meetings with colleagues, and online interviews have been introduced, and many trainees are “technoomnivores” who are comfortable using a variety of technology platforms and techniques. Webinars and e-learning are gaining traction now, and their use, practicality, and cost-effectiveness may make them important in the post-COVID era. CME activities have migrated increasingly to virtual events and online programs, a trend that may also continue due to its practicality and cost-effectiveness. While many medical meetings of specialty societies have been postponed or cancelled altogether, technology allows for virtual meetings that may offer versatility and time-saving opportunities for busy clinicians. It may be that future medical meetings embrace a hybrid approach of blending digital with face-toface experience. Telemedicine was already in place prior to the COVID-19 crisis but barriers are rapidly coming down to its widespread use and patients seem to embrace this, even as health-care systems navigate the complicated issues of cybersecurity and patient privacy. Regulatory guidance may be needed to develop safe, secure, and patient-friendly telehealth applications. Telemedicine has affected the prescribing of controlled substances in which online counseling, informed consent, and follow-up must be done in a virtual setting. For example, pill counts can be done in a video call and patients can still get questions answered about their pain therapy, although it is likely that after the crisis, prescribing controlled substances may revert to face-to-face visits. Limitations: The health-care system finds itself in a very fluid situation at the time this was written and changes are still occurring and being assessed. Conclusions: Many of the technological changes imposed so abruptly on the health-care system by the COVID-19 pandemic may be positive and it may be beneficial that some of these transitions be preserved or modified as we move forward. Clinicians must be objective in assessing these changes and retaining those changes that clearly improve health-care education and patient care as we enter the COVID era. Key words: Continuing medical education, COVID-19, fellowship program, medical education, medical meetings, residency program, telehealth, telemedicine

Reorganizing patient care and workflow in the operating room: a cost-effectiveness study

Surgery ◽  
2006 ◽  
Vol 139 (6) ◽  
pp. 717-728 ◽  
Author(s):  
J STAHL ◽  
W SANDBERG ◽  
B DAILY ◽  
R WIKLUND ◽  
M EGAN ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Patient Care ◽  
Operating Room ◽  
Effectiveness Study ◽  
Cost Effectiveness Study

scholarly journals A Model of HIV Patient Care: Methods and Applications to the Cost-Effectiveness of Anti-Viral Therapy

2000 ◽  
Vol 27 (10) ◽  
pp. 650-651
Author(s):  
A. D. Paltiel ◽  
S. J. Goldie ◽  
G. R. Seage ◽  
E. Losina ◽  
M. C. Weinstein ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Patient Care ◽  
Viral Therapy ◽  
The Cost ◽  
Anti Viral Therapy

Costing day hospital and in-patient care for acute psychiatric illness

1997 ◽  
Vol 6 (S1) ◽  
pp. 167-176 ◽  
Author(s):  
Sarah Holme ◽  
Francis Creed ◽  
Barbara Tomenson
Keyword(s):  
Mental Health ◽  
Cost Effectiveness ◽  
Patient Care ◽  
Psychiatric Illness ◽  
Mental Health Problems ◽  
Cost Effectiveness Analysis ◽  
Patient Treatment ◽  
Royal Infirmary ◽  
Day Hospital ◽  
Effectiveness Analysis

This study was primarily designed as a cost effectiveness analysis, comparing the costs and outcomes of day hospital and in-patient care for acute psychiatric illness. There are a growing number of this type of study in mental health (Knappet al., 1994; McCroneet al., 1994; Wiersmaet al., 1995; Mersonet al., 1996). The costing methodology used in such studies is becoming more consistent, but economic evaluation in mental health care is still developing and there remain several unanswered questions which will be considered in this paper. The wide variation in the costs of care of people with mental health problems is a critical factor in these studies (Grayet al., 1996).The cost effectiveness study is based on a previous randomised controlled trial conducted at Manchester Royal Infirmary which showed the feasibility and effectiveness of day patient treatment for acutely ill patients (Creedet al., 1990). In the current study 187 patients were randomly allocated, 94 to day hospital care and 93 to in-patient care. The method and results of the main cost effectiveness analysis are described in detail elsewhere (Creedet al., 1996a). This paper concentrates on reviewing the methods used to collect cost data, and further analysis of the data exploring variations in costs.

scholarly journals Apoteker Berperan Penting dalam Membantu Masyarakat Menurunkan Biaya Terapi

2017 ◽  
Vol 1 (5) ◽  
pp. 4
Author(s):  
Maria Maretta
Keyword(s):  
Cost Effectiveness ◽  
Patient Care ◽  
Usual Care ◽  
Pharmaceutical Care

Bagaimana pemahaman masyarakat ketika mendengar kata apoteker? Sebuah pandangan konservatif hadir pada publik yang mengklasifikasikan apoteker sebagai pekerjaan yang tidak jauh dari istilah ‘tukang obat’, yang menjual dan memberikan obat kepada orang yang sakit. Salah satu penelitian terkait farmakoekonomi yang dilakukan oleh Maxwell, et al (2013) terkait perbandingan antara Pharmaceutical Care (PC) yang lebih mengutamakan patient-care dalam penata laksanaan Diabetes Tipe 2 dengan Usual Care (UC) yang merupakan suatu pengobatan dengan minimnya peranan apoteker sebagai tenaga kesehatan membuktikan bahwa PC memiliki biaya terapi yang lebih murah dibanding UC. Peran apoteker dalam PC memegang peranan penting sebagai upaya peningkatan kualitas hidup pasien melalui terapi yang lebih cost- effectiveness dari segi farmakoekonomi khususnya untuk penatalaksanaan pada penyakit degeneratif.

3D Printing – an avenue for accessible innovation in urology

2020 ◽  
Vol 4 (3) ◽  
pp. 149-152
Author(s):  
Jasamine Coles-Black ◽  
Ian Chao ◽  
Jason Chuen ◽  
Nathan Lawrentschuk ◽  
Dennis Gyomber ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
3D Printing ◽  
Patient Care ◽  
Ileal Conduit ◽  
New Technology ◽  
Special Report ◽  
Manufacturing Technique ◽  
Healthcare Environment ◽  
3D Printed ◽  
Stoma Care

3D printing is a novel manufacturing technique that allows surgeons to turn their ideas into reality within the healthcare environment. While surgeons are accustomed to assuming a position of leadership where frontier technologies intersect with patient care, barriers to the uptake of 3D printing include lack of expertise among surgeons, and the perceived cost and inaccessibility of the technology. This special report highlights the ease and cost–effectiveness of this new technology with a uro-oncological lens. We highlight the example of a 3D printed flexible urostomy trainer developed to educate patients on stoma care prior to ileal conduit surgery, which was 3D printed in our hospital for £0.15 within an hour of conception by our urology department.

The Role of Patient Activation in Achieving Better Outcomes and Cost-Effectiveness in Patient Care

JBJS Reviews ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Alice Tzeng ◽  
Tony H. Tzeng ◽  
Sonia Vasdev ◽  
Anna Grindy ◽  
Jamal K. Saleh ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Patient Care ◽  
Patient Activation

P36 Streamlining the paediatric pharmacy rheumatology methotrexate monitoring and prescription service

2018 ◽  
Vol 103 (2) ◽  
pp. e1.40-e1
Author(s):  
Lo Alice
Keyword(s):  
Cost Effectiveness ◽  
Patient Care ◽  
Clinical Pharmacy ◽  
Patient Flow ◽  
Standard Operating Procedure ◽  
Value Stream Mapping ◽  
Therapeutic Drug ◽  
List Type ◽  
Skill Mix ◽  
Blood Tests

NHS providers and commissioners ended 2015/2016 with a deficit of £1.85 billion – the largest aggregate deficit in NHS history. One option is to meet this deficit is to improve productivity delivering better value care to help the NHS meet its efficiency targets.1 This is supported by the Carter Report where it stated that pharmacists and clinical pharmacy technicians to spend much more time on clinical pharmacy services than on infrastructure activities or back-office services.2AimThe aim was to improve the efficiency and cost effectiveness of the paediatric rheumatology service for methotrexate patients requiring therapeutic drug monitoring (TDM) by assigning tasks according to skill mix.MethodValue stream mapping (VSM), a lean methodology analysing the current state of a process through work flow mapping and designing a future state for the process in order to improve the process. This was used by the pharmacist and consultant to review the paediatric pharmacy rheumatology patient flow. Each step was determined then reviewed for value to patient care and assigned to the consultant, pharmacist or patient care co-ordinator (PCC) according to skill mix.3Results18 different processes were mapped for monitoring a new and current patient’s blood test results and homecare supply. For a new patient registration 5 steps were involved, 8 steps for monitoring a patient’s blood results and 5 steps for homecare supply. In addition, the pharmacist attended the rheumatology clinics when methotrexate patients were booked in. This involved approximately 2 hours every 2 weeks, taking into account that clinics usually did not run on time, to see between 1–3 patients. After VSM it was agreed the consultant would contact the pharmacist when there is a new patient or a current patient requires review. Previously the pharmacist was responsible for contacting patients/parents and carers to remind them of overdue blood tests taking around 45 min a week. With VSM the PCC was identified as the best person to do this. On a weekly basis the pharmacist will access the TDM database and update a list of patients that was overdue blood tests. This list is sent to the consultant and PCC. The PCC will contact the families and update the list with outcomes. Homecare prescriptions were previously organised by the pharmacist for the consultant to sign. The pharmacist continues to ensure the prescriptions are correct in terms of need for supply (liaison with the homecare company, medical documents and consultant for clinical need) and dosage but the PCC liaising with the consultant for administration purposes such as printing of prescriptions and returning prescriptions back to the pharmacist. A standard operating procedure was written to ensure roles and responsibilities are clear.ConclusionThis simple and quick exercise has improved the efficiency and cost effectiveness of the service as the most appropriate person now actions each step. Having access to a PCC has saved the pharmacist approximately 1 hour a week and the consultant clinic referral system approximately 2 hours twice a month equating to over 1.5 working days a month.ReferencesDunn P, McKenna H, Murray R. Deficits in the NHS 2016. The Kings Fund available at https://www.kingsfund.org.uk/sites/default/files/field/field_publication_file/Deficits_in_the_NHS_Kings_Fund_July_2016_1.pdf (Accessed 12.12.17).Lord Carter of Coles. Operational productivity and performance in English NHS acute hospitals: Unwarranted variations. Department of Health. London. Available at https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/499229/Operational_productivity_A.pdf (Accessed 12.12.17).

Sign in / Sign up

Export Citation Format

Share Document