Hurry Up and “Weight”: Innovative Inter-Professional Outpatient Care for a Service User With Severe Anorexia Nervosa Awaiting Admission to (Specialized Elective) Inpatient Care in Canada

2016 ◽  
Vol 35 (3) ◽  
pp. 113-117 ◽  
Author(s):  
Brad A. Mac Neil ◽  
Pallavi Nadkarni ◽  
Sandra Leduc ◽  
Pauline C. Leung
Keyword(s):  
Anorexia Nervosa ◽  
Outpatient Care ◽  
Service User ◽  
Inpatient Care

scholarly journals A review of the applications for involuntary admissions made to the Mental Health Review Boards by institutions in Gauteng in 2008

2010 ◽  
Vol 16 (4) ◽  
pp. 6
Author(s):  
M Y H Moosa ◽  
F Y Jeenah
Keyword(s):  
Mental Health ◽  
Health Care Professionals ◽  
Outpatient Care ◽  
Inpatient Care ◽  
Psychiatric Hospitals ◽  
Department Of Health ◽  
Massive Scale ◽  
Inpatient And Outpatient Care ◽  
Health Review ◽  
Review Boards

<p><strong>Aim.</strong> To review applications for involuntary admissions made to the Mental Health Review Boards (MHRBs) by institutions in Gauteng.</p><p><strong>Method.</strong> A retrospective review of the register/database of the two review boards in Gauteng for the period January - December 2008. All applications for admissions (involuntary and assisted inpatient) and outpatient care (involuntary and assisted), and periodic reports for continued care (inpatient or outpatient care) were included.</p><p><strong>Results.</strong> During the study period the two MHRBs received a total of 3 803 applications for inpatient care, of which 2 526 were for assisted inpatient care (48.1% regional hospitals, 29.6% specialised psychiatric hospitals, 22.2% tertiary academic hospitals). Of the applications for involuntary inpatient care, 73.1% were from the specialised psychiatric hospitals (65.2% from Sterkfontein Hospital). Applications for outpatient care, treatment and rehabilitation (CTR) numbered 1 226 (92% assisted outpatient CTR). Although the health establishments in northern Gauteng applied for more outpatient CTR compared with those in southern Gauteng (879 v. 347, respectively), the ratios of assisted to involuntary outpatient applications for CTR for each region were similar (approximately 12:1 and 9:1, respectively). The boards received 3 805 periodic reports for prolonged CTR (93.5% inpatient, 6.5% outpatient), in the majority of cases for assisted CTR.</p><p><strong>Conclusion.</strong> The study suggests that in the 4 years since the promulgation of the MHCA in 2004 , there have been significant strides towards implementation of the procedures relating to involuntary admission and CTR by all stakeholders. Differences in levels of implementation by the various stakeholders may result from differences in knowledge, perceptions, attitudes and understanding of their roles and therefore indicate the need for education of mental health care professionals and the public on a massive scale. The Department of Health also needs to invest more funds to improve mental health human resources and infrastructure at all health establishments.</p>

Out-of-Pocket Health Expenditures Among Insured and Uninsured Patients in Vietnam

2019 ◽  
Vol 31 (3) ◽  
pp. 210-218 ◽  
Author(s):  
Nguyen Duc Thanh ◽  
Bui Thi My Anh ◽  
Chu Huyen Xiem ◽  
Hoang Van Minh
Keyword(s):  
Outpatient Care ◽  
Inpatient Care ◽  
Health Care Services ◽  
Health Facilities ◽  
Least Square ◽  
Health Centers ◽  
Health Coverage ◽  
District Health ◽  
District Hospitals ◽  
Universal Health

Out-of-pocket expenditure/payment (OOP) is one of the indicators measuring the achievement of Universal Health Coverage. This article aimed to compare OOP among the insured and uninsured for their outpatient and inpatient health care services. The data of 6710 individuals using outpatient care and 924 individuals using inpatient care at 78 district hospitals and 246 commune health centers in 6 provinces from the World Bank survey, “The 2015 Vietnam District and Commune Health Facility,” were used for analysis. In the ordinary least square model, the estimated coefficient of the insurance status variable suggested that insurance reduced OOP by 31.1% for outpatient care and 31.5% for inpatient care of the insured as compared with the uninsured ( P <0.001). For outpatient care, insurance reduced OOP more for those enrollees using commune health centers than those using district health facilities, 42.3% and 20.2%, respectively. For inpatient care at district health facilities, insurance reduced OOP by 34.9% as compared with the uninsured ( P <0.001). The study suggested that more active solutions should be created to promote the universal health insurance in Vietnam.

scholarly journals Three cases of appendicitis with anorexia nervosa under inpatient care

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Shu Takakura ◽  
Hiroaki Yokoyama ◽  
Chie Suzuyama ◽  
Keita Tatsushima ◽  
Makoto Yamashita ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Inpatient Care

A cost analysis of inpatient compared with outpatient prostaglandin E2 cervical priming for induction of labour: results from the OPRA trial

2013 ◽  
Vol 37 (4) ◽  
pp. 467 ◽  
Author(s):  
Pamela L. Adelson ◽  
Garry R. Wedlock ◽  
Chris S. Wilkinson ◽  
Kirsten Howard ◽  
Robert L. Bryce ◽  
...  
Keyword(s):  
Outpatient Care ◽  
Inpatient Care ◽  
Controlled Trial ◽  
Hospital Costs ◽  
Cost Savings ◽  
Low Risk ◽  
Induction Of Labour ◽  
Cervical Priming ◽  
Randomised Controlled ◽  
The Cost

Objective To compare the costs of inpatient (usual care) with outpatient (intervention) care for cervical priming for induction of labour in women with healthy, low-risk pregnancies who are being induced for prolonged pregnancies or for social reasons. Methods Data from a randomised controlled trial at two hospitals in South Australia were matched with hospital financial data. A cost analysis comparing women randomised to inpatient care with those randomised to outpatient care was performed, with an additional analysis focusing on those who received the intervention. Results Overall, 48% of women randomised into the trial did not receive the intervention. Women randomised to outpatient care had an overall cost saving of $319 per woman (95% CI −$104 to $742) as compared with women randomised to usual care. When restricted to women who actually received the intervention, in-hospital cost savings of $433 (95% CI −$282 to $1148) were demonstrated in the outpatient group. However, these savings were partially offset by the cost of an outpatient priming clinic, reducing the overall cost savings to $156 per woman. Conclusions Overall cost savings were not statistically significant in women who were randomised to or received the intervention. However, the trend in cost savings favoured outpatient priming. What is known about the topic? Induction of labour is a common obstetric intervention. For women with low-risk, prolonged pregnancies who require cervical priming there has been increased interest in whether this period of waiting for the cervix to ‘ripen’ can be achieved at home. Outpatient priming has been reported to reduce hospital costs and improve maternal satisfaction. However, few studies have actually examined the cost of outpatient priming for induction of labour. What does this paper add? This is the first paper in Australia to both assess the full cost of outpatient cervical priming and to compare it with usual (inpatient) care. This is the first costing paper from a randomised controlled trial directly comparing inpatient and outpatient priming with prostaglandin E2. What are the implications for practitioners? For women with prolonged, low-risk pregnancies, a program of outpatient cervical priming can potentially reduce in-hospital costs and free up labour ward beds by avoiding an additional overnight hospitalisation.

scholarly journals Improvements on Clinical Status of Adolescents With Anorexia Nervosa in Inpatient and Day Hospital Treatment: A Retrospective Pilot Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Valeria Zanna ◽  
Giulia Cinelli ◽  
Michela Criscuolo ◽  
Annamaria Caramadre ◽  
Maria Chiara Castiglioni ◽  
...  
Keyword(s):  
Heart Rate ◽  
Anorexia Nervosa ◽  
Pilot Study ◽  
Treatment Program ◽  
Inpatient Treatment ◽  
Inpatient Care ◽  
Clinical Status ◽  
Hospital Costs ◽  
Hospital Treatment ◽  
Day Hospital

Introduction: Medical and psychiatric complications and treatment compliance are important considerations in determining the treatment program for patients with severe anorexia nervosa (AN). Clinical practice guidelines agree that an outpatient program is the first choice for the treatment of most eating disorders, but vary in supporting these programs for AN. However, inpatient care is known to be costly and the risk of relapse and readmission is high. This pilot study aimed to describe the first data on an Italian partial hospitalization care program for AN adolescents [high-level care treatment (HLCT)], evaluating its impact on patients' clinical status, average hospitalization time, and the hospital costs compared to inpatient treatment (IP).Methods: For this retrospective pilot study, we have selected a group of 34 females with AN aged 11–18 years, divided between those who followed inpatient treatment and those who received HLCT treatment; they were matched for age and severity. We investigated the differences in treatment and outcomes between the two groups in terms of heart rate, length of treatment, weight gain, psychological characteristics, and hospital costs. Statistics for non-parametric distributions were used to compare the two groups.Results: No differences between the two groups were found at admission. At discharge, patients in the HLCT group presented a lower number of in-hospital treatment days, a higher increase of weight, and a significant improvement in outcomes compared to the inpatient group. No significant differences were found in heart rate and hospital costs.Conclusions: This study represents a first comparison between inpatient care and the HLCT treatment program, which suggests that day hospital treatment could represent a meeting point between inpatient and outpatient treatment, combining the merits of both forms of treatment. Further studies are needed in order to better investigate the different treatment programs for severe AN in adolescence.

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