Analysis of Direct Monthly Cost of Outpatient Hospital-Based Care for Children With Cerebral Palsy in Kano, Nigeria
ConclusionThe average direct monthly cost of providing outpatient hospital-based care for children with CP in Kano City, Nigeria may not be affordable because most of the participants earned very meager monthly incomes. The highest medical cost was incurred from radiological investigation, whereas transportation was the most important out-of-pocket cost. The Nigerian government should make a policy decision for the automatic enrollment of all children diagnosed with CP into the National Health Insurance Scheme. (Source: Value in Health Regional Issues)
Source: Value in Health Regional Issues - August 29, 2019 Category: International Medicine & Public Health Source Type: research
Review of Pharmacoeconomic Studies in Russian Cancer Research: An Outside View
ConclusionOur review indicates that oncologic economic evaluations published in Russian are limited in scope and number. In addition, they demonstrate opportunities for improvement in several important technical areas. (Source: Value in Health Regional Issues)
Source: Value in Health Regional Issues - August 29, 2019 Category: International Medicine & Public Health Source Type: research
Impact of Disparities in Reimbursement Rules Between Public and Private Sectors on Accessibility to Care in Moroccan Mandatory Health Insurance: A Cross-Sectional Study
ConclusionDifferences in reimbursement rules between the 2 funds may be the cause of inequity in access to care between insured persons. This situation can jeopardize the objectives of a universal and equitable health insurance scheme. (Source: Value in Health Regional Issues)
Source: Value in Health Regional Issues - August 27, 2019 Category: International Medicine & Public Health Source Type: research
Budget Impact of Cryoablation Versus Radiofrequency Ablation of Atrial Fibrillation in the Brazilian Public Healthcare System
ConclusionsCryoablation of AF resulted in cost savings compared with the current scenario (RF ablation guided by electroanatomic mapping). When alternative technologies were considered, cryoablation was more expensive than RF ablation with a nonirrigated catheter, but it also resulted in savings compared with RF ablation guided by intracardiac echocardiography. Overall, cryoablation of AF may reduce expenditures in the Brazilian public health system. (Source: Value in Health Regional Issues)
Source: Value in Health Regional Issues - August 23, 2019 Category: International Medicine & Public Health Source Type: research
The Cost-Effectiveness of Continuous Versus Intermittent Renal Replacement Therapies in Acute Kidney Injury: Perspective of the Social Services for the Elderly in Argentina
ConclusionsContinuous RRT for patients with AKI eligible for CRRT or IRRT would probably be a cost-effective intervention for the National Institute of Social Services for Retirees and Pensioners’ view. Nevertheless, there is considerable uncertainty around results, mainly due to the lack of adequate controlled studies and local data on the prognosis of these patients in Argentina. (Source: Value in Health Regional Issues)
Source: Value in Health Regional Issues - August 17, 2019 Category: International Medicine & Public Health Source Type: research
Resource Utilization and Costs Associated With Percutaneous Coronary Intervention When Treating Patients With Acute Coronary Syndrome in the Mexican National Institute of Cardiology “Ignacio Chávez”
ConclusionThe mean cost per patient shows that PCI is an expensive procedure in Mexico. A lack of subsidies for surgical equipment places a high economic burden on the patient and represents a barrier of access for a vulnerable population that likely increases mortality and morbidity rates in those patients unable to pay for treatment and a potential high burden of debt for those who do pay. (Source: Value in Health Regional Issues)
Source: Value in Health Regional Issues - August 14, 2019 Category: International Medicine & Public Health Source Type: research
External Reference Pricing for Pharmaceuticals—A Survey and Literature Review to Describe Best Practices for Countries With Expanding Healthcare Coverage
ConclusionPolicymakers should consider a set of requirements when introducing ERP, including clear definitions and decision criteria in full transparency. External reference pricing should inform and serve as a benchmark for pricing decisions, rather than being used as the sole pricing mechanism. External reference pricing is primarily a tool to support decisions regarding on-patent pharmaceuticals, and for off-patent products, competition may prove more effective in reducing prices than ERP. (Source: Value in Health Regional Issues)
Source: Value in Health Regional Issues - August 13, 2019 Category: International Medicine & Public Health Source Type: research
Willingness-to-Accept and Willingness-to-Pay Ratios of Prevention of Mother-to-Child Transmission Services in a Nigerian Hospital: A Cross-sectional Contingent Valuation Study
ConclusionsAll services had high WTP, WTA-to-WTP ratios, and income effects, with inelastic income elasticity coefficients: patients in the Nigerian hospital attribute high value to all PMTCT services. (Source: Value in Health Regional Issues)
Source: Value in Health Regional Issues - August 9, 2019 Category: International Medicine & Public Health Source Type: research
The Impact of Financial Crisis, Austerity Measures, and Bailout Agreement on Cypriots’ Health: The Memorandum Is Dead, Long Live the Memorandum
ConclusionsWe demonstrate that crisis and health reforms did not exert any negative effects on Cypriots’ health; nevertheless, a significant increase of patients who face difficulties in financing their health needs was reported. The mental health sector was, in particular, affected by the crisis, and consequently, health agencies must closely monitor this topic along with the aforementioned affordability issues. (Source: Value in Health Regional Issues)
Source: Value in Health Regional Issues - August 2, 2019 Category: International Medicine & Public Health Source Type: research
The Cost of Managing Occupational Injuries Among Frontline Construction Workers in Ghana
ConclusionThere is high direct and indirect cost for managing occupational injury among construction workers. Advocacy and awareness about workplace insurance and regulatory policies should adequately be strengthened and prioritized through periodic monitoring and evaluations. (Source: Value in Health Regional Issues)
Source: Value in Health Regional Issues - August 2, 2019 Category: International Medicine & Public Health Source Type: research
Structural Changes in the Hungarian Healthcare System Between 2000 and 2017
ConclusionStructural change is in progress in the Hungarian healthcare system, and some efficiency gains have been reached. Nevertheless, still there are significant potential efficiency gains in the better organization and management of health services in addition to the dissemination and better incorporation of modern healthcare technologies. (Source: Value in Health Regional Issues)
Source: Value in Health Regional Issues - August 2, 2019 Category: International Medicine & Public Health Source Type: research
The Impact of Price Negotiations on Public Procurement Prices and Access to 8 Innovative Cancer Medicines in a Middle-Income Country—The Case of Mexico
ConclusionAlthough direct causality is difficult to prove, the establishment of the negotiating commission seems to have led to reduced prices and possibly better access in the public sector. Medicine procurement by public hospitals should be monitored to ensure that negotiated prices benefit all institutions. (Source: Value in Health Regional Issues)
Source: Value in Health Regional Issues - July 31, 2019 Category: International Medicine & Public Health Source Type: research
Pseudo-Generics in South Africa: A Price Comparison
ConclusionThe increasing presence of pseudo-generics in the South African pharma market warrants further oversight and consumer and prescriber awareness. (Source: Value in Health Regional Issues)
Source: Value in Health Regional Issues - July 28, 2019 Category: International Medicine & Public Health Source Type: research
Cost-Effectiveness of Proton Versus Photon Therapy in Pediatric Medulloblastoma Treatment: A Patient Volume–Based Analysis
ConclusionsProton therapy is not cost-effective for pediatric medulloblastoma treatment from the Brazilian health system perspective. The investment is not worth when considering the number of potential patients and the country dimensions. (Source: Value in Health Regional Issues)
Source: Value in Health Regional Issues - July 16, 2019 Category: International Medicine & Public Health Source Type: research
Determining the Operating Costs of a Medical Surveillance Program for Copper Miners Exposed to High Altitude–Induced Chronic Intermittent Hypoxia in Chile Using a Combination of Microcosting and Time-Driven Activity-Based Costing
ConclusionsThe partial adaptation of the time-driven activity-based costing method in combination with the microcosting method provides a suitable solution to determine the total costs of running a healthcare program of this kind. The information generated by this study will aid in the decision-making and management processes of the Hypoxia Medical Surveillance Program. (Source: Value in Health Regional Issues)
Source: Value in Health Regional Issues - June 28, 2019 Category: International Medicine & Public Health Source Type: research
