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169 records – page 1 of 17.

[A 1-day hospital for the examination and dispensary care of nephrology patients].

https://arctichealth.org/en/permalink/ahliterature239001
Source
Med Sestra. 1985 Apr;44(4):49-52
Publication Type
Article
Date
Apr-1985
Author
A E Poddubnaia
Source
Med Sestra. 1985 Apr;44(4):49-52
Date
Apr-1985
Language
Russian
Publication Type
Article
Keywords
Ambulatory Care - economics
Child
Day Care - economics
Humans
Kidney Diseases - economics - therapy
Moscow
PubMed ID
3847746 View in PubMed
Less detail

Active surveillance for localized prostate cancer: an analysis of patient contacts and utilization of healthcare resources.

https://arctichealth.org/en/permalink/ahliterature271603
Source
Scand J Urol. 2015 Feb;49(1):43-50
Publication Type
Article
Date
Feb-2015
Author
Frederik B Thomsen
Kasper D Berg
M Andreas Røder
Peter Iversen
Klaus Brasso
Source
Scand J Urol. 2015 Feb;49(1):43-50
Date
Feb-2015
Language
English
Publication Type
Article
Keywords
Aged
Ambulatory Care - economics - utilization
Biopsy, Large-Core Needle - adverse effects - economics - statistics & numerical data
Cohort Studies
Denmark
Disease Management
Disease Progression
Health Resources - economics - utilization
Hospitalization - economics - statistics & numerical data
Humans
Kallikreins - blood
Male
Middle Aged
Prospective Studies
Prostate-Specific Antigen - blood
Prostatic Neoplasms - blood - pathology - therapy
Transurethral Resection of Prostate
Watchful Waiting - economics - statistics & numerical data
Abstract
Evidence supports active surveillance (AS) as a means to reduce overtreatment of low-risk prostate cancer (PCa). The consequences of close and long-standing follow-up with regard to outpatient visits, tests and repeated biopsies are widely unknown. This study investigated the trajectory and costs of AS in patients with localized PCa.
In total, 317 PCa patients were followed in a prospective, single-arm AS cohort. The primary outcomes were number of patient contacts, prostate-specific antigen (PSA) tests, biopsies, hospital admissions due to biopsy complications and patients eventually undergoing curative treatment. The secondary outcome was cost.
The 5 year cumulative incidence of discontinued AS in a competing-risk model was 40%. During the first 5 years of AS patients underwent a median of two biopsy sets, and patients were seen in an outpatient clinic including PSA testing three to four times annually. In total, 38 of the 406 biopsy sessions led to hospital admission and 87 of the 317 patients required treatment for bladder outlet obstruction (BOO). With a median of 3.7 years' follow-up, the total cost of AS was euro (€) 1,240,286. Assuming all patients had otherwise undergone primary radical prostatectomy, the cost difference favoured AS with a net benefit of €662,661 (35% reduction).
AS entails a close clinical follow-up with a considerable risk of rebiopsy complication, treatment of BOO and subsequent delayed definitive therapy. This risk should be weighed against a potential economic benefit and reduction in the risk of overtreatment compared to immediate radical treatment.
PubMed ID
25363612 View in PubMed
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[Admission to the obstetric department versus ambulatory labor--seen from women's perspective]

https://arctichealth.org/en/permalink/ahliterature64117
Source
Ugeskr Laeger. 1999 Feb 22;161(8):1134-5
Publication Type
Article
Date
Feb-22-1999
Author
J L Knudsen
M. Christensen
Source
Ugeskr Laeger. 1999 Feb 22;161(8):1134-5
Date
Feb-22-1999
Language
Danish
Publication Type
Article
Keywords
Ambulatory Care - economics
Comparative Study
Cost Savings
Denmark
Female
Humans
Labor, Obstetric
Length of Stay
Maternal Welfare
Patient Admission
Postpartum Period
Pregnancy
Questionnaires
Notes
Comment On: Ugeskr Laeger. 1998 Oct 5;160(41):5939-429786034
PubMed ID
10074860 View in PubMed
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Alternative funding and delivery models: practice and prospects in Ontario.

https://arctichealth.org/en/permalink/ahliterature220892
Source
J Ambul Care Manage. 1993 Jul;16(3):19-29
Publication Type
Article
Date
Jul-1993

[Ambulatory angiography saves money and shortens waiting time].

https://arctichealth.org/en/permalink/ahliterature226160
Source
Lakartidningen. 1991 Jun 26;88(26-27):2380-1
Publication Type
Article
Date
Jun-26-1991
Author
E. Haglind
K. Lundholm
Author Affiliation
Båda vid kirurgiska kliniken, Sahlgrenska sjukhuset, Göteborg.
Source
Lakartidningen. 1991 Jun 26;88(26-27):2380-1
Date
Jun-26-1991
Language
Swedish
Publication Type
Article
Keywords
Ambulatory Care - economics - methods
Angiography - adverse effects - economics - methods
Cost-Benefit Analysis
Humans
Sweden
Waiting Lists
PubMed ID
1906964 View in PubMed
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Ambulatory care or home-based treatment? An economic evaluation of two physiotherapy delivery options for people with rheumatoid arthritis.

https://arctichealth.org/en/permalink/ahliterature182690
Source
Arthritis Care Res. 2000 Aug;13(4):183-90
Publication Type
Article
Date
Aug-2000
Author
L C Li
P C Coyte
S C Lineker
H. Wood
M. Renahan
Author Affiliation
Arthritis & Autoimmunity Research Centre, University Health Network, Consultation and Rehabilitation Service, Arthritis Society, Ontario Division, Toronto, Ontario, Canada.
Source
Arthritis Care Res. 2000 Aug;13(4):183-90
Date
Aug-2000
Language
English
Publication Type
Article
Keywords
Aged
Ambulatory Care - economics
Arthritis, Rheumatoid - rehabilitation
Cost-Benefit Analysis
Employment - economics
Female
Health Care Costs - statistics & numerical data
Health Services Research
Home Care Services - economics
Humans
Male
Middle Aged
Models, Economic
Ontario
Physical Therapy Modalities - economics
Sensitivity and specificity
Time Factors
Travel - economics
Abstract
To assess the difference in costs of home-based versus clinic-based physiotherapy (PT) for patients with rheumatoid arthritis (RA) from a societal perspective.
A cost analysis was performed using statistical and financial information provided by The Arthritis Society, Ontario Division, from April 1, 1997 to March 30, 1998. Cost estimates included treatment costs and costs borne by patients. A sensitivity analysis was conducted to examine the effect of altering the valuation of treatment time and patient employment status.
Total costs per case were $210.87 for the home setting, and $183.87 for the clinic setting when patients were employed. Sensitivity analysis did not change the trend of the results. The estimated start-up costs for an arthritis clinic were between $302.90 and $652.40. From the perspective of the health care system, these costs would be recovered after serving 4 to 8 RA patients at a clinic.
The findings suggest that ambulatory PT care is less costly than home-based services for people with RA based on The Arthritis Society model. Further studies should be conducted to examine the effectiveness and the possible adverse consequences of alternative settings for service delivery.
PubMed ID
14635272 View in PubMed
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[Ambulatory coronary angiography. Organization--patient safety--economic benefits].

https://arctichealth.org/en/permalink/ahliterature226331
Source
Tidsskr Nor Laegeforen. 1991 May 30;111(14):1716-7
Publication Type
Article
Date
May-30-1991
Author
K. Tveit
G. Jenssen
K D Bolz
D. Blikom
Author Affiliation
Røntgenavdelingen, Regionsykehuset i Trondheim.
Source
Tidsskr Nor Laegeforen. 1991 May 30;111(14):1716-7
Date
May-30-1991
Language
Norwegian
Publication Type
Article
Keywords
Ambulatory Care - economics - organization & administration - standards
Angiography - adverse effects - economics - standards
Coronary Angiography
Cost-Benefit Analysis
Humans
Norway
Safety
Abstract
916 (63%) of 1,452 coronary angiographies performed at the University Hospital in Trondheim from 1988 to 1990 were done policlinically. The study shows that coronary angiography can be carried out safely on an outpatient basis, and that more than 50% of all patients admitted for a coronary angiography can be examined in this way.
PubMed ID
1905852 View in PubMed
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[Ambulatory labor--experience from the first 2 years]

https://arctichealth.org/en/permalink/ahliterature36163
Source
Ugeskr Laeger. 1993 Aug 23;155(34):2605-9
Publication Type
Article
Date
Aug-23-1993
Author
O. Kierkegaard
R M Hansen
Author Affiliation
Gynaekologisk/obstetrisk afdeling, Herning Centralsygehus.
Source
Ugeskr Laeger. 1993 Aug 23;155(34):2605-9
Date
Aug-23-1993
Language
Danish
Publication Type
Article
Keywords
Adult
Ambulatory Care - economics - legislation & jurisprudence - statistics & numerical data
Denmark
English Abstract
Female
Humans
Infant, Newborn
Labor, Obstetric
Length of Stay - economics - statistics & numerical data
Parity
Patient Discharge - economics - statistics & numerical data
Pregnancy
Prospective Studies
Abstract
A trial arrangement for mandatory early discharge for all normal multiparae in 1990 and 1991 was evaluated. 63.4 percent of 1661 multiparous women were discharged within 24 hours of giving birth. During the period the mean time to discharge rose from 6 1/2 to 10 1/2 hours. Only 2.6 per cent of the children were readmitted to hospital, as were 1.2 percent of the mothers. The purpose of the trial was to save money, but in the trial period no money was saved from the early discharged women, the savings came from deductions in the perinatal service to the non-early discharged women.
PubMed ID
8212367 View in PubMed
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[Ambulatory long-term cardiac rehabilitation--one year results]

https://arctichealth.org/en/permalink/ahliterature49890
Source
Gesundheitswesen. 2001 Mar;63 Suppl 1:S39-42
Publication Type
Article
Date
Mar-2001
Author
U. Tegtbur
H. Machold
U. Brinkmeier
M. Busse
Author Affiliation
Sportmedizinisches Zentrum, Medizinische Hochschule Hannover, Hannover. Tegtbur.Uwe@mh-hannover.de
Source
Gesundheitswesen. 2001 Mar;63 Suppl 1:S39-42
Date
Mar-2001
Language
German
Publication Type
Article
Keywords
Aged
Ambulatory Care - economics
Behavior Therapy - economics
Cost-Benefit Analysis
English Abstract
Exercise
Female
Germany
Humans
Long-Term Care - economics
Male
Middle Aged
Myocardial Infarction - economics - rehabilitation
Patient compliance
Abstract
After acute hospital therapy of myocardial infarction or bypass surgery the patient in Germany will be treated using an inpatient rehabilitation programme for 3-4 weeks. One year later only 10% of them are still active in outpatients groups. In our study 61 cardiac patients performed an one-year outpatient rehabilitation (instead of 4 weeks inpatient) programme with intense supervised exercise and behaviour therapy. The money input per patient was the same for the usual care 4 weeks inpatient (6000 DM) as for 1 year outpatient rehabilitation (5800 DM). The exercise capacity per heart rate-blood pressure-product was increased by 43% (p > 0.01) after 12 months. The maximum exercise capacity was reached in the 57th week. Without increased medical treatment, cholesterol and LDL-cholesterol were reduced after 12 months by 3.9% down to 195 +/- 25 mg/dl or by 6.6% down to 122 +/- 21 mg/dl, respectively (n.s.). HDL-cholesterol increased by 2.8% to 48 +/- 8 mg/dl (n.s.). This study shows results similar to outpatient rehabilitation programmes in the United States or in Sweden. The long intervention time and the intensity are main factors for the success of cardiac rehabilitation and patient health. Financial resources should primarily be concentrated on long-term outpatient rehabilitation programmes.
PubMed ID
11329918 View in PubMed
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169 records – page 1 of 17.