Abstract
We address concerns raised in this issue by Bretzner et al. (2011) by explaining the rationale for including subjects with subacute, neurologically complete spinal cord injuries in the Phase 1 trial of GRNOPC1. We also present elements of the informed consent process that minimize the likelihood of...
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PMID: 21549322
PDF is available here.
Abstract
Background and aims. Cancer is a chronic disease whose clinical history has a strong relationship with socio-economic indicators, and it could be defined as a real "social disease". For this reason, socio-economic factors can be used to project survival rates by means of ecological models. The presen...
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PMID: 21789001
PDF is available here.
Abstract
We have ensured that economists can differentiate symptoms from diagnoses and diagnostics from screening at the interface between medicine and economy. However, we overlooked the fact that physicians should be able to understand the principles of marginal benefit and medical ethics, as well as the d...
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PMID: 21046533
PDF is available here.
Abstract
We selected and estimated the cost of 16 interventions related to education, housing, nutrition, employment, health care, healthy behavior, neighborhood improvement, and transportation. Low-income residents of Washington, D.C. (N=431) participated in decision exercises to prioritize these interventi...
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PMID: 21099082
PDF is available here.
Abstract
There is an increasing need to assess the value of safety improvements to society. Concerns exist, however, as to what extent standard health economic methods appropriately reflect this value because these methods do not typically incorporate the non-health or extra-consequentialist value of avoidin...
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PMID: 20702440
PDF is available here.
Abstract
Patient selection by the BDH for NHS-funded implants complied with the RCSE guidelines. However, there was significant variation in funding between PCTs for those patients who apparently fulfilled the RCSE guidelines. NHS resources are not being allocated equitably for dental implant 'high-priority'...
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PMID: 20522291
PDF is available here.
Abstract
We take this opportunity to raise awareness of another devastating illness in women, ischemic heart disease, and to suggest that screening for ischemic heart disease, by providing early detection and identifying women who would benefit most from intensified medical therapy, merits consideration.
201...
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PMID: 20800764
PDF is available here.
Abstract
Patients with hepatocellular carcinoma (HCC) within Milan criteria receive priority on the liver transplant waiting list (WL) and compete with non-HCC patients. Dropout from the WL is an indirect measure of transplant access. Competing risks (CR) evaluation of dropout for HCC and non...
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PMID: 20486906
PDF is available here.
Abstract
A questionnaire study, conducted by the authors among a representative sample of hospital doctors in Germany, showed that health care rationing in German hospitals is already a fact. But since the results were published in 2009 the validity of its findings has been questioned. This article provides...
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PMID: 20648410
PDF is available here.
Abstract
Among patients with carpal tunnel syndrome, there was a higher proportion of female patients compared to male patients (68% versus 32%); male patients with multiple neuropathies had higher rates of surgery than their female counterparts (63% versus 41%). Only increasing age was associated with incre...
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PMID: 20049568
PDF is available here.
Abstract
We term its 'insurance value'--has increasingly become neglected. In this paper, we argue that this inattention is detrimental to the population at large. We explore some implications to the NHS of maximizing insurance value. These include requiring commissioners to take explicit account of how deni...
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PMID: 20203080
PDF is available here.
Abstract
As it moves from a relief to a development phase, the Republic of Tajikistan (RT) needs to attract more external aid and to ensure adequate alignment of this aid with health systems development priorities. A potential response to these two needs is a Sector-Wide Approach (SWAp), a method originating...
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PMID: 20694955
PDF is available here.
Abstract
The incidence of ESRD due to SLE was higher in ZIP codes with higher proportions of hospitalizations with no insurance (r = 0.22, p < 0.0001) or Medicaid (r = 0.21, p < 0.0001), and in ZIP codes with higher rates of hospitalizations for ambulatory care-sensitive conditions (r = 0.23, p < 0.0001). In...
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PMID: 20395647
PDF is available here.
Abstract
Women and older people are overrepresented among patients with low priority. Conditional on age, women with low priority have lower income and less education than women with high priority. Among men below 50 years, patients with low priority have less education than patients with high priority. CONC...
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PMID: 20060613
PDF is available here.
Abstract
Our findings suggest that patient allocation in Brazil is not random. The probability of allocation to HD or PD is highly associated with individual attributes and supply variables....
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PMID: 20167688
PDF is available here.
Abstract
This paper investigates the continuum of care experienced by adults and their significant others following a moderate to severe traumatic brain injury (TBI) in Victoria, Australia. Clinical care guidelines exist defining best practice in TBI rehabilitation, but little is currently kn...
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PMID: 20420352
PDF is available here.
Abstract
Two areas of ethical conflict in intercultural nursing - who needs single rooms more, and how far should nurses go to comply with ethnic minority patients' wishes? - are discussed from a utilitarian and common-sense morality point of view. These theories may mirror nurses' way of thi...
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PMID: 20185444
PDF is available here.
Abstract
Two areas of ethical conflict in intercultural nursing - who needs single rooms more, and how far should nurses go to comply with ethnic minority patients' wishes? - are discussed from a utilitarian and common-sense morality point of view. These theories may mirror nurses' way of thi...
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PMID: 20185444
PDF is available here.
Abstract
Two areas of ethical conflict in intercultural nursing - who needs single rooms more, and how far should nurses go to comply with ethnic minority patients' wishes? - are discussed from a utilitarian and common-sense morality point of view. These theories may mirror nurses' way of thi...
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PMID: 20185444
PDF is available here.
Abstract
Two areas of ethical conflict in intercultural nursing - who needs single rooms more, and how far should nurses go to comply with ethnic minority patients' wishes? - are discussed from a utilitarian and common-sense morality point of view. These theories may mirror nurses' way of thi...
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PMID: 20185444
PDF is available here.
Abstract
Two areas of ethical conflict in intercultural nursing - who needs single rooms more, and how far should nurses go to comply with ethnic minority patients' wishes? - are discussed from a utilitarian and common-sense morality point of view. These theories may mirror nurses' way of thi...
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PMID: 20185444
PDF is available here.
Abstract
Two areas of ethical conflict in intercultural nursing - who needs single rooms more, and how far should nurses go to comply with ethnic minority patients' wishes? - are discussed from a utilitarian and common-sense morality point of view. These theories may mirror nurses' way of thi...
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PMID: 20185444
PDF is available here.
Abstract
Two areas of ethical conflict in intercultural nursing - who needs single rooms more, and how far should nurses go to comply with ethnic minority patients' wishes? - are discussed from a utilitarian and common-sense morality point of view. These theories may mirror nurses' way of thi...
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PMID: 20185444
PDF is available here.
Abstract
The study sample consisted of 25,558 individuals aged 20 to 79 years representing approximately 7.8 million people. Over the 2 years of study period, 82.5% of the study population had a FP visit with a median of 6 visits and 53.2% had a SP visit with a median of 1 visit. The R values based on admini...
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PMID: 19927013
PDF is available here.
Abstract
German, British, and American physicians were allocated (on average) 16/11/32 minutes for a new patient appointment, 6/10/18 minutes for a routine visit, and 12/20/36 minutes for a complete physical, but felt that they needed more time. Over half of German and American physicians felt that they alwa...
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PMID: 20057331
PDF is available here.
H H Hemingway,
M M Henriksson,
R R Chen,
J J Damant,
N N Fitzpatrick,
K K Abrams,
A A Hingorani,
M M Janzon,
M M Shipley,
G G Feder,
B B Keogh,
U U Stenestrand,
K K McAllister,
J-C JC Kaski,
A A Timmis,
S S Palmer and
M M Sculpher
Abstract
Formally employing more information in the prioritisation of patients awaiting CABG appears to be a cost-effective approach and may result in improved health outcomes. The most robust results relate to a strategy employing a risk score using conventional clinical information together with a single b...
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PMID: 20184812
PDF is available here.
Abstract
The aim of this study was to compare time spent waiting for cataract extraction across various hospitals and to determine if it was influenced by severity of disease or patient characteristics.
Ambispective cohort study. Clinical, sociodemographic, and health-related...
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PMID: 20130015
PDF is available here.
Abstract
We explore opportunities and barriers to the implementation of a community-level, structural intervention. We first analyze the different forms of leadership, and other community resources including existing HIV prevention activities that could potentially be used to address the related problems of...
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PMID: 19910099
PDF is available here.
Abstract
We investigated how the public values life when evaluating vaccine-allocation policies during a flu epidemic. We found that people's ratings of the acceptability of policies were dramatically influenced by question framing. When policies were described in terms of lives saved, people judged them on...
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PMID: 20424038
PDF is available here.
Abstract
In health services research comparative studies between orthopaedics and naturopathy are necessary. They allow evidence based decisions between individual therapeutical alternatives as well as decisions on health politics, e.g. concerning allocation of resources.
A co...
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PMID: 21595143
PDF is available here.
Abstract
Rare diseases are a major cause of morbidity and mortality in high income countries and have major repercussions on individuals and health care systems. This chapter examines the health economy of rare diseases from two different perspectives: firstly, the study of the economic impact of rare diseas...
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PMID: 20824451
PDF is available here.
Abstract
We can no longer afford the persistent gap between health spending and income growth. In simple terms, if the economy is growing 2%, we cannot afford persistent health care spending growth of 4%. Growth in public spending is particularly important. If not abated, high public spending will require ei...
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PMID: 21391454
PDF is available here.
Abstract
We believe that the rationing of drugs that are too expensive can achieve political legitimacy if it is based on a transparent justification that includes not only evidence-based criteria, but also ethical principles and values. For egalitarians, fairness in the supply of health care should be accom...
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PMID: 20737807
PDF is available here.
Abstract
The authors of the publication analyse financial effects which are the result of applying division algorithms concerning public payer organizational units during the years of 1999 - 2010. Unpublished financial data illustrating the division of financial resources in public health insurance in Poland...
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PMID: 20499670
PDF is available here.
Abstract
The high level of executable obligations has been one of the main problem of independent public healthcare units' activity for many years. This article presents the results of the analysis of level, dynamics and structure of executable obligations in the years of function independent public payer. P...
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PMID: 20976958
PDF is available here.