Abstract
Investigations into 'inappropriate' use of emergency health services are limited by the lack of definition of what constitutes a health emergency. Position papers from Australian and international sources emphasise the patient's right to access emergency healthcare, and the responsibility of emergenc...
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PMID: 21871188
PDF is available here.
Abstract
Malaria modeling can inform policy and guide research for malaria elimination and eradication from local implementation to global policy. A research and development agenda for malaria modeling is proposed, to support operations and to enhance the broader eradication research agenda. Models are envisi...
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PMID: 21283605
PDF is available here.
Abstract
The evolution of the national and European legislation has progressively transformed the working environments into organized environments. Specific models for its management are being proposed, which should be integrated into general management strategies. In the case of hospitals this integration sh...
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PMID: 21468157
PDF is available here.
Abstract
Several recent papers find evidence that global health aid is being diverted to reserves, education, military, or other sectors, and is displacing government spending. This is suggested to occur because ministers of finance have competing, possibly corrupt, priorities and deprive the...
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PMID: 21319721
PDF is available here.
Abstract
Broad adoption of interventions that prove effective in randomized clinical trials or comparative effectiveness research may depend to a great extent on their costs and cost-effectiveness (CE). Many studies of behavioral health interventions for oral health promotion and disease prevention lack robus...
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PMID: 21656966
PDF is available here.
Abstract
The Rural Research Capacity Building Program commenced in 2006 with the aim of developing research skills in rural health workers. The program was based on the capacity building principles of workforce development, organisational development, resource allocation, partnership and leadership. Qualitati...
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PMID: 21616034
PDF is available here.
Abstract
We identified 23,216 hospitalizations for which HF was the primary or secondary diagnosis among patients aged 18 to 64 years who had a noncapitated health insurance plan. We used multivariate regression to analyze the association between patient characteristics and both hospitalization costs and len...
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PMID: 20964473
PDF is available here.
Abstract
We review urgency-based allocation policy for HTx candidates with ventricular assist devices (VADs).
We retrospectively studied 345 adult candidates for de novo HTx. Group U (n = 160) comprised patients primarily listed in urgent status without VAD. Group VAD-45 (n = 167) comprised patients with int...
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PMID: 20570532
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
Models developed from pre-transplant characteristics poorly predict long-term survival. Models for separate diseases and 1-year conditional models did not improve prediction. Better databases and approaches to predict survival are needed to improve lung allocation....
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PMID: 20382034
PDF is available here.
Abstract
Parental investment (involving time or money invested in 3-year-olds) and child health were assessed as an outcome of (a) children's risk status (preterm vs. full-term birth) and (b) maternal resources (defined here in terms of their problem-solving skills in resolving caregiving challenges). Resour...
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PMID: 19963228
PDF is available here.
Samodzielny Publiczny Wojewódzki Szpital Zespolony, Oddział Gastroenterologii III A. knafalska@gmail.com
Abstract
We review recently tested scores and discuss their potential applications....
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PMID: 20568409
PDF is available here.
Abstract
Resource scarcity and increasing service demand lead health systems to cope with choices within constrained budgets. The aim of the paper is to describe the study carried out in the Tuscan Health System in Italy on how to set priorities in the disinvestment process for re-allocation. The analysis wa...
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PMID: 20015568
PDF is available here.
Abstract
The National Institutes of Health (NIH) peer review system has been viewed as the best way to guarantee the scientific independence of biomedical research in the United States, and it has been emulated internationally. The system, however, is subject to a variety of stresses, and these have always b...
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PMID: 20520019
PDF is available here.
Abstract
The incidence of early complications in the entire group was low, with the most common being atrial arrhythmias and prolonged thoracostomy tube. Lung function at 1 and 2 years (mean forced expiratory volume in 1 second % predicted +/- standard deviation of 73 +/- 18 and 60.5 +/- 27, respectively) wa...
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PMID: 20044276
PDF is available here.
Abstract
209 datasets could be included (69.7% of all admitted patients). The long-term care insurance system calculated more needed resources than the Psychiatry Personnel Act, especially for people with dementia. CONCLUSION: Since both systems calculate extremely diverging results, more research is needed...
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PMID: 19533585
PDF is available here.
Abstract
We investigate the population dynamics of a consumer dependent on two resources, one fixed, the other renewable. Emerging from this structure is a situation of alternative attractors that remain qualitatively robust over a significant range of parameter values. However, a dramatic change in basins o...
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PMID: 20018195
PDF is available here.
Abstract
MELD score provides a transparent, objective system to drive allocation policy; however, it presents several important limitations. Constant need of changes and reevaluation are needed as an evolutionary process. Future changes in the present system may be addressed by adjusting the MELD system.
Cop...
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PMID: 20304152
PDF is available here.
Abstract
Outpatient non-attendance is a considerable source of inefficiency in the health service, wasting time, resources and potentially lengthening waiting lists, Given the current economic climate, methods need to be employed to reduce non-attendance. The aim was to analyse outpatient non-attendance and...
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PMID: 20666071
PDF is available here.
Jose N Nativi,
Abdallah G Kfoury,
Craig Myrick,
Melissa Peters,
Dale Renlund,
Edward M Gilbert,
Feras Bader,
Arun K Singhal,
Melanie Everitt,
Patrick Fisher,
David A Bull,
Craig Selzman and
Josef Stehlik
Abstract
The 2006 change in UNOS organ allocation policy resulted in an increase in Status 1A transplants, graft ischemic time and procurement costs, and a decrease in Status 2 transplants, but no effect on mortality on the waiting list within our center. To assess the full effect of the APC on outcomes, the...
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PMID: 19782588
PDF is available here.
Abstract
We estimate how the difference in birth weight across siblings impacts specific parental investments: breast-feeding, well-baby visits, immunizations, and preschool attendance. Our results indicate that normal-birthweight children are 5%-11% more likely to receive early childhood parental investment...
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PMID: 20355688
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
We found people view it as less fair to distribute resources equally when the allocated resource invokes the market by being a medium of exchange than when the allocated resource is a good that holds value in use. These differences in fairness can be attributed to being a medium of exchange, and not...
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PMID: 20424037
PDF is available here.
Abstract
We develop a multi-objective mathematical programming model for optimal resource allocation decisions in a country where a serious risk of pandemic influenza may exist. These resources include monetary budget for antivirals and preventive vaccinations, intensive care unit (ICU) beds, ventilators, an...
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PMID: 20192056
PDF is available here.
Abstract
We present first principles for allocating scarce resources with limited data. We show that under a broad class of assumptions, the simple rule of targeting intervention measures at the group with the highest risk of infection per individual will achieve the largest reduction in the transmission pot...
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PMID: 20080777
PDF is available here.
Abstract
The three-year-plus transition from a partial to a full electronic set of clinics in a dental school is described. The processes of requirement determination, vendor selection, and implementation are described, as well as challenges and benefits. A number of recommendations are offered, including th...
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PMID: 20481067
PDF is available here.
Abstract
What are the resources necessary to provide the highest quality education for medical students? This is the essential question which must be answered before a medical school can make a rational decision about the number of students to have in each class. In deciphering an objective way to determine...
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PMID: 20697551
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
During the study period, 21 986 ED patients were admitted to hospital. The percentage of cancer-related admissions to the oncology admitting service decreased from 48% in 2004 to 24% in 2007, and admissions to general internal medicine (GIM) increased nearly 2-fold, from 28% in 2004 to 54% in 2007....
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PMID: 20078914
PDF is available here.
Abstract
An estimated 430,00 new human immunodeficiency virus (HIV) infections occurred among children younger than 15 years of age in 2008, most in sub-Saharan Africa and most due to mother-to-child transmission (MTCT). In marked contrast, MTCT of HIV has been virtually eliminated in well-re...
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PMID: 20297758
PDF is available here.
Abstract
We compared candidates and transplanted patients for gender, age, ABO blood group, human leukocyte agents (HLA), percentage of reactive antibodies (PRA), and waiting list and dialysis times. Only 2 factors showed differences: highly sensitized and patients >65 years old (Bernoulli test). An agreemen...
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PMID: 20172314
PDF is available here.
Abstract
The consequences of a major incident at a sporting event could be catastrophic. Therefore, there should be an estimation of the healthcare resources at such events as part of the planning. Although there are National guidelines (e.g., Planning Safe Public Events: Practical Guidelines in Australia) d...
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PMID: 21053195
PDF is available here.
Abstract
This issue's "Legal Briefing" column covers legal developments pertaining to organ donation and allocation. This topic has been the subject of recent articles in JCE. Organ donation and allocation have also recently been the subjects of significant public policy attention. In the past several months...
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PMID: 21089996
PDF is available here.
Abstract
We suggest application of the human rights approach with attention to the legal duty of cooperation and the necessity of ensuring broad participation. We suggest that the human rights approach to health can contribute to achieving this result and is compatible with, and beneficial to, other foreign...
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PMID: 20930253
PDF is available here.
Abstract
This study draws lessons from the resource mobilization experiences of the Global Polio Eradication Initiative (GPEI). As the GPEI launched its eradication effort in 1988, it underestimated both the difficulty and the costs of the campaign. Advocacy for resource mobilization came as an afterthought...
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PMID: 20455167
PDF is available here.
Abstract
Research using human embryonic stem cells raises an array of complex ethical issues, including, but by no means limited to, the moral status of developing human life. Unfortunately much of the public discussion fails to take into account this complexity. Advocacy for liberal and conservative positio...
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PMID: 20579255
PDF is available here.
Abstract
We discuss transplantation in the elderly patient, particularly the topics of access to transplantation, patient and graft survival, the impact of donor quality on transplant outcomes, immunology and immunosuppression of aging, and ethical considerations in the development of an equitable organ allo...
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PMID: 20006794
PDF is available here.