LithuaniaInternal Medicine: A medical specialty concerned with the diagnosis and treatment of diseases of the internal organ systems of adults.Hospital Costs: The expenses incurred by a hospital in providing care. The hospital costs attributed to a particular patient care episode include the direct costs plus an appropriate proportion of the overhead for administration, personnel, building maintenance, equipment, etc. Hospital costs are one of the factors which determine HOSPITAL CHARGES (the price the hospital sets for its services).Data Interpretation, Statistical: Application of statistical procedures to analyze specific observed or assumed facts from a particular study.American Medical Association: Professional society representing the field of medicine.Journal Impact Factor: A quantitative measure of the frequency on average with which articles in a journal have been cited in a given period of time.Periodicals as Topic: A publication issued at stated, more or less regular, intervals.Costs and Cost Analysis: Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.Internship and Residency: Programs of training in medicine and medical specialties offered by hospitals for graduates of medicine to meet the requirements established by accrediting authorities.Health Care Costs: The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.Economics, Hospital: Economic aspects related to the management and operation of a hospital.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Hospitals, Teaching: Hospitals engaged in educational and research programs, as well as providing medical care to the patients.Hospitals, University: Hospitals maintained by a university for the teaching of medical students, postgraduate training programs, and clinical research.Cost Allocation: The assignment, to each of several particular cost-centers, of an equitable proportion of the costs of activities that serve all of them. Cost-center usually refers to institutional departments or services.United StatesEducation, Medical, Graduate: Educational programs for medical graduates entering a specialty. They include formal specialty training as well as academic work in the clinical and basic medical sciences, and may lead to board certification or an advanced medical degree.Clinical Competence: The capability to perform acceptably those duties directly related to patient care.Cost Control: The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed)Hospital Charges: The prices a hospital sets for its services. HOSPITAL COSTS (the direct and indirect expenses incurred by the hospital in providing the services) are one factor in the determination of hospital charges. Other factors may include, for example, profits, competition, and the necessity of recouping the costs of uncompensated care.Medicine: The art and science of studying, performing research on, preventing, diagnosing, and treating disease, as well as the maintenance of health.Cost of Illness: The personal cost of acute or chronic disease. The cost to the patient may be an economic, social, or psychological cost or personal loss to self, family, or immediate community. The cost of illness may be reflected in absenteeism, productivity, response to treatment, peace of mind, or QUALITY OF LIFE. It differs from HEALTH CARE COSTS, meaning the societal cost of providing services related to the delivery of health care, rather than personal impact on individuals.Academic Medical Centers: Medical complexes consisting of medical school, hospitals, clinics, libraries, administrative facilities, etc.Drug Costs: The amount that a health care institution or organization pays for its drugs. It is one component of the final price that is charged to the consumer (FEES, PHARMACEUTICAL or PRESCRIPTION FEES).Hospitalization: The confinement of a patient in a hospital.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Hospitalists: Physicians who are employed to work exclusively in hospital settings, primarily for managed care organizations. They are the attending or primary responsible physician for the patient during hospitalization.Hospital Departments: Major administrative divisions of the hospital.Diagnosis-Related Groups: A system for classifying patient care by relating common characteristics such as diagnosis, treatment, and age to an expected consumption of hospital resources and length of stay. Its purpose is to provide a framework for specifying case mix and to reduce hospital costs and reimbursements and it forms the cornerstone of the prospective payment system.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.Hospitals, General: Large hospitals with a resident medical staff which provides continuous care to maternity, surgical and medical patients.Hospitals, Urban: Hospitals located in metropolitan areas.Clinical Clerkship: Undergraduate education programs for second- , third- , and fourth-year students in health sciences in which the students receive clinical training and experience in teaching hospitals or affiliated health centers.Faculty, Medical: The teaching staff and members of the administrative staff having academic rank in a medical school.Hospital Bed Capacity, 500 and overSpecialization: An occupation limited in scope to a subsection of a broader field.Hospital Bed Capacity: The number of beds which a hospital has been designed and constructed to contain. It may also refer to the number of beds set up and staffed for use.Hospital Planning: Areawide planning for hospitals or planning of a particular hospital unit on the basis of projected consumer need. This does not include hospital design and construction or architectural plans.Curriculum: A course of study offered by an educational institution.Cost Savings: Reductions in all or any portion of the costs of providing goods or services. Savings may be incurred by the provider or the consumer.Insurance, Health, Reimbursement: Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)Career Choice: Selection of a type of occupation or profession.Students, Medical: Individuals enrolled in a school of medicine or a formal educational program in medicine.Institutional Practice: Professional practice as an employee or contractee of a health care institution.Direct Service Costs: Costs which are directly identifiable with a particular service.Financial Management, Hospital: The obtaining and management of funds for hospital needs and responsibility for fiscal affairs.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Educational Measurement: The assessing of academic or educational achievement. It includes all aspects of testing and test construction.Inpatients: Persons admitted to health facilities which provide board and room, for the purpose of observation, care, diagnosis or treatment.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Patient Admission: The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.Outpatient Clinics, Hospital: Organized services in a hospital which provide medical care on an outpatient basis.Certification: Compliance with a set of standards defined by non-governmental organizations. Certification is applied for by individuals on a voluntary basis and represents a professional status when achieved, e.g., certification for a medical specialty.Medicine, Chinese Traditional: A system of traditional medicine which is based on the beliefs and practices of the Chinese culture.Ambulatory Care: Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Specialty Boards: Organizations which certify physicians and dentists as specialists in various fields of medical and dental practice.Physicians: Individuals licensed to practice medicine.Insurance, Hospitalization: Health insurance providing benefits to cover or partly cover hospital expenses.Models, Economic: Statistical models of the production, distribution, and consumption of goods and services, as well as of financial considerations. For the application of statistics to the testing and quantifying of economic theories MODELS, ECONOMETRIC is available.Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Intermediate Care Facilities: Institutions which provide health-related care and services to individuals who do not require the degree of care which hospitals or skilled nursing facilities provide, but because of their physical or mental condition require care and services above the level of room and board.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Individualized Medicine: Therapeutic approach tailoring therapy for genetically defined subgroups of patients.Hospitals, Community: Institutions with permanent facilities and organized medical staff which provide the full range of hospital services primarily to a neighborhood area.Education, Medical: Use for general articles concerning medical education.Medical Staff, Hospital: Professional medical personnel approved to provide care to patients in a hospital.Hospitals, Proprietary: Hospitals owned and operated by a corporation or an individual that operate on a for-profit basis, also referred to as investor-owned hospitals.Patient Readmission: Subsequent admissions of a patient to a hospital or other health care institution for treatment.Nursing Staff, Hospital: Personnel who provide nursing service to patients in a hospital.Medicare: Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)Patient Discharge: The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.Teaching: The educational process of instructing.Accounting: System of recording financial transactions.Evidence-Based Medicine: An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnosis, devise best testing plan, choose best treatment and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease. (from JAMA 296 (9), 2006)Economic Competition: The effort of two or more parties to secure the business of a third party by offering, usually under fair or equitable rules of business practice, the most favorable terms.Hospitals, Pediatric: Special hospitals which provide care for ill children.Self-Evaluation Programs: Educational programs structured in such a manner that the participating professionals, physicians, or students develop an increased awareness of their performance, usually on the basis of self-evaluation questionnaires.Physician's Practice Patterns: Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.Workload: The total amount of work to be performed by an individual, a department, or other group of workers in a period of time.Ancillary Services, Hospital: Those support services other than room, board, and medical and nursing services that are provided to hospital patients in the course of care. They include such services as laboratory, radiology, pharmacy, and physical therapy services.Utilization Review: An organized procedure carried out through committees to review admissions, duration of stay, professional services furnished, and to evaluate the medical necessity of those services and promote their most efficient use.Clinical Medicine: The study and practice of medicine by direct examination of the patient.Nuclear Medicine: A specialty field of radiology concerned with diagnostic, therapeutic, and investigative use of radioactive compounds in a pharmaceutical form.Emergency Service, Hospital: Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Medicine, Traditional: Systems of medicine based on cultural beliefs and practices handed down from generation to generation. The concept includes mystical and magical rituals (SPIRITUAL THERAPIES); PHYTOTHERAPY; and other treatments which may not be explained by modern medicine.Teaching Rounds: Systematic discussions and teaching relating to patient care.Hospitals, Special: Hospitals which provide care for a single category of illness with facilities and staff directed toward a specific service.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Hospitals, District: Government-controlled hospitals which represent the major health facility for a designated geographic area.Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Economics, Medical: Economic aspects of the field of medicine, the medical profession, and health care. It includes the economic and financial impact of disease in general on the patient, the physician, society, or government.Emergency Medicine: The branch of medicine concerned with the evaluation and initial treatment of urgent and emergent medical problems, such as those caused by accidents, trauma, sudden illness, poisoning, or disasters. Emergency medical care can be provided at the hospital or at sites outside the medical facility.Hospitals, Municipal: Hospitals controlled by the city government.Schools, Medical: Educational institutions for individuals specializing in the field of medicine.Medicine, Kampo: System of herbal medicine practiced in Japan by both herbalists and practitioners of modern medicine. Kampo originated in China and is based on Chinese herbal medicine (MEDICINE, CHINESE TRADITIONAL).Critical Pathways: Schedules of medical and nursing procedures, including diagnostic tests, medications, and consultations designed to effect an efficient, coordinated program of treatment. (From Mosby's Medical, Nursing & Allied Health Dictionary, 4th ed)Fellowships and Scholarships: Stipends or grants-in-aid granted by foundations or institutions to individuals for study.Physician Executives: Physicians who serve in a medical and administrative capacity as head of an organized medical staff and who also may serve as liaison for the medical staff with the administration and governing board.Multi-Institutional Systems: Institutional systems consisting of more than one health facility which have cooperative administrative arrangements through merger, affiliation, shared services, or other collective ventures.Education, Medical, Undergraduate: The period of medical education in a medical school. In the United States it follows the baccalaureate degree and precedes the granting of the M.D.Hospital Units: Those areas of the hospital organization not considered departments which provide specialized patient care. They include various hospital special care wards.Health Resources: Available manpower, facilities, revenue, equipment, and supplies to produce requisite health care and services.Physician-Patient Relations: The interactions between physician and patient.Operating Rooms: Facilities equipped for performing surgery.Recovery Room: Hospital unit providing continuous monitoring of the patient following anesthesia.Personnel Staffing and Scheduling: The selection, appointing, and scheduling of personnel.Ownership: The legal relation between an entity (individual, group, corporation, or-profit, secular, government) and an object. The object may be corporeal, such as equipment, or completely a creature of law, such as a patent; it may be movable, such as an animal, or immovable, such as a building.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Health Facility Closure: The closing of any health facility, e.g., health centers, residential facilities, and hospitals.Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Surgical Procedures, Elective: Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.Bed Occupancy: A measure of inpatient health facility use based upon the average number or proportion of beds occupied for a given period of time.Patient Care Team: Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.Patient Care: The services rendered by members of the health profession and non-professionals under their supervision.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Hospitals, Private: A class of hospitals that includes profit or not-for-profit hospitals that are controlled by a legal entity other than a government agency. (Hospital Administration Terminology, AHA, 2d ed)Managed Care Programs: Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Physicians, Women: Women licensed to practice medicine.Societies, Medical: Societies whose membership is limited to physicians.Cross Infection: Any infection which a patient contracts in a health-care institution.Health Expenditures: The amounts spent by individuals, groups, nations, or private or public organizations for total health care and/or its various components. These amounts may or may not be equivalent to the actual costs (HEALTH CARE COSTS) and may or may not be shared among the patient, insurers, and/or employers.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.SwitzerlandModels, Econometric: The application of mathematical formulas and statistical techniques to the testing and quantifying of economic theories and the solution of economic problems.Hospitals: Institutions with an organized medical staff which provide medical care to patients.New YorkHospitals, Group Practice: Hospitals organized and controlled by a group of physicians who practice together and provide each other with mutual support.Efficiency, Organizational: The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, materiel, etc.Ambulatory Care Facilities: Those facilities which administer health services to individuals who do not require hospitalization or institutionalization.Intensive Care Units: Hospital units providing continuous surveillance and care to acutely ill patients.Prospective Payment System: A system wherein reimbursement rates are set, for a given period of time, prior to the circumstances giving rise to actual reimbursement claims.Osteopathic Medicine: A medical discipline that is based on the philosophy that all body systems are interrelated and dependent upon one another for good health. This philosophy, developed in 1874 by Dr. Andrew Taylor Still, recognizes the concept of "wellness" and the importance of treating illness within the context of the whole body. Special attention is placed on the MUSCULOSKELETAL SYSTEM.IsraelCommission on Professional and Hospital Activities: The non-profit, non-governmental organization which collects, processes, and distributes data on hospital use. Two programs of the Commission are the Professional Activity Study and the Medical Audit Program.Databases, Factual: Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.Cost Sharing: Provisions of an insurance policy that require the insured to pay some portion of covered expenses. Several forms of sharing are in use, e.g., deductibles, coinsurance, and copayments. Cost sharing does not refer to or include amounts paid in premiums for the coverage. (From Dictionary of Health Services Management, 2d ed)Multivariate Analysis: A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.Regression Analysis: Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.Chi-Square Distribution: A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Guideline Adherence: Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.CaliforniaInfant, Newborn: An infant during the first month after birth.Medical Errors: Errors or mistakes committed by health professionals which result in harm to the patient. They include errors in diagnosis (DIAGNOSTIC ERRORS), errors in the administration of drugs and other medications (MEDICATION ERRORS), errors in the performance of surgical procedures, in the use of other types of therapy, in the use of equipment, and in the interpretation of laboratory findings. Medical errors are differentiated from MALPRACTICE in that the former are regarded as honest mistakes or accidents while the latter is the result of negligence, reprehensible ignorance, or criminal intent.Geriatrics: The branch of medicine concerned with the physiological and pathological aspects of the aged, including the clinical problems of senescence and senility.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)History, 20th Century: Time period from 1901 through 2000 of the common era.Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.Hospitals, Psychiatric: Special hospitals which provide care to the mentally ill patient.Carotid Artery, Internal: Branch of the common carotid artery which supplies the anterior part of the brain, the eye and its appendages, the forehead and nose.Referral and Consultation: The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.Program Evaluation: Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.History of MedicineCanada: The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.Professional Competence: The capability to perform the duties of one's profession generally, or to perform a particular professional task, with skill of an acceptable quality.Hospital Information Systems: Integrated, computer-assisted systems designed to store, manipulate, and retrieve information concerned with the administrative and clinical aspects of providing medical services within the hospital.Ambulatory Surgical Procedures: Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.Anti-Bacterial Agents: Substances that reduce the growth or reproduction of BACTERIA.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Surgical Procedures, Operative: Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)Competency-Based Education: Educational programs designed to ensure that students attain prespecified levels of competence in a given field or training activity. Emphasis is on achievement or specified objectives.Drugs, Chinese Herbal: Chinese herbal or plant extracts which are used as drugs to treat diseases or promote general well-being. The concept does not include synthesized compounds manufactured in China.Hospital Records: Compilations of data on hospital activities and programs; excludes patient medical records.Physician's Role: The expected function of a member of the medical profession.Accreditation: Certification as complying with a standard set by non-governmental organizations, applied for by institutions, programs, and facilities on a voluntary basis.Incidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Communication: The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.Continuity of Patient Care: Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.Pediatrics: A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Medical Records: Recording of pertinent information concerning patient's illness or illnesses.Education, Medical, Continuing: Educational programs designed to inform physicians of recent advances in their field.Formularies, Hospital: Formularies concerned with pharmaceuticals prescribed in hospitals.Interprofessional Relations: The reciprocal interaction of two or more professional individuals.Regenerative Medicine: A field of medicine concerned with developing and using strategies aimed at repair or replacement of damaged, diseased, or metabolically deficient organs, tissues, and cells via TISSUE ENGINEERING; CELL TRANSPLANTATION; and ARTIFICIAL ORGANS and BIOARTIFICIAL ORGANS and tissues.Complementary Therapies: Therapeutic practices which are not currently considered an integral part of conventional allopathic medical practice. They may lack biomedical explanations but as they become better researched some (PHYSICAL THERAPY MODALITIES; DIET; ACUPUNCTURE) become widely accepted whereas others (humors, radium therapy) quietly fade away, yet are important historical footnotes. Therapies are termed as Complementary when used in addition to conventional treatments and as Alternative when used instead of conventional treatment.Quality-Adjusted Life Years: A measurement index derived from a modification of standard life-table procedures and designed to take account of the quality as well as the duration of survival. This index can be used in assessing the outcome of health care procedures or services. (BIOETHICS Thesaurus, 1994)Laryngeal Diseases: Pathological processes involving any part of the LARYNX which coordinates many functions such as voice production, breathing, swallowing, and coughing.Equipment and Supplies, Hospital: Any materials used in providing care specifically in the hospital.Health Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).Hospital Mortality: A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.Hospitals, Veterans: Hospitals providing medical care to veterans of wars.Job Satisfaction: Personal satisfaction relative to the work situation.Internet: A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.Libraries, Hospital: Information centers primarily serving the needs of hospital medical staff and sometimes also providing patient education and other services.Practice Guidelines as Topic: Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.Health Services Misuse: Excessive, under or unnecessary utilization of health services by patients or physicians.Physicians, Primary Care: Providers of initial care for patients. These PHYSICIANS refer patients when appropriate for secondary or specialist care.Vascular Surgical Procedures: Operative procedures for the treatment of vascular disorders.Reproducibility of Results: The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.Medicine, Ayurvedic: The traditional Hindu system of medicine which is based on customs, beliefs, and practices of the Hindu culture. Ayurveda means "the science of Life": veda - science, ayur - life.Pilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.Preventive Medicine: A medical specialty primarily concerned with prevention of disease (PRIMARY PREVENTION) and the promotion and preservation of health in the individual.
Annals of Internal Medicine. 17 July 2007;147(2):117-22. PMID 17576998 Mount Sinai Hospital - Doctor profile "Alumni Notes". ... PMID 18772476 Beliefs about generic drugs among elderly adults in hospital-based primary care practices. Iosifescu A, Halm EA, ... JAMA. 24 September 2008;300(12):1412-4. PMID 18812531 The association of race, gender, and comorbidity with mortality and ... PMID 19054187 Low levels of awareness of pharmaceutical cost-assistance programs among inner-city seniors. Federman AD, Safran ...
He obtained his internal medicine training at Johns Hopkins Hospital, and completed a fellowship in Pulmonary and Critical Care ... "The cost of cancer drugs". 60 Minutes. Andrew Pollack, "Sanofi Halves Price of Cancer Drug After Sloan-Kettering Rejection", ... "Payer and Policy Maker Steps to Support Value-Based Pricing for Drugs". JAMA. 314 (23): 2503-4. doi:10.1001/jama.2015.16843. ... At the time, the price for Zaltrap was more than twice as high than another cancer drug already being used by the hospital to ...
Detsky posed many probing questions into the reality of cost effective medicine, and his 1990 contribution A clinician's guide ... with specialization in internal medicine. Dr. Detsky's initial research interest was health economics, and he quickly became ... Epidemiology Evidence-based medicine Mount Sinai Hospital, Toronto University Health Network University of Toronto Key Detsky ... He followed this with an article on How to use a clinical decision analysis as part of the JAMA Users Guides to the Medical ...
"Fall prevention in acute care hospitals: A randomized trial". JAMA. 304 (17): 1912-1918. doi:10.1001/jama.2010.1567. ISSN 0098- ... Mayo Clinic internal medicine board review. Ficalora, Robert D., Mayo Clinic., Mayo Foundation for Medical Education and ... prescription drugs, changes made to home and insurance processing. Indirect costs include the loss of productivity of family ... The cost of falls are categorized into 2 aspects: direct cost and indirect cost. Direct costs are what patients and insurance ...
Campbell, E. G. (2007). "Doctors and Drug Companies - Scrutinizing Influential Relationships". New England Journal of Medicine ... Archives of Internal Medicine. 172: 819-821. doi:10.1001/archinternmed.2012.1210. PMC 4007047 . PMID 22636826. Perlis, Roy H.; ... particularly for prescribers of high cost drugs like oncologists, endocrinologists, and cardiologists. It concluded disclosure ... A 2015 opinion piece in JAMA stated that the value of transparency was beyond dispute, but "the true value of the database ...
... and costs of medical interventions". Annals of Internal Medicine. 154: 174-180. doi:10.7326/0003-4819-154-3-201102010-00007. ... doi:10.1001/jama.2012.204. Mitka, M (2011). "Price of healthcare services". JAMA. 306: 2443. doi:10.1001/jama.2011.1764. "CT ... As physician owned surgical centers and specialty hospitals increasingly use imaging services, insurers question the cost ... "Prescription Drugs and Mass Media Advertising, 2000" (PDF). The National Institute for Health Care Management: Research and ...
Bates did a fellowship in general internal medicine at Brigham and Women's Hospital and Harvard Medical School in Boston, MA. ... Incidence of adverse drug events and potential adverse drug events: implications for prevention. Jama, 274(1), 29-34. Leape, L ... and costs in hospitalized patients. Journal of the American Society of Nephrology, 16(11), 3365-3370. Bates, D. W., Boyle, D. L ... of the Division of General Internal Medicine and Primary Care in the Department of Medicine at Brigham and Women's Hospital and ...
"The High Cost of Prescription Drugs in the United States Origins and Prospects for Reform". JAMA. 316 (8): 858-871. doi:10.1001 ... and costs". Archives of Internal Medicine. 27 (21): 3278-85. doi:10.1001/archinte.160.21.3278.. ... According to a conservative estimate 10% of all hospital admissions[where?] are through patients not managing their medication. ... jama.2016.11237.. *^ a b Kaiser Family Foundation: Poll Finds Nearly Three Quarters of Americans Say Prescription Drug Costs ...
"Literacy and Misunderstanding Prescription Drug Labels". Annals of Internal Medicine. 145 (12): 887-94. doi:10.7326/0003-4819- ... "Inadequate functional health literacy among patients at two public hospitals". JAMA. 274 (21): 677-82. doi:10.1001/jama.274.21 ... These costs may be left to individuals and families to pay which may further burden health conditions, or the costs may be left ... "Journal of General Internal Medicine. 30 (9): 1363-1368. doi:10.1007/s11606-015-3329-z. ISSN 0884-8734. PMC 4539338. PMID ...
Internal Medicine in comorbidity] (PDF) (in Russian). Irkutsk: РИО ИГМАПО. ISBN 978-5-89786-091-3. .. [page needed] ... Hoffman, Catherine; Rice, D; Sung, HY (1996). "Persons with Chronic Conditions: Their Prevalence and Costs". JAMA. 276 (18): ... "Comorbidity and repeat admission to hospital for adverse drug reactions in older adults: Retrospective cohort study". BMJ. 338 ... In medicine[edit]. In medicine, comorbidity describes the effect of all other conditions an individual patient might have other ...
29 November 2006). "Literacy and Misunderstanding Prescription Drug Labels". Annals of Internal Medicine. 145 (12): 0000605- ... JAMA. 280 (15): 1311-1316. doi:10.1001/jama.280.15.1311. PMID 9794308. Retrieved 2006-06-20. "Hospital Quality & Safety Survey ... and payer benefit from lower costs. However, hospitals pay in both higher costs for implementation and potentially lower ... Important features of modern EHR include automated drug-drug/drug-food interaction checks and allergy checks, standard drug ...
Career Choices Regarding Internal Medicine". JAMA. 300 (10): 1154-1164. doi:10.1001/jama.300.10.1154. PMID 18780844. Retrieved ... Two studies found specialists were more likely to adopt COX-2 drugs before the drugs were recalled by the FDA. One of the ... Carey T, Garrett J, Jackman A, McLaughlin C, Fryer J, Smucker D (1995). "The outcomes and costs of care for acute low back pain ... coordinate the care given by varied organizations such as hospitals or rehabilitation clinics, act as a comprehensive ...
Michel de Lorgeril, et al., published "a critical reappraisal" of the JUPITER Trial in the Archives of Internal Medicine . The ... statin drug market following the November 2008 New England Journal of Medicine publication. Reports of serious adverse events ... doi:10.1001/jama.2009.954. PMC 2803020 . PMID 19567438. Kolata, Gina (June 30, 2009). "Study Dismisses Protein's Role in Heart ... The trial, which began in 2003, was directed by Paul Ridker of Brigham and Women's Hospital. Because half of all vascular ...
The Hospital Elder Life Program (HELP) is an model of hospital care developed at the Yale University School of Medicine. It is ... Doctors of Medicine (M.D.) can complete a three-year core internal medicine residency program, followed by two years of ... with nearly 1 in 25 individuals potentially at risk for a major drug-drug interaction. Drugs metabolites are excreted mostly by ... JAMA. 300 (24): 2867-2878. doi:10.1001/jama.2008.892. PMC 2702513 . PMID 19109115. Retrieved 2011-11-11. Makary MA, Segev DL, ...
Literacy and Misunderstanding Prescription Drug Labels. Annals of Internal Medicine. 2006, 145 (12) [2006-11-30]. PMID 17135578 ... Hospital Nurse Staffing and Patient Mortality.... JAMA. 2002, 288: 1987-1993 [2006-06-24]. doi:10.1001/jama.288.16.1987.. 引文格式 ... RAND Healthcare: Health Information Technology: Can HIT Lower Costs and Improve Quality? Retrieved on July 8, 2006 ... doi:10.1001/jama.265.16.2089.. *^ 27.0 27.1 27.2 Exploring the causes of adverse events in NHS hospital practice. Journal of ...
Galewitz P. "Local hospitals and doctors join forces to improve health care, restrain costs", Kaiser Health News, July 22, 2009 ... Berwick DM (April 1998). "Developing and testing changes in delivery of care". Annals of Internal Medicine. 128 (8): 651-6. doi ... Cost of Latest Drugs", Gardiner Harris, The New York Times, December 2, 2008. Anderson, Jeffrey H. (2010-04-29). "Not NICE". ... 295 (3): 324-7. doi:10.1001/jama.295.3.324. PMID 16418469. . Berwick, D. M. (March 2008). "The science of improvement". JAMA. ...
However, costs can vary significantly by location. Quoted costs generally include fees for the hospital, surgeon, surgical ... "Annals of Internal Medicine. 142 (7): 525-31. doi:10.7326/0003-4819-142-7-200504050-00011. PMID 15809464.. ... Canadian Agency for Drugs and Technologies in Health. 2016. PMID 27831668.. *^ Zeng T, Cai Y, Chen L (October 2017). "The ... "JAMA Surgery. 149 (12): 1323-1329. doi:10.1001/jamasurg.2014.2440. ISSN 2168-6262. PMC 5570469. PMID 25271405.. Check date ...
"Internal Medicine Journal. 46 (10): 1189-1197. doi:10.1111/imj.13215. PMC 5129475. PMID 27527376.. ... concluded that the cost of the 35 million preventable adverse drug events would be as high as US$115 billion.[26] ... Holvey C, Connolly A, Taylor D (August 2010). "Psychiatric side effects of non-psychiatric drugs". British Journal of Hospital ... 286 (18): 2270-9. doi:10.1001/jama.286.18.2270. PMID 11710893.. *^ Goldstein DB (February 2003). "Pharmacogenetics in the ...
Annals of Internal Medicine. 142 (7): 525-31. doi:10.7326/0003-4819-142-7-200504050-00011. PMID 15809464.. ... Quoted costs for the intragastric balloon are surgeon-specific and vary by region. Average quoted costs by region are as ... Canadian Agency for Drugs and Technologies in Health. 2016. PMID 27831668.. Cite journal requires ,journal=. (help). ... "JAMA Surgery. 149 (12): 1323-9. doi:10.1001/jamasurg.2014.2440. PMC 5570469. PMID 25271405.. ...
Harrison's Principles of Internal Medicine, 19e. New York, NY: McGraw-Hill; 2015. Porter, Ryan (American College of ... doi:10.1001/jama.2015.6358. ISSN 0098-7484. PMID 26103030. American Academy of Hospice and Palliative Medicine, "Five Things ... Lien, C (2012). Principles and Practice of Hospital Medicine. New York, NY: McGraw HIll. pp. Chapter 217: Domains of Care: ... If the patient's symptoms have an acute onset, then drugs, toxins, and infections are likely. In contrast, a long-standing ...
... gun violence cost U.S. taxpayers approximately $516 million in direct hospital costs.[81] ... Annals of Internal Medicine. 160 (2): 101-110. doi:10.7326/M13-1301. PMID 24592495.. ... doi:10.1001/jama.1995.03520460031030. PMID 7769767.. *^ (Kathleen R. Patti L. Richard E.B. (2002) children, youth and gun ... "United Nations Office on Drugs and Crime: Data". UNODC. August 29, 2013. Retrieved March 1, 2014.. ...
Hoffman, Catherine; Rice, D; Sung, HY (1996). "Persons with Chronic Conditions: Their Prevalence and Costs". JAMA. 276 (18): ... 2012). Лечение внутренних болезней в условиях коморбидности [Internal Medicine in comorbidity] (PDF) (in Russian). Irkutsk: РИО ... "Comorbidity and repeat admission to hospital for adverse drug reactions in older adults: Retrospective cohort study". BMJ. 338 ... The comorbidities were not simplified as an index because each comorbidity affected outcomes (length of hospital stay, hospital ...
His postgraduate training was in internal medicine and nephrology at Johns Hopkins University, but he became interested in the ... JAMA 1993 May 26;269(20):2650-8. PMID 8487449. Fowler FJ Jr, Barry MJ, Lu-Yao G, Roman A, Wasson J, Wennberg JE. Patient- ... Use of hospitals, physician visits, and hospice care during last six months of life among cohorts loyal to highly respected ... If every Medicare provider in the country spent at the same rate as the lowest 10% of providers in the program, overall costs ...
Harrison's Principles of Internal Medicine (16th ed.). McGraw-Hill. pp. 550-553. ISBN 0-07-139140-1. Shaw, Joel (15 February ... CT scans are performed on the abdomen (and sometimes the pelvis) and also the chest in some hospitals. Chest x-rays are ... doi:10.1001/jama.299.6.672. PMID 18270356. Retrieved 24 June 2011. "Testicular Cancer Treatment". National Cancer Institute. 26 ... "MRC trial shows single dose of drug is as effective as two weeks' radiotherapy for testicular cancer". News and Publications. ...
White obtained postgraduate training in both Internal Medicine and Anesthesiology at UC San Francisco, and has board ... White was one of the first to test propofol, and his clinical trial led to approval of the drug by the Food and Drug ... He also served as the Medical Director of the Barnes Hospital Day Surgery Center. In 1992, he was appointed Professor and ... Who Will Pay High Cost Of Relief From Pain?. Retrieved April 25, 2008. Paul White, Anesthesia & Analgesia, Section Editor. ...
2002). "Integrative medicine: Bringing medicine back to its roots". JAMA Internal Medicine. 162 (4): 395-97. doi:10.1001/ ... De Smet, Peter A.G.M. (December 1997). "The Role of Plant-Derived Drugs and Herbal Medicines in Healthcare". Drugs. 54 (6): 801 ... "Latest Survey Shows More Hospitals Offering Complementary and Alternative Medicine Services" (Press release). American Hospital ... "Alternative Medicine. Associated Press. 2009-06-10.. *^ Sobel, D.S. (2000). "Chapter 28: The Cost-effectiveness of ...
... is associated with a reduction in hospital costs, according to a review published online April 30 in JAMA Internal Medicine. ... provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and ... according to a research letter published online May 14 in JAMA Internal Medicine. ... according to a study published online May 26 in JAMA Internal Medicine. ...
The findings, published online March 17 in the journal JAMA Internal Medicine, suggest that better coordination of care for ... Now, a new study finds coordinated care reduces the risk of complications and hospital costs. ... provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and ... Mobile Apps. The easiest way to lookup drug information, identify pills, check interactions and set up your own ...
27 in JAMA Internal Medicine.. Abstract/Full Text (subscription or payment may be required). Editorial (subscription or payment ... Drug Combination Cost-Effective for Cesarean Prophylaxis. TUESDAY, Nov. 14, 2017 (HealthDay News) -- The addition of ... significantly more laboratory tests are performed per day at major teaching hospitals versus nonteaching hospitals, according ... 27 in the Annals of Internal Medicine.. Abstract/Full Text (subscription or payment may be required). Editorial (subscription ...
JAMA Internal Medicine. Published online December 01, 2014. doi:10.1001/jamainternmed.2014.6291. ... Care Costs and Avoidable Hospital Admissions." JAMA. Vol. 312, no. 22 (2014): 2348-2357. ... "Access to Oral Osteoporosis Drugs Among Medicare Part D Beneficiaries." Womens Health Issues, Vol. 24, no. 4 (2014): e435-e445 ... "Is the System Really the Solution? Operating Costs in Hospital Systems." Medical Care Research and Review. Forthcoming. ...
Vote yes on Issue 2, the Drug Price Relief Act. Do EpiPens really cost that much, and could their price go down with an up- ... And they only hold about one dollars worth of medicine, the Aug. 29, 2017, video says. We dont have a choice but to pay it ... vote on the ballot initiative? Prescription drugs may be ... ... Ohio Taxpayers for Lower Drug Prices claims its ballot ... JAMA Internal Medicine, Out-of-Pocket Spending Among Commercially Insured Patients for Epinephrine Autoinjectors Between 2007 ...
... drug or scan that they order for their patients. If they were better informed, would they make different choices? Evidence ... Physicians are often unaware of the cost of a test, ... A recent study published in JAMA Internal Medicine involved ... While the cost to the patient might vary, these Medicare-allowable fees were what was reimbursed to the hospital for the test ... Physicians are often unaware of the cost of a test, drug or scan that they order for their patients. If they were better ...
Hospitals Charge 479 Percent of Cost of Drugs on Average. THURSDAY, Sept. 20, 2018 (HealthDay News) - On average, hospitals ... 4 in JAMA Internal Medicine.. Abstract/Full Text (subscription or payment may be required). Editorial (subscription or payment ... Hospital Groups Launch Own Generic Drug Company. THURSDAY, Sept. 6, 2018 (HealthDay News) - Three U.S. health care foundations ... and seven hospital groups have formed a generic drug company to combat high prices and chronic shortages of medicines. ...
17 in JAMA Internal Medicine.. Abstract/Full Text. Editorial. Drug Prices Increase More Than Expected After Shortages ... Hospitals Charge 479 Percent of Cost of Drugs on Average. THURSDAY, Sept. 20, 2018 (HealthDay News) -- On average, hospitals ... 4 in JAMA Internal Medicine.. Abstract/Full Text (subscription or payment may be required). Editorial (subscription or payment ... Hospital Groups Launch Own Generic Drug Company. THURSDAY, Sept. 6, 2018 (HealthDay News) -- Three U.S. health care foundations ...
JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Facial Plastic Surgery JAMA Health Forum JAMA Internal Medicine ... JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Facial Plastic Surgery JAMA Health Forum JAMA Internal Medicine ... JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology-Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA ... JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology-Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA ...
Annals of Internal Medicine. 17 July 2007;147(2):117-22. PMID 17576998 Mount Sinai Hospital - Doctor profile "Alumni Notes". ... PMID 18772476 Beliefs about generic drugs among elderly adults in hospital-based primary care practices. Iosifescu A, Halm EA, ... JAMA. 24 September 2008;300(12):1412-4. PMID 18812531 The association of race, gender, and comorbidity with mortality and ... PMID 19054187 Low levels of awareness of pharmaceutical cost-assistance programs among inner-city seniors. Federman AD, Safran ...
JAMA Internal Medicine, Sept-2017. Embargo expired on 11-Sep-2017 at 11:00 ET. Long Sitting Periods May Be Just as Harmful as ... CHOP and Penn Medicine Join New Research Network to Reduce Kidney Stone Risk Childrens Hospital of Philadelphia (CHOP) and the ... New Drug Shown to Lower Risk of Fracture in Women with Osteoporosis A new drug that boosts bone formation has been shown to ... Cost savings fell below expectations for generic versions of an orally administered cancer treatment in an analysis by ...
A 2013 study in JAMA Internal Medicine reported that patient preferences for shared decision-making were associated with longer ... 1. Scott II R. The Direct Medical Cost of Healthcare-Associated Infections in U.S. Hospitals and the Benefits of Prevention. ... All it says is that the patient should receive an unspecified dose of one of a number of drugs in the beta-blocker class. A ... JAMA Surg. Published online February 12, 2014. doi:10.1001/jamasurg.2013.4064.. 3. Rau J. Nearly 1,500 hospitals penalized ...
Taking control of prescription drug use. JAMA Internal Medicine, 176(8), 1223-1225. [More Information] ... Internal Medicine Journal, 42(2), 127-131. [More Information]. *Stavrou, E., Pesa, N., Pearson, S. (2012). Hospital discharge ... The use and impact of high cost targeted cancer medicines: theory and reality; Pearson S, Ward R, Dobbins T, Lu C; Cancer ... Taking control of prescription drug use. JAMA Internal Medicine, 176(8), 1223-1225. [More Information] ...
... according to an article published in January 2019 in JAMA Internal Medicine.. You can work with your provider to use these ... "The cost of insulin has increased so dramatically that many more patients are facing cost issues than ever before," says ... She says drug makers also provide assistance programs for insulin. Not taking your prescribed dose of insulin can make you ... Antinori-Lent, who works in a hospital setting rather than an outpatient clinic, says that sometimes patients may take newer ...
The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group. JAMA 1997; 277: 307-11. ... a cohort study in Internal Medicine units at a university hospital. Eur J Clin Pharmacol 2006; 62: 143-49.. 9. Suspected ... Pattern of adverse drug reactions notified by spontaneous reporting in an Indian tertiary care teaching hospital. Pharmacol Res ... Number of drugs taken could not be assessed as a risk factor due to inability of patients to recall the exact number of drugs ...
The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group. JAMA. 1997 Jan 22-29; ... Int Internal Medicine. Translation:Humans * Leape LL, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA ... Hospital characteristics associated with adverse events and substandard care. JAMA. 1991 Jun 26; 265(24):3265-9. PMID: 2046108. ... Institute of Medicine medical error figures are not exaggerated. JAMA. 2000 Jul 05; 284(1):95-7. PMID: 10872022. ...
... hospitals in 2011 are presented, including ADEs that are present on admission to the hospital versus those that originate ... during the hospital stay. The most common general and specific causes of ADEs are provided. ... Adverse drug events (ADEs) seen in U.S. ... Archives of Internal Medicine 2007;167(15):1752-9.. 6 Lucado J ... Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality. JAMA 1997 Jan 22: ...
JAMA Archives of Internal Medicine, 166, 2314-2321.. Gold, J. (2016). A dearth of hospital beds for patients in psychiatric ... state psychiatric hospitals, state alcohol and drug abuse treatment centers, facility-based crisis centers, non-hospital ... It costs about $60,000 each year to maintain the system, which is a fixed cost for the entire system including all bed types. ... American Hospital Association (AHA). (2007). Behavioral health challenges in the general hospital: Practical help for hospital ...
... childrens hospitals, orthopedic hospitals and specialty hospitals, including Professional Liability, Cyber Liability and ... CNA offers tailored insurance coverages for academic teaching hospitals, ... "Health Care-associated Infections: A Meta-analysis of Costs and Financial Impact on the US Health Care System." JAMA Internal ... "JAMA Internal Medicine. December 9-23, 2013, Volume173:22, pages 2039-46.. 4 According to a report issued by the Agency for ...
Adverse drug reactions in a department of systemic diseases-oriented internal medicine: prevalence, incidence, direct costs and ... Drugs involved in hospital drug-related events were predominantly nervous system drugs followed by anti-infectives. These ... Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality. JAMA. 1997;277(4 ... Description of drug-related events and drugs involved.. Drug-related events. Number of occurrences. Drugs (number of times drug ...
JAMA Internal Medicine Study Highlights Patients better adhered to their medication regimens in the year following ... studies have found that adherence to cardioprotective drug regimens is poor after patients are discharged from the hospital, ... The intervention cost about $360 per patient.. The study was completed by 241 patients (122 in the intervention and 119 in ... In an editors note, JAMA Internal Medicine editor Rita F. Redberg, M.D., M.Sc., writes: "For many reasons, the relatively ...
Study of many percutaneous coronary intervention procedures imply that employing drug-eluting stents differ among U.S. ... states a report published Online First by Archives of Internal Medicine, a JAMA Network publication. ... Amit P. Amin, M.D., M.Sc., of Barnes Jewish Hospital, Washington University School of Medicine, St. Louis, Mo., and colleagues ... Drug-eluting stents cost more than bare-metal stents (BMS), and they require prolonged dual antiplatelet therapy (DAPT), which ...
... according to a research letter published online Sept 22 in JAMA Internal Medicine. ... 16, 2014 (HealthDay News) -- More than one-quarter of hospital medicine services were rated by ordering physicians as at least ... 23, 2014 (HealthDay News) -- Use of the generic discount drug program (GDDP) for filling prescriptions with generic drugs has ... the cost of paying a penalty for not buying health insurance will be lower than the lowest-cost insurance, according to a study ...
"Health Care-associated Infections: A Meta-analysis of Costs and Financial Impact on the US Health Care System." JAMA Internal ... The cost of HAIs In terms of financial impact, HAIs cost hospitals nearly $10 billion annually in direct medical costs.2 The ... "JAMA Internal Medicine. December 9-23, 2013, Volume173:22, pages 2039-46.. 4 According to a report issued by the Agency for ... drug expertise, 4) action, 5) tracking, 6) reporting and 7) education.. ...
  • MONDAY, May 21, 2018 -- Patterns of potential opioid misuse are positively associated with subsequent opioid overdose, according to a study published online May 22 in the Annals of Internal Medicine . (
  • TUESDAY, Nov. 28, 2017 (HealthDay News) -- The Value-Based Payment Modifier (VM) is not associated with performance differences between practices serving higher-risk and lower-risk patients, according to a study published online Nov. 28 in the Annals of Internal Medicine . (
  • TUESDAY, Nov. 28, 2017 (HealthDay News) -- The five-year risks of cervical intraepithelial neoplasia grade 3 (CIN3), adenocarcinoma in situ, and cervical cancer (≥CIN3) decrease after each successive negative human papillomavirus (HPV) and cytology co-testing, according to a study published online Nov. 27 in the Annals of Internal Medicine . (
  • Annals of Internal Medicine. (
  • Annals of Internal Medicine 163.9 (November 2015): 681-690. (
  • THURSDAY, May 31, 2018 -- For patients with episodic migraine, galcanezumab is better than placebo for reducing migraine headache days, according to a study published online May 29 in JAMA Neurology . (
  • THURSDAY, May 31, 2018 -- The widespread shortages of injectable opioids and small-volume parenteral (SVP) solutions are jeopardizing patient care and placing a strain on hospital operations, according to a report published by the American Society of Health-System Pharmacists (ASHP). (
  • THURSDAY, May 31, 2018 -- A patient-specific preconversation communication-priming intervention targeting patients and clinicians is associated with an increase in goals-of-care discussions among patients with serious illness, according to a study published online May 26 in JAMA Internal Medicine . (
  • THURSDAY, May 24, 2018 -- For children with X-linked hypophosphatemia, subcutaneous burosumab is associated with decreases in rickets severity and with improved renal tubular phosphate reabsorption, according to a study published in the May 24 issue of the New England Journal of Medicine . (
  • MONDAY, May 21, 2018 -- Aimovig (erenumab-aooe) has been approved by the U.S. Food and Drug Administration to prevent migraine headaches in adults. (
  • FRIDAY, May 18, 2018 -- Stigmatizing language used in medical records to describe patients can influence medical students and residents in terms of their attitudes towards the patient and their clinical decision-making, according to a study published in the May issue of the Journal of General Internal Medicine . (
  • THURSDAY, Sept. 27, 2018 (HealthDay News) - For adult patients in the intensive care unit (ICU), the availability of hospital-based palliative care is not associated with in-hospital treatment intensity, according to a study published in the September issue of the Annals of the American Thoracic Society . (
  • THURSDAY, Sept. 27, 2018 (HealthDay News) - For pediatric patients with in-hospital cardiac arrest (IHCA), time to first defibrillation attempt is not associated with survival, according to a study published online Sept. 21 in JAMA Network Open . (
  • TUESDAY, Sept. 25, 2018 (HealthDay News) - Physician-group accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) generated significantly more savings for Medicare that grew from 2012 to 2015 compared with hospital-integrated ACOs, according to research published in the Sept. 20 issue of the New England Journal of Medicine . (
  • MONDAY, Sept. 24, 2018 (HealthDay News) - Patients with advanced heart failure enrolled in hospice have fewer emergency department visits, hospital days, and intensive care unit (ICU) stays, according to a study published in the September issue of JACC: Heart Failure . (
  • FRIDAY, Sept. 21, 2018 (HealthDay News) - Every nine minutes, a patient in a U.S. hospital dies because a diagnosis was wrong or delayed - resulting in 80,000 deaths a year. (
  • FRIDAY, Sept. 21, 2018 (HealthDay News) - The Pediatric End-stage Liver Disease (PELD) score underestimates the actual probability of 90-day pretransplant mortality for children undergoing a primary liver transplant, according to a study published online Sept. 17 in JAMA Pediatrics . (
  • MONDAY, Sept. 24, 2018 (HealthDay News) -- Patient-reported experiences at dialysis facilities vary by patient, facility, and geographic characteristics, according to a study published online Sept. 10 in JAMA Internal Medicine . (
  • The switch from brand name to generic cholesterol medications that occurred between 2014 and 2018 has saved Medicare billions of dollars, even as the number of people on cholesterol-lowering drugs has increased, UT Southwestern scientists have calculated. (
  • He was named a Texas Health Resources Clinical Scholar in 2018 and has previously published papers on how much extended-release drugs cost the U.S. health care system, the burden of heart failure and heart attack-associated hospital readmission and mortality in the Medicare population, and the development of novel strategies to predict and prevent heart failure in this population, among other topics. (
  • Between 2010 and 2018, patents on a number of statins and other LDL-lowering drugs expired, enabling drugmakers to begin producing generic versions. (
  • Between 2014 and 2018, the number of Medicare Part D enrollees grew from 37.7 million to 44.2 million, and the total number of prescriptions for LDL-lowering drugs increased by 23 percent, from 20.5 million to 25.2 million. (
  • Pandey's group showed that prescriptions for these drugs were low and increased by 144 percent, from 25,569 to 62,476, between 2016 and 2018. (
  • TUESDAY, Oct. 30, 2018 (HealthDay News) -- A standardized community health worker (CHW)-delivered intervention, Individual Management for Patient-Centered Targets, improves patient-perceived quality of care and reduces hospitalizations for low-income patients with chronic diseases, according to a study published online Oct. 22 in JAMA Internal Medicine . (
  • MONDAY, Oct. 29, 2018 (HealthDay News) -- Among top-ranked U.S. hospitals, data reveal discrepancies in information provided to patients regarding medical records release processes as well as noncompliance with state and federal regulations, according to a study published online Oct. 5 in JAMA Network Open . (
  • MONDAY, Oct. 29, 2018 (HealthDay News) -- For patients with gout, nurse-led care is efficacious and cost-effective compared with usual care led by general practitioners (GPs), according to a study published Oct. 20 in The Lancet . (
  • FRIDAY, Oct. 26, 2018 (HealthDay News) -- In an effort to cut high drug costs, the prices paid by Medicare for certain prescription drugs would be based on those in other advanced industrial nations, according to a proposal announced Oct. 25 by the Trump administration. (
  • THURSDAY, Oct. 25, 2018 (HealthDay News) -- For patients with gout, allopurinol is associated with a reduced risk for developing chronic kidney disease stage ≥3, according to a study published online Oct. 8 in JAMA Internal Medicine . (
  • WEDNESDAY, Oct. 24, 2018 (HealthDay News) -- Many supplements contain one or more stimulants that have been the subject of U.S. Food and Drug Administration-issued public notices, according to a research letter published online Oct. 22 in JAMA Internal Medicine . (
  • THURSDAY, Oct. 18, 2018 (HealthDay News) -- Interoperability of health care information technology (IT) must be improved to facilitate creation of a fully integrated health care system that can improve health and health care at lower cost, according to a report published by the National Academy of Medicine. (
  • MONDAY, Oct. 15, 2018 (HealthDay News) -- Dietary supplements often include active pharmaceuticals, even after warnings from the U.S. Food and Drug Administration, according to a study published online Oct. 12 in JAMA Network Open . (
  • Evaluation of Amphetamine-Related Hospitalizations and Associated Clinical Outcomes and Costs in the United States, JAMA Network Open (2018). (
  • THURSDAY, Nov. 30, 2017 (HealthDay News) -- The incidence of HIV infection declined significantly in Uganda between 1999 and 2016, according to a study published in the Nov. 30 issue of the New England Journal of Medicine . (
  • TUESDAY, Nov. 28, 2017 (HealthDay News) -- Clinician denial of some types of tests requested by patients is associated with worse patient satisfaction with the clinician, according to a study published online Nov. 27 in JAMA Internal Medicine . (
  • TUESDAY, Nov. 28, 2017 (HealthDay News) -- For infants with bronchiolitis, the use of evidence-based supportive therapies (EBSTs) varies by hospital site, according to a study published online Nov. 28 in Pediatrics . (
  • MONDAY, Nov. 27, 2017 (HealthDay News) -- Single measles cases trigger coordinated public health action that is associated with considerable costs, according to research published in the Nov. 24 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report . (
  • WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Raw flour can be a source of outbreak of Shiga toxin-producing Escherichia coli (STEC) infections, according to a study published in the Nov. 23 issue of the New England Journal of Medicine . (
  • And they only hold about one dollar's worth of medicine,' the Aug. 29, 2017, video says. (
  • Today, at the 2017 American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) Annual Meeting, Adeniyi Borire, MBBS, was honored with the 2017 Golseth Young Investigator Award for his abstract, Effects of Haemodialysis on Intraneural B. (
  • The American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) honored 10 neuromuscular (NM) and electrodiagnostic (EDX) abstracts with its President's Research Initiative Award at the 2017 AANEM Annual Meeting in Phoenix. (
  • Cost of Joint Replacement Using Bundled Payment Models ," JAMA Internal Medicine , 2017;177(2):214-222. (
  • For the study, Raven's team reviewed opioid prescribing in emergency departments at UCSF Medical Center and Highland Hospital in Oakland, Calif., between November 2016 and July 2017. (
  • A 2017 study published in JAMA Internal Medicine reported that 74 percent of the variation in life expectancy across counties is explained by health-related lifestyle factors such as inactivity and smoking, and by conditions associated with them, such as obesity and diabetes-which is to say, by patients themselves. (
  • In 2017, Health Canada approved 67 new drugs, giving Canadians newer and more innovative ways to improve their health conditions. (
  • TUESDAY, Sept. 30, 2014 (HealthDay News) -- Children who are given broad-spectrum antibiotics before the age of 2 may face a slightly higher risk of becoming obese during childhood, according to research published online Sept. 29 in JAMA Pediatrics . (
  • Hospitalizations related to amphetamines were associated with thousands of deaths over our study period," said Winkelman, a physician with Hennepin Healthcare and assistant professor in Internal Medicine and Pediatrics at the University of Minnesota. (
  • Physicians are often unaware of the cost of a test, drug or scan that they order for their patients. (
  • One was published in 2015 , and argued that in the majority of studies, giving physicians price information changes their ordering and prescribing behavior to lower the cost of care. (
  • Another, published in 2015, explored 79 studies, 14 of which were randomized controlled trials, that suggested that physicians could be educated to deliver " high-value, cost-conscious care . (
  • Research founded on over 1.5 million percutaneous coronary intervention procedures like balloon angioplasty or stent placement to open narrowed coronary arteries, imply that the use of drug-eluting stents differ widely among U.S. physicians. (
  • MONDAY, Sept. 29, 2014 (HealthDay News) -- Having trainee physicians review cases prior to clinic hours can reduce patient waiting times, flow times, and clinic session times, according to a study published online Sept. 16 in Pain Medicine . (
  • Physicians can contribute to the reduction of medical costs and improvement of patient compliance by becoming familiar with Choosing Wisely's list of wasteful or marginally beneficial medical practices and by monitoring patients for financial harm. (
  • Unfortunately, referral to substance abuse treatment after discharge is often a secondary concern of physicians caring for hospitalized patients,'' said Jane Liebschutz, MD, MPH, a physician in general internal medicine at BMC and associate professor of medicine at Boston University School of Medicine, who served as the study's corresponding author, in a prepared statement. (
  • Conclusion: In addition to helping to resolve the above mentioned issues, the results from this study could provide baseline information quantifying the problem of drug- related problems among hospitalized patients receiving polypharmacy and contribute to the formulation and implementation of risk management strategies for pharmacists and physicians in primary care health. (
  • Trump's plan also promotes price transparency for physicians and hospitals, and would permit the importation and domestic sale of drugs with regulatory approval in other countries. (
  • Researchers in JAMA Internal Medicine explored exactly why physicians feel burned out-with leading causes including excessive workloads, stressful environments and a lacking work-life balance. (
  • In the current study, the researchers found that physicians who received just one meal, costing less than $20 on average, were up to two times as likely to prescribe the promoted brand-name drugs as physicians who received no meals. (
  • Whether a formal dinner or a brief lunch in a doctor's office, these encounters are an opportunity for drug company representatives to discuss products with physicians and their staff," said Adams Dudley , MD, MBA, professor of medicine and director of the Center for Healthcare Value at the Philip R. Lee Institute for Health Policy Studies at UCSF, and the senior scientist on the study. (
  • While recent studies have shown that doctors who receive large payments from drug companies, such as speaking fees or royalties, are more likely to prescribe expensive brand-name drugs, the new study is the first to find an association between single meals and the prescribing behavior of physicians. (
  • Before examining industry payments, the UCSF researchers first identified physicians from the 2013 Medicare Part D Prescriber file who wrote more than 20 prescriptions in any of four common drug classes. (
  • They then identified physicians who received industry-sponsored meals promoting one of the drugs. (
  • The 279,669 physicians selected from the Medicare database based on the prescribing criteria received 63,524 payments associated with the four target drugs. (
  • Within each of the four classes of drugs, the researchers found physicians who received just one industry-sponsored meal were more likely to prescribe the drug the sales reps were promoting instead of cheaper, generic alternatives. (
  • About 28 percent of the orders for three services at three hospitals were judged to be at least partially defensive by the physicians who ordered them. (
  • The authors estimated the cost of defensive medicine on three services - tests, procedures or hospitalizations - by asking physicians to estimate the defensiveness of their own orders. (
  • In conclusion, although a large portion of hospital orders had some defensive component, our study found that few orders were completely defensive and that physicians' attitudes about defensive medicine did not correlate with cost. (
  • Ownership characteristics were organized into the following categories: independent multi-physician practices (with at least three primary care physicians), medical groups (with at least one multi-physician practice), simple systems (those with at least one multi-physician practice and at least one hospital), and complex systems (those with multiple simple systems). (
  • I am also interested in a range of other questions about health care systems, physicians organizations, provider compensation, health care cost growth, and health care quality. (
  • Physician-hospital integration was not significantly associated with premiums.Premiums for FFM plans were higher in markets with greater concentrations of hospitals and physicians but fewer insurers. (
  • In this paper, we estimate how hospital ownership of physicians' practices affects their patients' hospital choices. (
  • However, a study published earlier this year in JAMA Internal Medicine confirms that many physicians don't follow guidelines and instead refer back pain patients to surgery or write prescriptions for powerful pain killers. (
  • The second group of determinants is linked to prescribers of antimicrobial drugs, physicians, who may change their prescription patterns. (
  • These consequences included probable and possible care due to medication error as well as administrative procedures (corrections) made by physicians in hospital or primary care. (
  • The inverse relationship between cost and compliance is well documented by researchers but frequently disregarded by plan sponsors, health plans and physicians. (
  • In a separate study of more than 4,000 patients, all at least 50 years old, published in the June 2004 issue of The American Journal of Medicine and titled "Clinician Identification of Chronically Ill Patients Who Have a Problem Paying for Prescription Medicines," Heisler and her colleagues found that only 1 in 4 physicians asks patients if they can afford the drugs that they have been prescribed. (
  • A new report appearing in the Jan. 7 issue of JAMA Internal Medicine highlighted the powerful role played by branded drug advertising on consumer preferences and physicians' prescribing habits, and asserted that many doctors ignore the cost-saving benefits of generic drugs when writing prescriptions by acceding to patients' wishes. (
  • The JAMA report is based on a survey - conducted by the Harvard Medical School and the Colorado School of Public Health - of 1,891 randomly sampled prescribing physicians practicing in seven medical specialties. (
  • Researchers found that older physicians are more likely to acquiesce to their patients' requests for the branded medicine. (
  • The survey, the authors noted, 'shows that 43% of physicians in practice more than 30 years sometimes or often give in to patients' demands for brand-name drugs compared with 31% physicians in practice for 10 years or less. (
  • But pediatricians, anesthesiologists, cardiologists and general surgeons 'were significantly less likely to acquiesce patient demands relative to internal medicine physicians. (
  • The researchers surprisingly found that there were only 10% of concordances between these regulators in the decision to warn physicians and the public about risks of approved prescription drugs. (
  • The findings, published online March 17 in the journal JAMA Internal Medicine , suggest that better coordination of care for patients with these diseases could save Medicare up to $1.5 billion a year, said the researchers at RAND Corporation, a nonprofit research organization. (
  • and cases that recently came up in practiceMore than 120 additional references, some new and some old classics newly discovered by the authorExpanded discussion of evidence-based medicine, both its appropriate usage and pitfalls, with additional information on sensitivity, specificity, and other features of various findings from recent studies and review articles. (
  • Our findings suggest that only a small portion of medical costs might be reduced by tort reform. (
  • These findings are consistent with a study of broader physician populations from 2007 and likely reflect limited infrastructure in these practices to impose access restrictions or to provide independent drug information," explains lead author Steven Woloshin, MD, MS, a general internist and a professor of medicine and community and family medicine at Dartmouth's Geisel School of Medicine, and of The Dartmouth Institute for Health Policy and Clinical Practice. (
  • OIG findings show that using a POD did not reduce costs and those hospitals that did generally saw an increase in the number of surgeries performed indicating clinical decision may have been affected by the business relationship. (
  • A group of researchers meticulously reviewed the statistical evidence and their findings are absolutely shocking.4 These researchers have authored a paper titled "Death by Medicine" that presents compelling evidence that today's system frequently causes more harm than good. (
  • David Stewart presented findings in Cure about the overregulation of new drug development at the 2015 World Conference on Lung Cancer, a meeting of over 7,000 oncology professionals. (
  • The TEP emphasized the need for a cost-effective study that could generate data-driven findings on the business case for HIT in PAC/LTC within a reasonable timeframe (2-3 years). (
  • But the findings reported online May 20 in JAMA Internal Medicine. (
  • Any experienced physician knows that there are fads in healthcare just as there are in fashion, and today's evidence-based medicine may be tomorrow's malpractice. (
  • In 32 of 46 States participating in the Healthcare Cost and Utilization Project (HCUP), the data indicate whether diagnoses are POA or originate during the hospital stay. (
  • Through the Keenan Research Centre and the Li Ka Shing International Healthcare Education Center, which make up the Li Ka Shing Knowledge Institute, research and education at St. Michael's Hospital are recognized and make an impact around the world. (
  • An analysis conducted by Hennepin Healthcare, University of Minnesota School of Public Health and University of Michigan researchers shows amphetamine-related hospitalizations increased more than 270 percent from 2008 to 2015, costing up to $2.17 billion per year. (
  • Not only did hospitalizations related to methamphetamine increase most dramatically, we found hospitalizations related to alcohol and most other drugs increased," said study co-author Gavin Bart, a physician and director of Addiction Medicine at Hennepin Healthcare HCMC and associate professor of Medicine at the University of Minnesota. (
  • Adverse drug events can cause significant drug-related morbidity and mortality, and lead to unnecessary healthcare costs. (
  • For elderly patients, adding a pharmacist to the inpatient team could lead to significant reductions in morbidity and, on a population basis, healthcare costs. (
  • A lot of critics say it's too expensive to provide or improve drug coverage, but studies show that costs from adverse health outcomes later may be greater than the costs now," says Michelle Heisler, MD, a research scientist at the Center for Practice Management & Outcomes at the Veterans Affairs Ann Arbor Healthcare System in Michigan. (
  • In talking to healthcare leaders about drug utilization, I've fielded many questions concerning the application of clinical evidence to specific drugs and drug categories. (
  • Are doctors needlessly raising the costs of America's healthcare system through their prescribing habits? (
  • These numbers suggest that the unnecessary costs associated with this practice to the healthcare system could be substantial. (
  • Somava Saha, a Boston-area physician who for more than 15 years practiced primary-care medicine and is now a vice president at the nonprofit Institute for Healthcare Improvement, told me that several unhealthy behaviors common among Americans (for example, a sedentary lifestyle) are partly rooted in cultural norms. (
  • Health products, ranging from pharmaceutical drugs to natural health products, play an important role in Canada's healthcare system. (
  • An ideal healthcare system has universal health insurance coverage, quality healthcare services at an affordable cost, and patient choice among providers. (
  • Now, a new study finds coordinated care reduces the risk of complications and hospital costs. (
  • As health care delivery and payment programs evolve," he said, it's important to "measure whether these reforms improve continuity and reduce health care costs. (
  • The idea is that it would lower the state's health care costs. (
  • The results of stool cultures that were submitted to the microbiology laboratory of a tertiary care nonteaching community hospital were retrospectively reviewed. (
  • The application of practice guidelines that include elimination of smear examination of rectal swabs, exclusion of routine cultures from patients with nosocomial diarrhea, and rejection of repeated cultures can result in significant cost savings without adversely affecting patient care. (
  • American Journal of Respiratory and Critical care Medicine. (
  • We were surprised that it was sold so frequently," says study author Jennifer Goldstein, MD , assistant program director of internal medicine at Christiana Care Health System in Newark, Delaware. (
  • Inpatient hospital and residential mental health and substance use disorder (SUD) treatment settings are a critical component of the behavioral health services care continuum. (
  • The study suggests that a 50 percent reduction in the use of DES in low-TVR-risk patients was projected to lower health care costs by about $205 million per year in the U.S., while increasing the overall TVR event rate by 0.5 percent. (
  • These recommendations apply to HCP in acute care hospitals, nursing homes, skilled nursing facilities, physician's offices, urgent care centers, and outpatient clinics, and to persons who provide home health care and emergency medical services. (
  • Achieving and sustaining high vaccination coverage among HCP will protect staff and their patients, and Influenza transmission and outbreaks in hospitals ( 1-8 ) and reduce disease burden and health-care costs. (
  • Prospective studies assessing hospital adverse events are sparse and were mostly conducted in intensive care units ( 2 - 4 ). (
  • WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- Imagine if doctors and hospitals got paid for providing better care, not more care, and patients had better data for making informed health choices. (
  • He obtained his internal medicine training at Johns Hopkins Hospital, and completed a fellowship in Pulmonary and Critical Care Medicine at the University of Chicago and Johns Hopkins Hospital. (
  • The costs of delivering care are obscured in layers of jargon and complex accounting . (
  • The first step in understanding health care costs is to be able to distinguish between terms such as "cost," "charge," "price," and "reimbursement" (table 1). (
  • To patients, cost usually represents the amount they have to pay out-of-pocket for health care services. (
  • This cost is very different from the amount that providers (i.e., health care organizations or clinicians) incur to deliver that service. (
  • Further complicating matters, the cost to the provider is often calculated by including costs from categories like personnel and equipment that may seem disconnected from an individual patient's care. (
  • When discussing health care costs, it is important to ensure that the correct terminology is being used and that it is clear from whose perspective costs are being considered (i.e., payer, patient, provider, or purchaser). (
  • So, how do costs relate to the "charge," or the "price," that health care providers put on the bill? (
  • In response to health care's ongoing cost crisis and the growing awareness of unnecessary variation in outcomes across health systems, more and more stakeholders in the industry are embracing value-based health care. (
  • But two factors-the lack of well-developed health care infrastructures and, in particular, the absence of a critical mass of highly trained clinicians, who have been the traditional customers for medtech products-make it imperative for companies to develop new solutions that support the delivery of good health outcomes at a much lower cost. (
  • Unlike many drug companies, they have a deep understanding of care delivery for specific interventions such as joint replacement, cardiac care, or certain critical diagnostic procedures. (
  • ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. (
  • About St. Michael's Hospital - St. Michael's Hospital provides compassionate care to all who enter its doors. (
  • The hospital also provides outstanding medical education to future health care professionals in more than 23 academic disciplines. (
  • A 2013 analysis of hospital billing records found that hospital care for opioid abuse-related events cost an average of $18,891 per visit, and it's only going up. (
  • One of the most important contributors to our health care costs is expenditure on prescription drugs," says Ambarish Pandey, M.D., a cardiologist and assistant professor of internal medicine at UTSW. (
  • It's important for our health care system to find avenues to become more cost-efficient and accessible. (
  • This really shows how prescription patterns can have a very big influence on health care costs," says Pandey. (
  • But there are also other drugs that certainly have substantial costs to the health care system and need to be studied in this respect as well. (
  • Samoy LJ, Zed PJ, Wilbur K, Balen RM, Abu-Laban RB, Roberts M. Drug-related hospitalizations in a tertiary care medicine service of a canadian hospital: a prospective study. (
  • How well our health care system responds to our needs for care and the costs associated with delivery of this care are subjects of much debate. (
  • There is clear evidence that rising health care costs, unreliable quality, and lack of access to needed services are key problems which must be addressed as we work to develop a health care system that works for all Americans. (
  • Health care is getting more expensive-and costs keep going up. (
  • Costs are rising sharply - Our costs for health care were estimated to be about $6,300 per person in 2004 , and are projected to increase to about $12,300 by 2015 . (
  • We're making fundamental choices in our own lives based on the costs of health care - The need for employer-sponsored health insurance to cover the high costs of medical care is why some workers postpone retirement, why some mothers re-enter the workplace, and why some people decide against starting their own small businesses. (
  • In addition, our health care system is very complex and has many layers, including doctors, insurance companies, and hospitals. (
  • We're spending about a quarter of all health care costs on caring for people in their last year of life . (
  • People may also have inadequate coverage for specific services such as prescription drugs, mental health or long-term care. (
  • In addition, it will be made available to thousands of interested readers around the globe who care for natural medicine - we strongly appreciate your support for this. (
  • Despite attempts to contain costs, overall health care expenditures rose to 10.7% of GDP in 2005, comparable to other western European nations, but substantially less than that spent in the U.S. (nearly 16% of GDP). (
  • Two acute-care, internal-medicine wards at the University Hospital of Uppsala in Uppsala, Sweden. (
  • The secondary outcome measure was the cost of hospital care. (
  • The cost of hospital care minus the cost of the intervention resulted in a net savings of $230 per patient. (
  • The study authors used data from large nationally representative surveys of ambulatory care in the United States: The National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey. (
  • Much of my current research examines the impacts of changing financial incentives, regulations, and organizational structures on health care provision and costs. (
  • One aspect of work in this area involves studying impacts of managed care and related insurance arrangements on things like health care costs, the pricing of physician services, prices for health insurance, and the availability and utilization of medical technologies. (
  • The retrospective cohort study looked at 46 months of adult inpatient care (from 2010 to 2014) on 16 wards (including 5 ICUs) at a single teaching hospital. (
  • Our results suggest that, despite major advances in diabetes drug discovery and movement to develop innovative care delivery models over the past two decades, achievement of diabetes care targets has not improved in the United States since 2005," says lead and corresponding author Pooyan Kazemian, PhD, of the MGH Medical Practice Evaluation Center , and instructor in Medicine at Harvard Medical School (HMS). (
  • Barriers accessing health care, including lack of health insurance and high drug costs, remain major factors that have not been adequately addressed on a population level," says senior author Deborah J. Wexler, MD, MSc, of the MGH Diabetes Unit , and associate professor in Medicine at HMS. (
  • Four other UNC Health Care hospitals rated high performing for common adult procedures and conditions. (
  • Neonatal health care costs related to smoking during pregnancy. (
  • Many factors, including limited access to specialists, out-of-pocket costs, medication adherence and implicit bias, have been suggested as possible reasons for the disparities in care for patients with atrial fibrillation, but further research is needed to address and correct these issues. (
  • Browse addresses and contact information for our network of hospitals, specialty care practices, and community health locations. (
  • This sensible approach not only reduces health care costs but also may help some patients avoid riskier treatments altogether," said ACA President Keith Overland, DC. (
  • Spending on health care for the privately insured increased 4.6 percent in 2015, outpacing previous years' growth, according to data from the Health Care Cost Institute. (
  • Spending on prescription drugs grew faster than spending on any other health care service. (
  • Method A prospective intervention study with retrospective controls on patients at three departments at Lund University Hospital, Sweden that where transferred to primary care. (
  • For patients with at least one medication error all contacts with hospital or primary care within 3 months after discharge were identified. (
  • Main outcome measures Need for medical care in hospital or primary care within three months after discharge from hospital. (
  • Conclusions The Medication Report seems to be an effective tool to decrease adverse clinical consequences when elderly patients are discharged from hospital care. (
  • The department of Primary Care Development, The department of Research and Development in the county of Skåne, Apoteket AB and the Faculty of Medicine, Lund University. (
  • Glintborg B, Andersen SE, Dalhoff K. Insufficient communication about medication use at the interface between hospital and primary care. (
  • Midlov P, Bergkvist A, Bondesson A, Eriksson T, Hoglund P. Medication errors when transferring elderly patients between primary health care and hospital care. (
  • Changes in prevalence of health care-associated infections in U.S. hospitals. (
  • Health care-associated infections (HAIs) are a key cause of preventable harm in hospitals. (
  • That reduces drug costs, but does it reduce health care costs? (
  • Heisler and colleagues at the University of Michigan Medical School, also in Ann Arbor and where she also teaches, published their results in an article titled "The Health Effects of Restricting Prescription Medication Use Because of Cost" in the July 2004 issue of Medical Care, a journal of the American Public Health Association. (
  • But a number of studies, including some published in the last few weeks, demonstrate that reduced utilization of the medications that successfully treat chronic conditions means that the sick get sicker, see the doctor more often, and are hospitalized more frequently, adding to the overall cost of care. (
  • To develop an economic model evaluating the clinical and cost-effectiveness of rivaroxaban for the prevention of stroke in non-valvular AF patients in the Indonesian health care settings. (
  • Lumere's online Pharmacy Solutions apply the power of evidence to help health systems optimize costs and improve patient care. (
  • Most commonly, it refers to medication or drug compliance, but it can also apply to other situations such as medical device use, self care , self-directed exercises, or therapy sessions. (
  • Both patient and health-care provider affect compliance, and a positive physician-patient relationship is the most important factor in improving compliance, The cost of prescription medication also plays a major role. (
  • Major barriers to compliance are thought to include the complexity of modern medication regimens, poor "health literacy" and not understanding treatment benefits, occurrence of undiscussed side effects, poor treatment satisfaction, cost of prescription medicine, and poor communication or lack of trust between a patient and his or her health-care provider. (
  • The initiative, Proposition 52, would make permanent the "Hospital Quality Assurance Fee," which the state collects from private hospitals to bring in additional federal dollars for Medi-Cal, California's version of the federal Medicaid health care program for the poor. (
  • Biosimilar medicines have been approved and routinely prescribed in Europe for nearly seven years, and creation of a clear pathway for Food and Drug Administration review and approval of generic versions of bioengineered drugs was enshrined into law in the United States with the passage of the Patient Protection and Affordable Care Act nearly three years ago. (
  • Dr. Stewart noted the overregulation has driven up the cost of care and resulted in significant loss of human life by delaying the approval of effective medications. (
  • Health information technology (HIT) has the potential to improve the quality of care while enhancing cost efficiency. (
  • When he wasn't in the hospital, my dad blew off checkups and ignored signs of sickness, only to reenter the health-care system via the emergency department. (
  • For years, the United States' high health-care costs and poor outcomes have provoked hand-wringing, and rightly so: Every other high-income country in the world spends less than America does as a share of GDP, and surpasses us in most key health outcomes. (
  • Surely if we could just import Singapore's or Switzerland's health-care system to our nation, the logic goes, we'd get those countries' lower costs and better results. (
  • 6 About one in three Americans, a far larger share than in any of ten other rich nations, say that in the past year cost considerations prevented them from getting recommended care, filling a prescription, or visiting a doctor or clinic when they had a medical problem. (
  • 3. Build substance use consulting team, such as discharge nurses with addiction training, dedicated to initiating detoxification treatment in the hospital and outlining outpatient visits. (
  • The intervention group had a 16% reduction in all hospital visits and a 47% reduction in ED visits. (
  • Tailored POSH visits are scheduled for the patient while he or she is still in the hospital and focus on following up on treatment plans after discharge. (
  • Previous studies have found that adherence to cardioprotective drug regimens is poor after patients are discharged from the hospital, with one-third of patients discontinuing at least one medication by mouth by one month. (
  • Previous studies have linked generic drugs to better adherence, since many patients, particularly seniors, cannot afford brand-name drugs. (
  • In medicine, compliance (also adherence , capacitance ) describes the degree to which a patient correctly follows medical advice. (
  • Studies show a great variation in terms of characteristics and effects of interventions to improve medicine adherence. (
  • Additionally, the term adherence includes the ability of the patient to take medications as prescribed by their physician with regards to the correct drug, dose, route, timing, and frequency. (
  • Cost and poor understanding of the directions for the treatment, referred to as ' health literacy ' have been known to be major barriers to treatment adherence. (
  • Development and Validation of a Tool to Identify Patients With Type 2 Diabetes at High Risk of Hypoglycemia-Related Emergency Department or Hospital Use. (
  • He earned his medical degree from Yale School of Medicine in 1980 and completed a master's degree in public health at UCLA School of Medicine in 1986. (
  • The financial cost of unnecessary antibiotic prescribing to adults with sore throat in the United States from 1997-2010 was conservatively $500 million,' the study noted. (
  • Peter has published more than 70 papers in "the big five" ( BMJ, Lancet, JAMA, Ann Intern Med and N Engl J Med ) and his scientific works have been cited over 15,000 times. (
  • The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. (
  • Cardiovascular medications have been cited as one of the most common classes of drugs associated with medication errors and adverse drug reactions, which need to be monitored from time to time. (
  • The adverse drug event (ADE) prevention study group reported that odds ratio (OR) of severe ADEs with cardiovascular medication was 2.4 times that of other medications. (
  • Buprenorphine is an orally administered medication that the Food and Drug Administration approved in 2002 to treat opioid addiction because it works to combat withdrawal symptoms. (
  • Thomas J. Moore, AB, from the Institute for Safe Medication Practices in Alexandria, Virginia, and the Department of Epidemiology and Biostatistics at the Milken Institute of Public Health at George Washington University in Washington, DC, and colleagues, used proprietary clinical trial cost estimation software to evaluate costs for 138 pivotal clinical trials that led to the approval of 59 therapeutic agents. (
  • Insurers are using high medication costs to deter people from signing up for coverage, according to a 60-page report produced for the National Bureau of Economic Research. (
  • Medication report reduces number of medication errors when elderly patients are discharged from hospital. (
  • Lipid lowering drugs, angiotensin converting enzyme inhibitors and antiplatelet drugs accounted for the largest increase in medication use between the two cohorts, with additional contributions by endocrine and nutrition/blood drugs, anticholinergic drugs, and proton pump inhibitors. (
  • Notably, these drugs largely accounted for the significant increase in medication use and polypharmacy between CFAS I and CFAS II . (
  • About 10 percent of participants cut back on medication use because of cost. (
  • The patients who presented within 24 hours after symptom onset to our Hospital with a first-ever acute stroke were prospectively included from January 1st 2011 to June 2012.The WHO definition of stroke was used to define stroke. (
  • The national analysis included all 36,055 patients admitted with a stroke to acute hospitals in Scotland between 2005 and 2011. (
  • Let's take a closer look at what's really going on in the world of quality metrics, and why it matters if payments to you and your hospital are increasingly linked to how you score. (
  • Dan Jonas, MD, MPH, associate professor of medicine and deputy director for research at the Cecil G. Sheps Center for Health Services Research, found that using electrocardiography in screening asymptomatic adults for cardiovascular disease may cause more harm than good. (
  • The typical approach is to treat opioid withdrawal symptoms that might occur in the hospital with a short-term detoxification substance, but it is uncommon for providers to refer patients to substance abuse treatment programs after discharge in order to continue the detoxification in an outpatient setting. (
  • After completing a residency in internal medicine at UCLA in 1983, Siu remained there as assistant professor of medicine, with a joint appointment as health services researcher for the RAND Corporation in Santa Monica, where he was the author of 20 monographs. (
  • The study suggests the United States needs to develop improved strategies that prevent people from developing substance use disorders and new drugs and treatments for people who already have them. (
  • The efficacy and safety of drug treatments for chronic insomnia in adults: a meta-analysis of RCTs. (
  • We suggest a need for a better understanding of the basic science of pain mechanisms, more rigorous and independent trials of many treatments, a stronger regulatory stance toward approval and post-marketing surveillance of new drugs and devices for chronic pain, and a chronic disease model for managing chronic back pain. (
  • An increase from the 10th to the 90th percentile of physician concentration and hospital concentration was associated with increases of $393 and $189, respectively, in annual premiums for the Silver plan with the second lowest cost. (
  • Dr. Overland's comments follow the release in October of a report from the HHS Office of the Inspector General showing that hospitals that purchased spinal devices from physician-owned distributors (PODs) had higher rates of spinal surgeries than the rate of hospitals overall. (
  • CEA results were expressed as incremental cost-effectiveness ratios (ICER) showing additional costs per prevented death. (
  • While some studies have shown that Entresto meets commonly accepted incremental cost-effectiveness thresholds over a patient's lifetime, the short-term incremental cost-effectiveness is much harder to justify. (
  • Emergency department staff noted that the system does not negate the need for them to call hospitals to confirm that there is still an open bed that is appropriate for the patient's needs and that relationships among hospitals and emergency departments and other crisis system staff may be more efficient than using the bed registries. (
  • Surveillance of Hypoglycemia-Limitations of Emergency Department and Hospital Utilization Data. (
  • provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. (
  • Prescription drugs may be severely overpriced, but the ad misrepresents the bill's impact. (
  • For example, in the period from 1988-1994, just over one-third of the elderly used three or more prescription drugs in the past 30 days, compared to nearly two-thirds in the years 2005-2008. (
  • TUESDAY, Sept. 23, 2014 (HealthDay News) -- The number of "rogue" wholesale distributors selling fake or unapproved prescription drugs is growing, so doctors need to be vigilant when purchasing medicines, the U.S. Food and Drug Administration warned Tuesday. (
  • Our prescription drugs are the third leading cause of death after heart disease and cancer in the United States and Europe. (
  • Congress began the program because few prescription drugs that were approved for adults were being tested on children in clinical trials before they were widely used off-label for children. (
  • The FDA continues to interfere with those who offer natural products that compete with prescription drugs. (
  • Rising prices for prescription drugs is one of the culprits. (