Search results for " Cost analysis"

Crisis económica y epicrisis del sistema sanitario

2011

Economic Considerations of the Use of New Anesthetics

1998

UNLABELLED: Cost control in anesthesia is no longer an option; it is a necessity. New anesthetics have entered the market, but economic differences in comparison to standard anesthetic regimens are not exactly known. Eighty patients undergoing either subtotal thyroidectomy or laparoscopic cholecystectomy were randomly divided into four groups, with 20 patients in each group. Group 1 received propofol 1%/sufentanil, Group 2 received desflurane/sufentanil, Group 3 received sevoflurane/sufentanil, and Group 4 received isoflurane/sufentanil (standard anesthesia) for anesthesia. A fresh gas flow of 1.5-2 L/min and 60% N2O in oxygen was used for maintenance of anesthesia, and atracurium was given…

Comparison of minimally invasive parathyroidectomy under local anaesthesia and minimally invasive video-assisted parathyroidectomy for primary hyperp…

2016

Background: Primary hyperparathyroidism (PHPT) origins from a solitary adenoma in 70-95% of cases. Moreover, the advances in methods for localizing an abnormal parathyroid gland made minimally invasive techniques more prominent. This study presents a micro-cost analysis of two parathyroidectomy techniques. Patients and methods: 72 consecutive patients who underwent minimally invasive parathyroidectomy, video-assisted (MIVAP, group A, 52 patients) or "open" under local anaesthesia (OMIP, group B, 20 patients) for PHPT were reviewed. Operating room, consumable, anaesthesia, maintenance costs, equipment depreciation and surgeons/anaesthesiologists fees were evaluated. The patient's satisfactio…

Evaluating free school fruit: results from a natural experiment in Norway with representative data

2014

AbstractObjectiveTo assess impacts of the nationwide Norwegian School Fruit Scheme (NSFS) using nationally representative data.DesignThe NSFS is organized such that primary-school children (grades 1–7) are randomly assigned to one of three school fruit arrangements: (i) the child receives one free fruit or vegetable per day; (ii) the child is given the option to subscribe to one fruit or vegetable per day at a subsidized price; and (iii) the child attends a school that has no school fruit arrangement.SettingData from an Internet survey are used to compare child and parental fruit and vegetable intakes across the three NSFS groups focusing mainly on groups (i) and (iii). The analysis was con…

Informal caregiving burden in advanced non-small cell lung cancer: the HABIT study.

2007

Introduction This study's aim was to assess economic data regarding the home assistance burden for advanced non-small cell lung cancer (NSCLC) patients in Italy. Patients and Methods One hundred four NSCLC patients in second-line chemotherapy (2LC) or in supportive therapy (ST) were enrolled in 18 Italian oncology departments and were observed for 3 months. The main caregiver's workload was assessed monthly by a task scale; other caregivers' activities were also registered. Eastern Cooperative Oncology Group performance status was assessed by physicians, and patients completed the Lung Cancer Symptoms (LCS) subscale. Formal caregiving time was valued according to market prices; informal car…

Low intensity vs. self-guided Internet-delivered psychotherapy for major depression: A multicenter, controlled, randomized study

2013

Abstract Background Major depression will become the second most important cause of disability in 2020. Computerized cognitive-behaviour therapy could be an efficacious and cost-effective option for its treatment. No studies on cost-effectiveness of low intensity vs self-guided psychotherapy has been carried out. The aim of this study is to assess the efficacy of low intensity vs self-guided psychotherapy for major depression in the Spanish health system. Methods The study is made up of 3 phases: 1.- Development of a computerized cognitive-behaviour therapy for depression tailored to Spanish health system. 2.- Multicenter controlled, randomized study: A sample (N=450 patients) with mild/mod…

AN INTEGRATED MODEL TO EVALUATE TECHNICAL ENVIRONMENTAL AND ECONOMIC SUSTAINABILITY OF ROAD PAVEMENT

The unconditional exploitation of environmental resources, the emission of xenobiotic substances in nature and resulting pollution from the development of human activities have led, over time, to serious repercussions on the environment. Therefore these effects weigh on economic and social development. The need to deal with environmental issues and their relationship with economic development has led to the definition of sustainable development concept . The concept of sustainability combines three fundamental aspects which can not be separated, namely environmental, economic and social. The increasing sensitivity towards these socio-economic issues has driven research towards new fronts, u…

Future trends for the civil rotorcraft

2013

In response to public needs about the use of air transport to connect high congested or remote areas where airports are not present, rotorcraft (or seaplanes), represents the only available alternative. Today the helicopter industry focuses its tasks in the maximization of profit, building multirole aircrafts that can be adapted to all types of use: from the military to the civilian one, from HEMS and SAR to the Off Shore one. On the other hand the rotorcraft enterprises are small companies, often characterized by a limited budget and weak demand services. Often, analyzing rotorcraft civil transportation, companies are forced to perform on-demand services, as the operating costs of the airc…

Electrochemical treatment of real wastewater with low conductivity

2018

In the last years, many efforts have been devoted to the development of electrochemical processes for the effective treatment of wastewater contaminated by organic pollutants resistant to conventional biological processes and/or toxic for microorganisms [1–5]. It was shown that some electrochemical approaches, including the direct anodic oxidation at suitable anodes such as boron-doped diamond (BDD) and/or electro-Fenton (EF) at suitable operating conditions and cells [1–6] could allow treating effectively a very large number of organic pollutants. However, most of the investigations were performed using synthetic wastewater. Hence, it is now mandatory to study the problems connected to the…

Why laparoscopists may opt for three-dimensional view: a summary of the full HTA report on 3D versus 2D laparoscopy by S.I.C.E. (Società Italiana di …

2018

Background Three-dimensional view in laparoscopic general, gynaecologic and urologic surgery is an efficient, safe and sustainable innovation. The present paper is an extract taken from a full health technology assessment report on three-dimensional vision technology compared with standard two-dimensional laparoscopic systems. Methods A health technology assessment approach was implemented in order to investigate all the economic, social, ethical and organisational implications related to the adoption of the innovative three-dimensional view. With the support of a multi-disciplinary team, composed of eight experts working in Italian hospitals and Universities, qualitative and quantitative d…