Search results for "Cost analysis"
showing 10 items of 86 documents
Effectiveness of vaccination with 23-valent pneumococcal polysaccharide vaccine in preventing hospitalization with laboratory confirmed influenza dur…
2013
Background: Since influenza predisposes to bacterial pneumonia caused by Streptococcus pneumoniae, studies have suggested that pneumococcal vaccination might reduce its occurrence during pandemics. We assessed the effectiveness of pneumococcal polysaccharide vaccination alone and in combination with influenza vaccination in preventing influenza hospitalization during the 2009–2010 pandemic wave and 2010–2011 influenza epidemic. Methods: We conducted a multicenter case-control study in 36 Spanish hospitals. We selected patients aged ≥ 18 y hospitalized with confirmed influenza and two hospitalized controls per case, matched according to age, date of hospitalization and province of residence.…
Cost-Utility Analysis Applied to the Treatment of Burn Patients in a Specialized Center
2007
Objective To discover the total costs and quality of life of burn patients in a specialist center classified by diagnosis-related groups (DRGs). Design Prospective study of 5-year follow-up from January 1, 1997, through December 31, 2001. Setting Burn Center of Valencia. Patients A total of 898 patients treated at the Burn Center of Valencia. Main Outcome Measures Hospital, extrahospital, caregiving, labor, and social costs of the burn patients grouped by DRG (code 457: extensive burns without operating room procedure; code 458: nonextensive burns with skin graft; code 459: nonextensive burns with wound debridement or other operating room procedure; code 460: nonextensive burns without oper…
Job absenteeism and arterial hypertension: results of a hypertension control program.
1992
This study reports the findings of one of the stages of a programme for the detection and control of arterial hypertension, started in I980 in an automobile company with a workforce of 9,782. In the initial screening, 522 hypertensive males were found using epidemiological criteria and 206 of these fulfilled the criteria of definite hypertension. The objective of this study consisted of evaluating, 9 years after the start of the program, the indirect cost in terms of the reduction in the morbidity indicator-temporary work incapacity (TWI). Analysis is based on a comparison of the prevalence of hypertension in the population when the program was begun (6%) and in 1989 (9.8%). It can be obser…
Robotic Versus Laparoscopic Gastric Resection for Primary Gastrointestinal Stromal Tumors5 cm: A Size-Matched and Location-Matched Comparison.
2017
This study compared robotic (RR) and laparoscopic resection (LR) for primary gastrointestinal stromal tumors (GISTs) of the stomach >5 cm. Twelve consecutive patients who underwent RR from 2012 to 2015 were matched for tumor size and location with 24 patients who underwent LR from 2000 to 2012. The median tumor size was 7.1 cm (range, 5.5 to 11.5). GISTs were resected by wedge resection (91.7%) or distal gastrectomy. The median RR operative time was longer than that of LR (162.5 vs. 130 min, respectively; P=0.004). Only 1 LR patient required conversion. The time to flatus and hospital stay were similar between groups. Overall, 3 patients developed minor postoperative complications that w…
Effect of cost on early removal of contraceptive implants: a prospective cohort study
2019
OBJECTIVES To evaluate the effect of the cost of subdermal etonogestrel implant (SEI) on the continuation rate one year after insertion, and to assess the reasons given by users to remove the implant before the expiration date. METHODS Prospective cohort study conducted among 265 women who chose the SEI as a contraceptive method in a sexual and reproductive health center in the eastern region of Spain, between October/2012 and October/2017. The sample was divided into two cohorts depending on the cost of the implant for the user (free-of-charge or requiring partial payment). Kaplan-Meier survival curves were used to compare the cumulative removal rates of free implants with partially paid i…
Architectural technologies for life environment: improving sustainability by reusing wastes in novel geopolymeric mortars
2021
Recently, implementing construction to a more sustainable industry has become a focal point in the international debate due to the huge volume of non-renewvable raw materials and energy consumed every year, along with the significant emissions of green-house gases and global warming, often associated to the supplementing industries. Besides, valorisation and reuse of industrial wastes and by-products is a viable alternative to the traditional industrial system, becoming a compelling topic to improve processes and materials sustainability. This paper fo- cuses on the development of a novel class of green geopolymers, worldwide considered a solid and sustainable alternative to Portland cement…
Hospital and outpatient models for Hematopoietic Stem Cell Transplantation: A systematic review of comparative studies for health outcomes, experienc…
2021
The number of Hematopoietic Stem Cell Transplantations has risen in the past 20 years. The practice of outpatient Hematopoietic Stem Cell Transplantation programs is increasing in an attempt to improve the quality of patient care and reduce the demand for hospital admission. A systematic review of 29 comparative studies between in-hospital and outpatient treatment of Hematopoietic Stem Cell Transplantation, with no restriction by outpatient regime was conducted. This study aims to analyse the current evidence on the effects of the outpatient model on patient-centred outcomes, comparing both in-hospital and outpatient models for autologous and allogeneic HSCT using the Triple Aim framework: …
Qualité et efficience de l'école primaire française : éléments de comparaisons spatiales et temporelles
2008
08001 - 20 p.; Document de travail de l'IREDU 2008-01; L'objectif principal de ce texte est de présenter des éléments factuels sur les résultats de l'école primaire française. Notre réflexion portera sur deux dimensions complémentaires, à savoir la qualité et l'efficience, celles-ci seront examinées dans une double perspective comparative (temporelle et spatiale). Dans une première partie, nous mobiliserons les données des enquêtes internationales pour apprécier les résultats des élèves français et leur évolution dans le temps sur ces 15 dernières années. La seconde partie sera consacrée aux coûts de l'enseignement primaire et plusieurs aspects seront abordés. Dans un premier temps, l'évolu…
Organisation and Efficiency of Education Systems: Some empirical findings
2000
Using a sample of countries chosen for their similar level of development, this article shows the extent to which the organisation of primary and secondary education differs from one country to another, notably with respect to the way in which systems differentiate and select pupils for specialised curricula. It also explores the question of whether an education system that sorts pupils at a very early age is more cost-effective than a system that does not sort pupils during compulsory education. The stylised description of national education systems is based on various sources of information. The data used in the cost analysis come from the Organisation for Economic Co-operation and Develo…
Cost analysis of a vaccination strategy for respiratory syncytial virus (RSV) in a network model
2010
[EN] In this paper an age-structured mathematical model for respiratory syncytial virus (RSV) is proposed where children younger than one year old, who are the most affected by this illness, are specially considered. Real data of hospitalized children in the Spanish region of Valencia are used in order to determine some seasonal parameters of the model. Once the parameters are determined, we propose a complete stochastic network model to study the seasonal evolution of the respiratory syncytial virus (RSV) epidemics. In this model every susceptible individual can acquire the disease after a random encounter with any infected individual in the social network. The edges of a complete graph co…