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pharmacoeconomics --- public health --- health outcomes --- health economics --- medicine
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Die Autorin untersucht Anreizwirkungen des DRG-Abrechnungssystems auf die medizinische Versorgung von Personen mit geistiger und Mehrfachbehinderung. Im Krankenhausbereich erwiesen sich eine mangelhafte Pflegeversorgung, Wissensdefizite in der Behindertenmedizin und ein defizitärer Informationsaustausch zwischen den Akteuren als relevante Faktoren. Die Qualität der medizinischen Versorgung der Zielgruppe im Krankenhaus hat sich nach der DRG-Einführung zwar nicht verschlechtert. Gleichzeitig weisen die empirischen Daten aber auf eine versteckte Patientenselektion und Leistungsverlagerung der Krankenhäuser auf. Es sollten rechtzeitig geeignete Maßnahmen getroffen werden, um die Versorgungsprobleme zu entschärfen und gemeinwirtschaftlichen Kosten zu senken. Der Inhalt Anreizwirkungen des DRG-Systems Standardisierte Befragung zur Krankenhaus- und ambulanten Versorgung Datenanalyse und Handlungsempfehlungen auf der Meso- und Mikroebene Die Zielgruppen Dozierende und Studierende mit den Schwerpunkten Health Management, Gesundheitsökonomie, Pflegemanagement und Präventionsmanagement Fach- und Führungskräfte in Krankenkassen, Kassenärztlichen Vereinigungen, Bewertungsausschüssen, im Klinikmanagement und der Behindertenhilfe Die Autorin Die Autorin ist Neurologin und schwerpunktmäßig in der Behindertenmedizin tätig. Sie absolvierte zusätzlich ein Masterstudium in Health Management an der Apollon Hochschule der Gesundheitswirtschaft, Bremen.
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A substantial literature has examined the impact of stress during the early stages of life on later-life health. This paper contributes to that literature by examining the later-life health impact of stress during adolescence and early adulthood, using a novel proxy for stress: risk of military induction in the United States during the Vietnam War. The paper estimates that a 10 percentage point (2 standard deviation) increase in induction risk in young adulthood is associated with a 1.5 percentage point (8 percent) increase in the probability of being obese, and a 1 percentage point (10 percent) increase in the probability of being in fair or poor health later in life. These findings do not appear to be due to cohort effects; the associations exist only for men who did not serve in the war, and are not present for women or men who did serve. These findings add to the evidence on the lasting consequences of stress, and indicate that induction risk during the Vietnam War may, in certain contexts, be an invalid instrument for education or marriage, because it appears to have a direct impact on health.
Long-Term Health Outcomes --- Obesity --- Stress --- Vietnam War Draft
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health economics --- value assessment frameworks --- health technology assessments --- health outcomes --- patient-reported outcomes --- health policy
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The fraction of the population over age sixty-five in many developed countries is projected to rise, in some cases sharply, in coming decades. This has drawn growing interest to research on the health and economic circumstances of individuals as they age. Many individuals are retiring from paid work, yet they are living longer than ever. Their well-being is shaped by their past decisions such as their saving behavior, as well as by current and future economic conditions, health status, medical innovations, and a rapidly evolving landscape of policy incentives and supports. The contributions to Insights in the Economics of Aging uncover how financial, physical, and emotional well-being are integrally related. The authors consider the interactions between financial circumstances in later life, such as household savings and home ownership, physical circumstances such as health and disability, and emotional well-being, including happiness and mental health.
Older people --- Retirees --- Economic conditions. --- economics of aging. --- financial security. --- health outcomes. --- health trends. --- retirement. --- wellbeing.
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At the dawn of the third millennium, we are confronted with a disturbing phenomenon: although global life expectancy still increases, this is not the case for healthy life expectancy! The explanation of this seemingly contradiction is mainly due to the rising prevalence of the new pandemia of chronic non-communicable diseases (NCDs). Even in low and middle income countries, the improvement in healthcare status and life expectancy is paralled by the increase of NCDs, as in all countries worldwide. Since the United Nations General Assembly held in New York in 2011, many publications have emphasized the close link between NCDs and nutrition. The NCDs epidemic forces us to reconsider the public health perspectives. Many governments, non-governmental organizations and other institutions are actively involved in educational nutrition programs and campaigns; however their efforts seldom obtain the results hoped for. It is extremely difficult to induce changes in lifestyle and behavior that have built up over a long period of time. However, it becomes urgent to adapt to our changing life-environment where traditional wisdom and intuitive choices are giving way to individual thinking and search for (often uncontrolled) information. This engenders a number of unprecedented challenges and it calls for a re-appraisal of the existing paradigms to achieve an adequate management of the upstream determinants of health instead of a (pre)dominant medical and hospital-centric approach. In the era of personalized healthcare, it is time to empower policy makers, professionals and citizens for achieving an evidence-based change in the health-disease interface and decision-making process for public health interventions. The scientific and professional society Health Technology Assessment International (HTAi) has recognized nutrition as a health technology by creating a Interest Group (IG) dedicated to research on methodologies and assessments of nutrition-related public health, while taking into account contextual factors (ethical, legal, social, organizational, economic, ...) in order to generate meaningful outcomes for establishing evidence-based health policies. This Research Topic aims to elaborate on some of the potential hurdles which have to be overcome for the sake of sustainable healthcare provisions anywhere in the world, such as shortcomings in methodological approaches, regulatory frameworks, gaps between evidence, its hierarchy and final recommendations for public health management.
nutrition --- sustainable public health --- Health Outcomes --- Cost Effectiveness --- Health Technology Assessment --- Contextual research --- diet quality --- ecosystems health --- Non communicable diseases --- nutrition --- sustainable public health --- Health Outcomes --- Cost Effectiveness --- Health Technology Assessment --- Contextual research --- diet quality --- ecosystems health --- Non communicable diseases
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At the dawn of the third millennium, we are confronted with a disturbing phenomenon: although global life expectancy still increases, this is not the case for healthy life expectancy! The explanation of this seemingly contradiction is mainly due to the rising prevalence of the new pandemia of chronic non-communicable diseases (NCDs). Even in low and middle income countries, the improvement in healthcare status and life expectancy is paralled by the increase of NCDs, as in all countries worldwide. Since the United Nations General Assembly held in New York in 2011, many publications have emphasized the close link between NCDs and nutrition. The NCDs epidemic forces us to reconsider the public health perspectives. Many governments, non-governmental organizations and other institutions are actively involved in educational nutrition programs and campaigns; however their efforts seldom obtain the results hoped for. It is extremely difficult to induce changes in lifestyle and behavior that have built up over a long period of time. However, it becomes urgent to adapt to our changing life-environment where traditional wisdom and intuitive choices are giving way to individual thinking and search for (often uncontrolled) information. This engenders a number of unprecedented challenges and it calls for a re-appraisal of the existing paradigms to achieve an adequate management of the upstream determinants of health instead of a (pre)dominant medical and hospital-centric approach. In the era of personalized healthcare, it is time to empower policy makers, professionals and citizens for achieving an evidence-based change in the health-disease interface and decision-making process for public health interventions. The scientific and professional society Health Technology Assessment International (HTAi) has recognized nutrition as a health technology by creating a Interest Group (IG) dedicated to research on methodologies and assessments of nutrition-related public health, while taking into account contextual factors (ethical, legal, social, organizational, economic, ...) in order to generate meaningful outcomes for establishing evidence-based health policies. This Research Topic aims to elaborate on some of the potential hurdles which have to be overcome for the sake of sustainable healthcare provisions anywhere in the world, such as shortcomings in methodological approaches, regulatory frameworks, gaps between evidence, its hierarchy and final recommendations for public health management.
nutrition --- sustainable public health --- Health Outcomes --- Cost Effectiveness --- Health Technology Assessment --- Contextual research --- diet quality --- ecosystems health --- Non communicable diseases
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Seit 30 Jahren erscheint der Arzneiverordnungs-Report mit Daten, Analysen und Kommentaren zur Verordnung von Arzneimitteln. Erklärte Ziele des Buches sind seitdem die Transparenz des Arzneimittelmarkts, die Bewertung von Arzneimitteln und die evidenzbasierte Arzneitherapie. Jährlich werden die Rezepte für die Patienten der gesetzlichen Krankenversicherung (GKV) analysiert. 2013 haben 202.965 Vertragsärzte 819 Mio. Arzneiverordnungen im Wert von 32,1 Mrd. € (+3,2 %) ausgestellt. Seit 3 Jahren ist die Nutzenbewertung gemäß Arzneimittelmarkt-Neuordnungsgesetz (AMNOG) etabliert. Damit wurde erreicht, dass neue Arzneimittel in Deutschland nicht mehr teurer sind als in den europäischen Nachbarländern. Die Nutzenbewertung von Arzneimitteln des Bestandsmarkts wurde im April dieses Jahres gestoppt, obwohl die Ärzteschaft die Fortführung gefordert hatte. So werden die Patienten weiterhin mit überhöhten Arzneimittelkosten belastet, obwohl die GKV schon 3,0 Mrd. € zusätzliche Rabatte von der Pharmaindustrie erhält. Weitere Kosten könnten bei Analogpräparaten (2,4 Mrd. €), Patentarzneimitteln des Bestandsmarkts (2,0 Mrd. €) und umstrittenen Arzneimitteln (0,5 Mrd. €) gespart werden.
Pharmacy management. --- Pharmacy. --- Health economics. --- Public health. --- Internal medicine. --- Pharmacoeconomics and Health Outcomes. --- Health Economics. --- Public Health. --- Internal Medicine.
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At the dawn of the third millennium, we are confronted with a disturbing phenomenon: although global life expectancy still increases, this is not the case for healthy life expectancy! The explanation of this seemingly contradiction is mainly due to the rising prevalence of the new pandemia of chronic non-communicable diseases (NCDs). Even in low and middle income countries, the improvement in healthcare status and life expectancy is paralled by the increase of NCDs, as in all countries worldwide. Since the United Nations General Assembly held in New York in 2011, many publications have emphasized the close link between NCDs and nutrition. The NCDs epidemic forces us to reconsider the public health perspectives. Many governments, non-governmental organizations and other institutions are actively involved in educational nutrition programs and campaigns; however their efforts seldom obtain the results hoped for. It is extremely difficult to induce changes in lifestyle and behavior that have built up over a long period of time. However, it becomes urgent to adapt to our changing life-environment where traditional wisdom and intuitive choices are giving way to individual thinking and search for (often uncontrolled) information. This engenders a number of unprecedented challenges and it calls for a re-appraisal of the existing paradigms to achieve an adequate management of the upstream determinants of health instead of a (pre)dominant medical and hospital-centric approach. In the era of personalized healthcare, it is time to empower policy makers, professionals and citizens for achieving an evidence-based change in the health-disease interface and decision-making process for public health interventions. The scientific and professional society Health Technology Assessment International (HTAi) has recognized nutrition as a health technology by creating a Interest Group (IG) dedicated to research on methodologies and assessments of nutrition-related public health, while taking into account contextual factors (ethical, legal, social, organizational, economic, ...) in order to generate meaningful outcomes for establishing evidence-based health policies. This Research Topic aims to elaborate on some of the potential hurdles which have to be overcome for the sake of sustainable healthcare provisions anywhere in the world, such as shortcomings in methodological approaches, regulatory frameworks, gaps between evidence, its hierarchy and final recommendations for public health management.
nutrition --- sustainable public health --- Health Outcomes --- Cost Effectiveness --- Health Technology Assessment --- Contextual research --- diet quality --- ecosystems health --- Non communicable diseases
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Health systems are not just about improving health: good ones also ensure that people are protected from the financial consequences of receiving medical care. Anecdotal evidence suggests health systems often perform badly in this respect, apparently with devastating consequences for households, especially poor ones and near-poor ones. Two principal methods have been used to measure financial protection in health. Both relate a household's out-of-pocket spending to a threshold defined in terms of living standards in the absence of the spending: the first defines spending as catastrophic if it exceeds a certain percentage of the living standards measure; the second defines spending as impoverishing if it makes the difference between a household being above and below the poverty line. The paper provides an overview of the methods and issues arising in each case, and presents empirical work in the area of financial protection in health, including the impacts of government policy. The paper also reviews a recent critique of the methods used to measure financial protection.
Chemotherapy --- Community health --- Families --- Health care --- Health Monitoring and Evaluation --- Health outcomes --- Health Policy --- Health services --- Health Systems Development and Reform --- Health, Nutrition and Population --- Medicines --- Patients --- Workers
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