OBJECTIVE This study analyzed the cost-effectiveness of delivering alcohol screening, brief intervention, and referral to treatment (SBIRT) in emergency departments (ED) when compared to outpatient medical settings. METHODS A probabilistic decision analytic tree categorized patients into health states. Utility weights and social costs were assigned to each health state. Health outcome measure...

AIMS To develop and populate a plausible model of the impact of early intervention (EI) for children and adolescents with psychosis to estimate potential short-term health-related cost savings compared to generic Child and Adolescent Mental Health Services (CAMHS). METHOD A decision-tree-based model for EI in CAMHS was developed. The model was populated using data relating to the use of inpat...

EDUCATIONAL OBJECTIVES As a result of reading this article, physicians should be able to: 1. State an argument for, and background information on, patient-centered arthroplasty protocols. 2. Describe specific recommendations for designing a simplified arthroplasty care pathway that is reproducible in other institutions. 3. Discuss cost-effectiveness research on the latest value-delivering proto...

BACKGROUND An important aim of integrated care for frail elderly is to generate more cost-effective health care. However, empirical research on the cost-effectiveness of integrated care for community-dwelling frail elderly is limited. OBJECTIVE This study reports on the cost-effectiveness of the Walcheren Integrated Care Model (WICM) after 12 months from a societal perspective. METHODS The ...

BACKGROUND Most older patients are not treated for osteoporosis after fragility fracture. In a 3-armed randomized trial, we reported that 2 inexpensive mail-based interventions, one directed at physicians and the other at physicians plus patients, increased 1-year osteoporosis treatment starts by 4% and 6% (respectively) compared with usual care starts of 11%. The cost-effectiveness of these in...

OBJECTIVES We report the 10-year effectiveness and within-trial cost-effectiveness of the Diabetes Prevention Program (DPP) and its Outcomes Study (DPPOS) interventions among participants who were adherent to the interventions. STUDY DESIGN DPP was a 3-year randomized clinical trial followed by 7 years of open-label modified intervention follow-up. METHODS Data on resource utilization, cost...

We examine the introduction of the voluntary filing program (VFP) by the Securities and Exchange Commission (SEC) for the introduction of XBRL (eXtensible Business Reporting Language), or Interactive Data as called in the US. XBRL is a machine-readable standardized format for financial reports. The VFP allowed firms to file annual and quarterly reports using XBRL. This program represents a quas...

We estimate how well we will know the parameters of solar neutrino oscillations after KamLAND and Borexino. The expected error on ∆m is few per-mille in the VO and QVO regions, few per-cent in the LMA region, and around 10% in the LOW region. The expected error on sin 2θ is around 5%. KamLAND and Borexino will tell unambiguously which specific new measurement, dedicated to pp solar neutrinos, i...

A structural intervention designed to reduce unnecessary chlamydia screening among older women resulted in a 24.4% reduction in test volume and an associated cost savings of nearly $40,000.