BACKGROUND There has been significant attention paid in recent years to the economic costs of health service provision for people with palliative care needs. However, little is known about the costs incurred by family caregivers who typically provide the bulk of care for people at the end of life. AIM To explore the nature and range of financial costs incurred by family caregiving within a pa...

Neuropathic pain is defined as ‘pain initiated or caused by a primary lesion or dysfunction of the nervous system’. It can be a debilitating and difficult condition to treat and is often resistant to simple analgesics, requiring additional analgesic approaches. Recent estimates suggest that up to 8% of the general population suffer with pain that is associated with neuropathic features and, whe...

introduction: information technology might have some potential effects, such as influencing treatment process, rate and easiness of information retrieval, and information availability for making clinical decisions based on conditions and management, educational and research activities on health service systems. recognizing these effects can be concerned as a foundation to strategic planning in ...

BACKGROUND Cervical cancer screening is a critical health service that is often unavailable to women in under-resourced settings. In order to expand access to this and other reproductive and primary health care services, a South African non-governmental organization established a van-based mobile clinic in two rural districts in South Africa. To inform policy and budgeting, we conducted a cost ...

OBJECTIVES To compare the effectiveness and costs of a new domiciliary rehabilitation service for elderly stroke patients with geriatric day-hospital care. DESIGN Randomized controlled trial. PARTICIPANTS Stroke patients aged 55+ who required further rehabilitation after hospital discharge or after referral to geriatricians from the community. SETTING Poole area, East Dorset, a mixed urba...

INTRODUCTION The Cervical Cancer (CC) is one of the heavy and costly diseases for the population and the health system. We want to know through this study, the first in Morocco, the annual cost of the treatment of this disease at the National Institute of Oncology (NIO) in Rabat, we also want to explore the possibility of flat-rate management of this disease in order to standardize medical prac...

Passed with the broad bipartisan support of Congress in 2015, the Medicare Access and CHIP Reauthorization Act (MACRA) will bring about comprehensive changes to how Medicare pays for physician services. MACRA aims to accelerate the transformation from fee-for-service payment to alternative payment models that require physicians to assume risk for the cost and quality of care. Given the nation’s...

BACKGROUND The long-term health outcomes and costs of helicopter emergency medical services (HEMS) assistance remain uncertain. The aim of this study was to investigate the cost-effectiveness of HEMS assistance compared with emergency medical services (EMS). METHODS A prospective cohort study was performed at a level I trauma centre. Quality-of-life measurements were obtained at 2 years after...

BACKGROUND The aim of this study was to review evaluations and audits of primary care complementary therapy services to determine the impact of these services on improving health outcomes and reducing NHS costs. Our intention is to help service users, service providers, clinicians and NHS commissioners make informed decisions about the potential of NHS based complementary therapy services. ME...

BACKGROUND Injection site infections among injecting drug users (IDUs) have been associated with serious morbidity and health service costs in North America. This study explores the frequency, factors and costs associated with injection site infections among IDUs in England. METHODS Unlinked-anonymous survey during 2003/05 recruiting IDUs from community settings at seven locations across Engl...