Effective healthcare cost-containment policies: A systematic review

Stadhouders, Niek; Kruse, Florien Margareth; Tanke, Marit A.C.; Koolman, Xander; Jeurissen, Patrick

doi:10.1016/j.healthpol.2018.10.015

Cited by 112 publications

(87 citation statements)

References 108 publications

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“…26 Furthermore, not all ITCs are contracted by all health insurers, while GHs more often are contracted by all four major health insurers-with a contracting index of 0.53 for ITCs and 0.88 for hospitals. 27 Therefore, people with an indemnity health care insurance package will probably be more inclined to opt for ITCs. These insurance packages cover ITC care even when the ITC has no contract from this respective health insurer.…”

Section: Kruse Et Almentioning

confidence: 99%

Do independent treatment centers offer more value than general hospitals? The case of cataract care

Kruse¹,

Groenewoud²,

Atsma³

et al. 2019

Health Services Research

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Objective To identify differences between independent treatment centers (ITCs) and general hospitals (GHs) regarding costs, quality of care, and efficiency. Data Sources Anonymous claims data (2013‐2015) were used. We also obtained quality indicators from a semipublic platform. Study Design This study uses a comparative multilevel analysis, controlling for case mix, to evaluate the performance of ITCs and GHs for patients diagnosed with cataract. Data Collection Reimbursement claims were extracted from existing claims databases of the largest Dutch health insurer. Quality indicators were obtained by external agencies through a mixed‐mode survey. Principal Findings There are no stark differences in complexity of cases for cataract care. ITCs seem to perform surgeries more frequently per care pathway, but conduct a lower number of health care activities per surgical claim. Total average costs are lower in ITCs compared with GHs, but when adjusted for case mix, the differences in costs are lower. The findings with the adjusted quality differences suggest that ITCs outperform GHs on patient satisfaction, but patients’ outcomes are similar. Conclusion This finding supports the postulation—based on the focus factory theory—that ITCs can provide more value for cataract care than GHs.

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Section: Kruse Et Almentioning

confidence: 99%

Do independent treatment centers offer more value than general hospitals? The case of cataract care

Kruse¹,

Groenewoud²,

Atsma³

et al. 2019

Health Services Research

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“…To compound demographic and epidemiologic challenges, healthcare costs continue to rise (Ong & Tan, 2019). Therefore, a physician‐centric model of care is unsustainable in chronic CVD management, especially when cost containment is imperative to ensure that care remains affordable (Stadhouders, Kruse, Tanke, Koolman, & Jeurissen, 2019).…”

Section: Discussionmentioning

confidence: 99%

Understanding the role of an advanced practice nurse through the perspectives of patients with cardiovascular disease: A qualitative study

Woo

Koh

Zhou

et al. 2020

Journal of Clinical Nursing

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Aims and objectives:To explore patients' understanding of the role of an advanced practice nurse (APN). Background:The increasing prevalence of multimorbidities among people living with cardiovascular disease (CVD) has increased the complexity of their clinical care.Implementing the role of APNs in new models of care has been shown to improve outcomes in the CVD population. However, the CVD population's understanding of and experiences with the APN role have not been examined in Singapore.Methods: An exploratory descriptive qualitative design using semi-structured face-to-face individual interviews was undertaken (November 2017-March 2018).Fourteen participants were purposively sampled from an outpatient clinic in one of Singapore's national heart centres. Thematic analysis was undertaken. The COREQ guidelines were adhered to. Findings:The multi-ethnic sample included ten males and four females. Two main themes were identified: (1) APNs play a complementary role to doctors and (2) the acceptance of the APN role takes time. Each theme was supported by three subthemes to further elucidate the role and acceptance of APNs. Conclusion:A lack of understanding of the role of APNs is present, thereby causing the less than optimal patient acceptance of APNs. As patients with CVD experience improvements to their health through APN-led services, they may gain confidence in APNs' skills and knowledge.Relevance to clinical practice: When introducing new roles, fully explaining these roles to the target population is pertinent as it will be facilitative to patient engagement and optimisations of care. The findings support the call for APNs to explain the value and essence of advanced practice nursing more effectively. There should be a greater emphasis on teaching APNs to introduce and explain the role of APNs S U PP O RTI N G I N FO R M ATI O N Additional supporting information may be found online in the Supporting Information section. How to cite this article: Woo B, Koh K, Zhou W, Wei Lim T, Lopez V, Tam W. Understanding the role of an advanced practice nurse through the perspectives of patients with cardiovascular disease: A qualitative study. J Clin Nurs.

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“…The consequential increase in population has significant social impact in terms of healthcare requirements. In this regard, healthcare cost containment is a crucial factor which implies strict control of medicines, medical equipment, and hospital care expenditures [2]. There is, thus, a need to develop and implement groundbreaking devices able to provide medical services at an affordable cost.…”

Section: Introductionmentioning

confidence: 99%

A Prototype Framework Design for Assisting the Detection of Atrial Fibrillation Using a Generic Low-Cost Biomedical Sensor

Pérez-Valero

García-Sánchez

Marín

2020

Sensors

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Cardiovascular diseases are the leading cause of death around the world. As a result, low-cost biomedical sensors have been gaining importance in business and research over the last few decades. Their main benefits include their small size, light weight, portability and low power consumption. Despite these advantages, they are not generally used for clinical monitoring mainly because of their low accuracy in data acquisition. In this emerging technological context, this paper contributes by discussing a methodology to help practitioners build a prototype framework based on a low-cost commercial sensor. The resulting application consists of four modules; namely, a digitalization module whose input is an electrocardiograph signal in portable document format (PDF) or joint photographic expert group format (JPEG), a module to further process and filter the digitalized signal, a selectable data calibration module and, finally, a module implementing a classification algorithm to distinguish between individuals with normal sinus rhythms and those with atrial fibrillation. This last module employs our recently published symbolic recurrence quantification analysis (SRQA) algorithm on a time series of RR intervals. Moreover, we show that the algorithm applies to any biomedical low-cost sensor, achieving good results without requiring any calibration of the raw data acquired. In addition, it has been validated with a well-accepted public electrocardiograph (ECG) data base, obtaining 87.65%, 91.84%, and 91.31% in terms of sensitivity, specificity and accuracy, respectively.

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Effective healthcare cost-containment policies: A systematic review

Cited by 112 publications

References 108 publications

Do independent treatment centers offer more value than general hospitals? The case of cataract care

Do independent treatment centers offer more value than general hospitals? The case of cataract care

Understanding the role of an advanced practice nurse through the perspectives of patients with cardiovascular disease: A qualitative study

A Prototype Framework Design for Assisting the Detection of Atrial Fibrillation Using a Generic Low-Cost Biomedical Sensor

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