High cost patients for cardiac surgery and hospital quality in Turkey

Başer, Onur; Bürkan, A.; Baser, E.; Köselerli, R.; Ertugay, E.; Altınbaş, Akif

doi:10.1016/j.healthpol.2012.09.015

Cited by 7 publications

(6 citation statements)

References 14 publications

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“…In addition, members of the Turkish Grand National Assembly and the Supreme Court, as well as foreign insurance policy holders and some military personnel, were excluded from the Universal Health Insurance Fund in the SSI; therefore, their data are not in the system. The data have been used in several outcomes research studies [26][27][28][29][30].…”

Section: Methodsmentioning

confidence: 99%

Economic Impact and Complications of Treated and Untreated Hepatitis C Virus Patients in Turkey

Başer

Altınbaş

Baser

et al. 2015

Value in Health Regional Issues

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Section: Methodsmentioning

confidence: 99%

Economic Impact and Complications of Treated and Untreated Hepatitis C Virus Patients in Turkey

Başer

Altınbaş

Baser

et al. 2015

Value in Health Regional Issues

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“…These complications are the main causes of morbidity and mortality after a cardiac surgery [10], contributing for the increase of length of hospital stay and its cost [11,12]. works with specific functions wished to be recovered, mainly in attention, memory, physical strength and using challenging strategies [22].…”

mentioning

confidence: 99%

The use of the virtual reality as intervention tool in the postoperative of cardiac surgery

Cacau¹,

Oliveira²,

Maynard³

et al. 2013

Revista Brasileira De Cirurgia Cardiovascular

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Veja reportagem sobre o tema desenvolvido neste artigo acessando o link: http://globotv.globo.com/tv-sergipe/se-tv-2a-edicao/v/games-sao-terapiapara-pacientes-cardiacos-em-aracaju/2194856/ EXPERIMENTAL STUDY Abstract Introduction: Cardiac surgery has been the intervention of choice in many cases of cardiovascular diseases. Susceptibility to postoperative complications, cardiac rehabilitation is indicated. Therapeutic resources, such as virtual reality has been helping the rehabilitational process. The aim of the study was to evaluate the use of virtual reality in the functional rehabilitation of patients in the postoperative period.Methods: Patients were randomized into two groups, Virtual Reality (VRG, n = 30) and Control (CG, n = 30). The response to treatment was assessed through the functional independence measure (FIM), by the 6-minute walk test (6MWT) and the Nottingham Health Profile (NHP). Evaluations were performed preoperatively and postoperatively.Results: On the first day after surgery, patients in both groups showed decreased functional performance. However, the VRG showed lower reduction (45.7±2.3) when compared to CG (35.06±2.09, P<0.05) in first postoperative day, and no significant difference in performance on discharge day (P>0.05). In evaluating the NHP field, we observed a significant decrease in pain score at third assessment (P<0.05). These patients also had a higher energy level in the first evaluation (P<0.05). There were no differences with statistical significance for emotional reactions, physical ability, and social interaction. The length of stay was significantly shorter in patients of VRG (9.4±0.5 days vs. 12.2 ± 0.9 days, P<0.05), which also had a higher 6MWD 282Rev Bras Cir Cardiovasc | Braz J Cardiovasc Surg Bras Cir Cardiovasc 2013;28(2):281-9 Rev

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“…Moreover, members of the Turkish Grand National Assembly and the Supreme Court as well as foreign insurance holders and some military personnel were excluded from the UHI Fund in the SSI. The data have been used in several outcomes research studies .…”

Section: Methodsmentioning

confidence: 99%

Retrospective analysis of total direct medical costs associated with hepatitis B patients with oral antiviral versus pegylated interferon therapy in Turkey

Altınbaş

Baser²,

Bürkan

et al. 2014

Journal of Viral Hepatitis

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To explore healthcare costs associated with antiviral treatment of hepatitis B virus (HBV) in Turkey. Research-identified data from a claims processing system for all Turkish health insurance funds were analysed. Adult patients prescribed oral antiviral and pegylated interferon treatment were identified between 1 January 2010 and 31 December 2010. The first prescription date was defined as the index date. Patients were required to have HBV diagnosis within the 6-month pre-index period. Pharmacy, outpatient and inpatient claims were compiled over the study period for the selected patients, and risk-adjusted 1-year healthcare costs of patients with oral antiviral and pegylated interferon treatment were compared. Risk adjustment was carried out using propensity score matching, controlling for baseline demographic and clinical characteristics. A total of 9618 patients were identified, of which 9074 were treated with oral antiviral medication and 544 with pegylated interferon medication. The oral antiviral treatment group was older (45.28 vs 42.19, P < 0.001), less likely to be female (32.17% vs 39.71%, P < 0.001) and to reside in Southeastern Anatolia (8.29% vs 13.97%, P < 0.001) or Mediterranean region (8.90% vs 11.76%, P < 0.03) and had higher Elixhauser comorbidity index scores (60.22% vs 74.08%, P < 0.001) than the pegylated interferon group. After adjusting for confounding factors, total medical costs for pegylated interferon patients were €2771 higher than for oral antiviral patients (P < 0.001), due to higher outpatient and prescription costs. For annual healthcare costs for antiviral treatment options for HBV patients in Turkey, after adjusting for age, gender, region and comorbid condition differences, oral antiviral treatment is more costly than pegylated interferon treatment.

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High cost patients for cardiac surgery and hospital quality in Turkey

Cited by 7 publications

References 14 publications

Economic Impact and Complications of Treated and Untreated Hepatitis C Virus Patients in Turkey

Economic Impact and Complications of Treated and Untreated Hepatitis C Virus Patients in Turkey

The use of the virtual reality as intervention tool in the postoperative of cardiac surgery

Retrospective analysis of total direct medical costs associated with hepatitis B patients with oral antiviral versus pegylated interferon therapy in Turkey

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