Medical costs of asbestos-related diseases in Spain between 2004 and 2011

García-Gómez, Montserrat; Urbanos-Garrido, Rosa M.; López, Rosario Castañeda; Navarro, Alfredo Menéndez

doi:10.2486/indhealth.2016-0021

Cited by 6 publications

(6 citation statements)

References 17 publications

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“…Several studies investigated the social burden of mesothelioma, someone focused on years of life lost and years of potential life lost 30 others (like this) on the hospitalisation cost. [31][32][33][34][35] Even if direct comparisons are not possible because of different economies and financial management of hospitals between countries, we have found very similar ratios between mean hospital costs by surgical procedures with a recent American work 35 (table 2).…”

Section: Discussionsupporting

confidence: 50%

Hospitalisation costs of malignant mesothelioma: results from the Italian hospital discharge registry (2001–2018)

Ferrante

2021

BMJ Open

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ObjectivesThis paper aims to establish hospitalisation costs of mesothelioma in Italy and to evaluate hospital-related trends associated with the 1992 asbestos ban.DesignThis is a retrospective population-based study of Italian hospitalisations treating pleura, peritoneum and pericardium mesothelioma in the period 2001–2018.SettingsPublic and private Italian hospitals reached by the Ministry of Health (coverage close to 100%).Participants157 221 admissions with primary or contributing diagnosis of pleural, peritoneal or hearth cancer discharged from 2001 to 2018.Primary and secondary outcome measures: number, length and cost of hospitalisations with related percentages.ResultsEach year, Italian hospitals treated a mesothelioma in 6025 admissions on average. Mean annual costs by site were €20 293 733, €3183 632 and €40 443 for pleura, peritoneum and pericardium, respectively. Pericardial mesothelioma showed the highest cost per admission (€6117), followed by peritoneal (€4549) and pleural cases (€3809). Percentage of hospitalisation costs attributable to mesothelioma was higher when it is located in pleura (53.4%) and pericardium (51.8%) with respect to peritoneum (41.2%). Overall annual hospitalisation cost, percentages of number and length of admissions showed an inverted U-shape, with maxima (of €25 850 276, 0.064% and 0.096%, respectively) reached in 2011–2013. Mean age at discharge and percentages of surgery and of urgent cases increased over time.ConclusionsThe highest impact of mesothelioma on the National Health System was recorded 20 years after the asbestos ban (2011–2013). Hospitals should expect soon fewer but more severe patients needing more cares. To study the disease prevalence could help assistance planning of next decade.

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Section: Discussionsupporting

confidence: 50%

Hospitalisation costs of malignant mesothelioma: results from the Italian hospital discharge registry (2001–2018)

Ferrante

2021

BMJ Open

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“…Another study reported that the poor completeness of recorded data hinders accurate knowledge of effects of asbestos on Spanish workers' health [21]. Thus, in Spain, the time trend and incidence rates related to occupational asbestosis might indicate that disease cases in that country are under-reported [7].…”

Section: Discussionmentioning

confidence: 99%

“…A study in a group of asbestosis-diagnosed patients, conducted on the basis of hospital discharge data from Italy (covering the period 2001-2015), the hospitalization rate for all asbestosis cases amounted to 25.2 per 1,000,000 inhabitants [6]. During 1963-2010, there were 815 asbestosis cases in Spain [7]; in Germany during 2013-2016, about 4,100 of all asbestos-related disease cases, which in total amounted to approximately 9,400 per year, represented cases of occupational disease [8]. In Poland, data on occupational diseases related to asbestos are collected by local sanitary inspectors and sent to the Nofer Institute of Occupational Medicine in Łódz, where they are kept in the Central Register of Occupational Diseases.…”

Section: Introductionmentioning

confidence: 99%

Asbestosis hospitalizations in Poland (2006–2016): results from the National Hospital Discharge Registry

Kanecki

Kosińska

Tyszko

et al. 2020

Ann Agric Environ Med.

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Introduction and objective. Occupational asbestos exposure is one of the major public health issues. Although asbestos use in Poland has decreased, asbestosis continues to remain an important health concern in the area of occupational medicine. The aim of the study is to perform a descriptive analysis of hospitalization cases in patients suffering from asbestosis in Poland. Materials and method. The authors used hospital discharge records to conduct a retrospective, population-based study. To estimate the asbestosis hospitalization rate, data from the Nationwide General Hospital Morbidity Study conducted by the National Institute of Public Health were used. Events were defined as in-patient hospital discharges during 2006-2016. 1,101 hospitalization records of 764 patients were included in the study. Results. In the study group of first-time hospitalized patients, the mean and median ages were 68.1 and 69 years, respectively; CI: 67.3-68.9; SD: 11.1, min-max:16-99 years. In this group, significant gender differences were observed (560 males vs. 204 female; P<0.001). No statistical differences were observed regarding the place of residence. During the observation period, 61 in-hospital deaths were reported (8% of all patients), 40 of whom (5.2 % of all patients) took place during the first-time hospitalizations. Asbestosis hospitalizations were mainly clustered in the southwestern region, whereas the highest hospitalization rates were clustered in several areas of Poland. Conclusions. The authors believe this study to be the first evaluation of asbestosis in Poland made on the basis of the hospital morbidity database. The data presented may be helpful in comparative studies on the epidemiology of asbestosis across European countries.

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“…Finally, a set of year dummies, D t , has been included to capture technical change in (2) (z) = + rICU rICU , 2 We thank an anonymous referee for suggesting this alternative interpretation of the medical labour input. 3 From the pioneering work of [29], the WCU has been used both in different academic studies [30,31] 4 That is to say: r ICU = ICUdischarges Discharges ; where: Discharges = General Medicine + 1.5 Surgery + 1.3 Paediatric Medicine + 1.2 Obstetric Medicine 5 The dependent variable in the output distance function would be −lny 1 . Using lny 1 as the dependent variable, the sign of the estimated parameters changes allowing a more standard interpretation.…”

Section: Methodsmentioning

confidence: 99%

“… 3 From the pioneering work of [ 29 ], the WCU has been used both in different academic studies [ 30 , 31 ] and by the Spanish Ministry of Health, which uses it to calculate economic indicators such as budget or expenditure per activity (where hospital activity is weighted by WCU). The WCU takes into account the consumption of resources of each hospital activity, and with this information, weighs the different activities taking as reference a medical stay (that is to say, a medical stay = 1 WCU).…”

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confidence: 99%

The contribution of resident physicians to hospital productivity

2021

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Resident physicians play a double role in hospital activity. They participate in medical practices and thus, on the one hand, they should be considered as an input. Also, they are medical staff in training and, on the other hand, must be considered as an output. The net effect on hospital activities should therefore be empirically determined. Additionally, when considering their role as active physicians, a natural hypothesis is that resident physicians are not more productive than senior ones. This is a property that standard logarithmic production functions (including Cobb–Douglas and Translog functional forms) cannot verify for the whole technology set. Our main contribution is the development of a Translog modification, which implies the definition of the input “doctors” as a weighted sum of senior and resident physicians, where the weights are estimated from the empirical application. This modification of the standard Translog is able, under suitable parameter restrictions, to verify our main hypothesis across the whole technology set while determining if the net effect of resident physicians in hospitals’ production should be associated to an output or to an input. We estimate the resulting output distance function frontier with a sample of Spanish hospitals. Our findings show that the overall contribution of resident physicians to hospitals’ production allows considering them as an input in most cases. In particular, their average productivity is around 37% of that corresponding to senior physicians.

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Medical costs of asbestos-related diseases in Spain between 2004 and 2011

Cited by 6 publications

References 17 publications

Hospitalisation costs of malignant mesothelioma: results from the Italian hospital discharge registry (2001–2018)

Hospitalisation costs of malignant mesothelioma: results from the Italian hospital discharge registry (2001–2018)

Asbestosis hospitalizations in Poland (2006–2016): results from the National Hospital Discharge Registry

The contribution of resident physicians to hospital productivity

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