Patients' and health-care professionals' awareness of cost: a multicentre survey

Boxel, Gijs I van; Duren, Bernard H van; Boxel, Elizabeth-Jane van; Gilbert, Rodney D.; Gilbert, Paul A.; Appleton, S G

doi:10.12968/hmed.2016.77.1.42

Cited by 10 publications

(7 citation statements)

References 8 publications

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“…In many health systems, institutions provide treatment to patients at little or no cost, and it is they who bear the greatest financial burden [27]. Beneficiaries of free treatment are generally unaware of the cost of treatment paid by the state [28,29]. In the insurance model of the health care system functioning in Poland, the patient remains unaware of the expenses incurred by health services by the institution.…”

Section: Discussionmentioning

confidence: 99%

Awareness of the costs of selected medical procedures and the use of healthcare among young adults in Poland

Rogalska

Sobczyk

Holecki

2022

J Educ Health Sport

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Aim: The study aimed to test students' awareness of the costs of selected medical procedures. Another aim was to identify the frequency of used medical benefits both as part of public and private medical care. Materials and Methods: The research group included 246 people, both women, and men, aged 19-29, studying in Poland. An anonymous research questionnaire was used to conduct the study, which was sent to 21 universities in Poland (medical universities and physical education academies). The questionnaire asked participants to estimate the costs of treatments and investigations. The respondents were also asked which services of medical specialists they used in the last year. Results: Outpatient specialist care services under the public health care system were used by the majority of respondents (N = 200; 81.3%). Most often it was 1-2 times in the last year (54.5% of all respondents used the public health service). The respondents most often used gynecological (33%), ophthalmological (21%), and dermatological (15.5%). In turn, private medical care was used by 192 respondents (78%) out of all the respondents. Respondents revalued all assessed medical procedures by 27% for the diagnostic colonoscopy to 790% for a 20-minute massage at a rehabilitation clinic. Conclusion: Cost awareness among polish students is poor. Lack of awareness of the costs of medical procedures (the amount that the public payer pays for specific procedures medical) that may have an impact on the use of healthcare services as well as health care expenses.

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Section: Discussionmentioning

confidence: 99%

Awareness of the costs of selected medical procedures and the use of healthcare among young adults in Poland

Rogalska

Sobczyk

Holecki

2022

J Educ Health Sport

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“…16 The second risk is that of radiation exposure, as it has been proposed that 0.2%-2% of all cancers are a direct consequence of radiation exposure during CT. 17,18 Lastly, the approximate cost of a CT of the abdomen and pelvis, with contrast, is £130. 19 …”

Section: Discussionmentioning

confidence: 99%

Towards an evidence-based management of right iliac fossa pain in the over 50-year-old patient

Gammeri

Catton

Duren

et al. 2016

annals

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INTRODUCTION Right iliac fossa pain is a common presenting complaint to general surgery. The differential diagnosis is wide, particularly in the elderly. Computed tomography (CT) is often used in the 'older' population, as they have a higher prevalence of acute colonic diverticulitis and colonic neoplasia, both of which should be identified prior to surgery. There is, however, no published evidence to support this practice. METHODS We retrospectively reviewed the records of all patients aged over 50 years who presented with right iliac fossa (RIF) pain to a district general hospital. We determined whether tenderness was predominantly right-or left-sided and whether systemic inflammatory response syndrome (SIRS) was present on admission. The use of imaging modalities, their results and, if performed, operative findings were recorded. RESULTS Of 3160 patients identified, 89 met the inclusion criteria. Diagnoses included appendicitis (27%), neoplasia (15%), non-specific abdominal pain (15%) and acute colonic diverticulitis (10%). CT was performed in 82% of patients, with a sensitivity of 97% based on operative findings. Six patients underwent surgery without a scan, two of whom required a change in the planned procedure due to unexpected findings. CONCLUSIONS Unless contraindicated, CT scanning should be mandatory in patients aged over 50 years presenting with signs of peritonism in the RIF or lower abdomen.

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“…The deionized water raindrops were produced at a height of 4 m, so that most drops achieved close to their terminal velocities (Coble, 1996) before hitting the surface. According to Van Boxel (1998), when released at 4 m, 2.0, 3.0, and 4.0 mm raindrops would reach 90%, 86%, and 84% of their terminal velocities. The flow rate of the syringe pump was adjusted so that 50, 75, and 100 raindrops were generated per minute.…”

Section: Methodsmentioning

confidence: 99%

Production Flux and Chemical Characteristics of Spray Aerosol Generated From Raindrop Impact on Seawater and Soil

Zhou

Wang

et al. 2020

JGR Atmospheres

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Raindrops impacting water or soil generate bubbles, which can burst and eject spray aerosols. However, aerosols resulting from raindrop impact are often overlooked in atmospheric aerosol studies, and their production flux and chemical characteristics have not been quantified. Here we measured the production rate, size distribution, and chemical composition of spray aerosols from laboratory simulations of raindrops impinging on seawater and soils. It was found that the number of spray aerosols produced from each raindrop impact on seawater grows exponentially with increasing raindrop diameter. The spray aerosol production flux was then calculated for a range of rain rates. The spray aerosol production rate from raindrop impact on soil was approximately one order of magnitude lower than that from impact on seawater, but the production rate was enhanced drastically when water ponded on the soil surface. The chemical compositions of the generated spray aerosols were characterized by a single particle mass spectrometer. Generally, spray aerosol from raindrop impact on seawater contained sodium, potassium, calcium, and other metals as well as some organic carbon. The spray aerosols from raindrop impact on soils contained metals and some organic carbon. These aerosol production flux and composition findings are critical to identification of raindrop impact produced aerosols and further investigation of their roles in the atmosphere.

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Patients' and health-care professionals' awareness of cost: a multicentre survey

Abstract: Delivering cost-effective health care within the constraints of public funding is the goal of the NHS. In this study 248 health-care professionals and patients across six different hospitals were surveyed to ascertain their cost awareness. Cost awareness was poor across all groups.

Cited by 10 publications

References 8 publications

Awareness of the costs of selected medical procedures and the use of healthcare among young adults in Poland

Awareness of the costs of selected medical procedures and the use of healthcare among young adults in Poland

Towards an evidence-based management of right iliac fossa pain in the over 50-year-old patient

Production Flux and Chemical Characteristics of Spray Aerosol Generated From Raindrop Impact on Seawater and Soil

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