Cost Savings

Publication Title: 
Forschende Komplementarmedizin (2006)

Though homeopathy has been in successful and continuous use for well over 200 years, in the United Kingdom it is under growing pressure, from scientific detractors and sections of the media. As such, homeopathy's free National Health Service provision is threatened because it is derided as 'unproven', 'unscientific', and even 'deadly'. While refuting these and other detractions, this paper considers possible reasons for the current plight of homeopathy UK.

Author(s): 
Milgrom, Lionel R.
Publication Title: 
The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences

OBJECTIVE: States vary greatly in their support for home- and community-based services (HCBS) that are intended to help disabled seniors live in the community. This article examines how states' generosity in providing HCBS affects the risk of nursing home admission among older Americans and how family availability moderates such effects. METHODS: We conducted discrete time survival analysis of first long-term (90 or more days) nursing home admissions that occurred between 1995 and 2002, using Health and Retirement Study panel data from respondents born in 1923 or earlier.

Author(s): 
Muramatsu, Naoko
Yin, Hongjun
Campbell, Richard T.
Hoyem, Ruby L.
Jacob, Martha A.
Ross, Christopher O.
Publication Title: 
American Heart Journal

The reuse of percutaneous transluminal coronary angioplasty (PTCA) balloon catheters has recently been proposed as a way of containing costs. Our aim was to examine patient acceptability of this strategy. We asked 100 consecutive patients scheduled for potential or definite PTCA whether they would permit the use of sterilized, reused balloon catheters. We collected demographic, clinical, angiographic, and insurance-status data on all patients. Sixty-eight patients responded that they would have allowed reused equipment (group 1). Thirty-two patients would have refused (group 2).

Author(s): 
Vaitkus, P. T.
Publication Title: 
Tropical medicine & international health: TM & IH

INTRODUCTION: There is growing international evidence that artemisinin-based combination therapy (ACT) is one of the few effective measures available to 'Roll Back Malaria'. However, concerns about the costs and affordability of ACT are obstacles to its widespread implementation. This paper explores some economic aspects of the implementation of artemether-lumefantrine (AL) to replace sulphadoxine-pyrimethamine (SP) in the KwaZulu Natal (KZN) province, South Africa.

Author(s): 
Muheki, Charlotte
McIntyre, Di
Barnes, Karen I.
Publication Title: 
The American Journal of Managed Care

OBJECTIVES: To evaluate the cost impact of an integrative medicine intervention on an inpatient oncology service. STUDY DESIGN: This study used nonrandomized, nonequivalent groups. A baseline sample of inpatient oncology patients at Beth Israel Medical Center admitted to the medical oncology unit before implementation of the Urban Zen Initiative were compared with patients admitted after the Urban Zen Initiative was in place. METHODS: The Urban Zen Initiative incorporated yoga therapy, holistic nursing techniques, and a "healing environment" into routine inpatient oncology care.

Author(s): 
Kligler, Benjamin
Homel, Peter
Harrison, Louis B.
Levenson, Hanniel D.
Kenney, Jeanne B.
Merrell, Woodson
Publication Title: 
Current Opinion in Nephrology and Hypertension

PURPOSE OF REVIEW: Patients on maintenance dialysis commonly develop protein-energy wasting (PEW), which is associated with poor survival. There have been several advances in anabolic interventions aimed at improving PEW in these patients in recent years. RECENT FINDINGS: Oral or parenteral nutritional supplementation, especially if administered during dialysis, improves net protein anabolism in chronic hemodialysis patients. These beneficial effects have been extended to long-term benefits in recent clinical trials.

Author(s): 
Dong, Jie
Ikizler, T. Alp
Publication Title: 
Health Affairs (Project Hope)

Complementary and alternative medicine services in the United States are an approximately $9 billion market each year, equal to 3 percent of national ambulatory health care expenditures. Unlike conventional allopathic health care, complementary and alternative medicine is primarily paid for out of pocket, although some services are covered by most health insurance.

Author(s): 
Davis, Matthew A.
Martin, Brook I.
Coulter, Ian D.
Weeks, William B.
Publication Title: 
The Health Care Manager

China has the world's largest number of disabled people, and this number is projected to grow. Although there is ample literature on the utilization and efficacy of Western medicine as it pertains to rehabilitation services, there is far less research on the perceived efficacy of traditional Chinese medicine (TCM). A structured questionnaire was designed for a pilot study on TCM and Western medicine used for rehabilitation services in China, their associated charges, and perceived efficacy. A sample of 33 clinicians responded to the questionnaire.

Author(s): 
Zhao, Mei
Haley, D. Rob
Nolin, JoAnn M.
Dunning, Kerry
Wang, Jian
Sun, Qiangsan
Publication Title: 
Gesundheitswesen (Bundesverband Der Ärzte Des Öffentlichen Gesundheitsdienstes (Germany))

For the past several years, conventional health care systems--often called "conventional medicine"--have been criticized widely. Reasons mentioned are increasing costs and its ill equipment to handle multifaceted chronic illnesses. Such a decline of legitimacy is paralleled by an increase of alternative and complementary medicine. As the example of homeopathy shall demonstrate, successful strategies of professionalization in orthodox medicine can not simply be applied to its "holistic challengers".

Author(s): 
Degele, N.
Publication Title: 
Homeopathy: The Journal of the Faculty of Homeopathy

There is little research on cost-effectiveness of homeopathy in General Practice. This study aimed to compare the costs of homeopathic prescribing with conventional drugs prescribing. Data were collected for 4 years on all patients who were treated homeopathically. Costs of homeopathic remedies and costs of conventional drugs which otherwise would be prescribed for these patients was calculated for the total duration of treatment. Savings were calculated. One hundred patients were included in the study. Average cost savings per patient was pounds 60.40.

Author(s): 
Jain, Asha

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