Health Care Costs

Publication Title: 
Applied Health Economics and Health Policy

BACKGROUND: Low back pain (LBP) is a major health problem, having a substantial effect on peoples' quality of life and placing a significant economic burden on healthcare systems and, more broadly, societies. Many interventions to alleviate LBP are available but their cost effectiveness is unclear. OBJECTIVES: To identify, document and appraise studies reporting on the cost effectiveness of non-invasive and non-pharmacological treatment options for LBP.

Author(s): 
Andronis, Lazaros
Kinghorn, Philip
Qiao, Suyin
Whitehurst, David G. T.
Durrell, Susie
McLeod, Hugh
Publication Title: 
Journal of Psychosomatic Research

OBJECTIVE: The objective of the present study is to estimate the economic consequences of somatization disorder and functional somatic syndromes such as fibromyalgia and chronic fatigue syndrome, defined as bodily distress syndrome (BDS), when mindfulness therapy is compared with enhanced treatment as usual. METHODS: A total of 119 BDS patients were randomized to mindfulness therapy or enhanced treatment as usual and compared with 5950 matched controls. Register data were analyzed from 10years before their inclusion to 15-month follow-up.

Author(s): 
Fjorback, Lone Overby
Carstensen, Tina
Arendt, Mikkel
Ornbøl, Eva
Walach, Harald
Rehfeld, Emma
Fink, Per
Publication Title: 
Forschende Komplementarmedizin (2006)

OBJECTIVE: The aim of this literature review, performed within the framework of the Swiss governmental Program of Evaluation of Complementary Medicine (PEK), was to investigate costs of complementary and alternative medicine (CAM). MATERIALS AND METHODS: A systematic literature search was conducted in 11 electronic databases. All retrieved titles and reference lists were also hand-searched. RESULTS: 38 publications were found: 23 on CAM of various definitions (medical and non-medical practitioners, over-the-counter products), 13 on homeopathy, 2 on phytotherapy.

Author(s): 
Maxion-Bergemann, Stefanie
Wolf, Martin
Bornhöft, Gudrun
Matthiessen, Peter F.
Wolf, Ursula
Publication Title: 
International Journal of Immunopathology and Pharmacology

Controlling environmental factors, chemoprophylaxis, immunoprophylaxis and surgery are considered possible means of preventing recurrent acute otitis media (RAOM), but there are no available data concerning the paediatric use of complementary and alternative medicine (CAM). We evaluated the uses of CAM (homeopathy and/or herbal medicine) as means of preventing AOM in children with a history of RAOM.

Author(s): 
Marchisio, P.
Bianchini, S.
Galeone, C.
Baggi, E.
Rossi, E.
Albertario, G.
Torretta, S.
Pignataro, L.
Esposito, S.
Principi, N.
Publication Title: 
Alternative Therapies in Health and Medicine

OBJECTIVE: To assess the status of managed care and insurance coverage of complementary and alternative medicine (CAM) and the integration of such services into managed care. DATA SOURCES: A literature review and information search were conducted to determine which new insurers had special policies for CAM from 1999 to 2000.

Author(s): 
Pelletier, Kenneth R.
Astin, John A.
Publication Title: 
Spine

STUDY DESIGN: Systematic review. OBJECTIVE: We sought to answer the following clinical questions: (1) Is structured exercise more effective in the treatment of chronic low back pain (LBP) than spinal manipulative therapy (SMT)? (2) Is structured exercise more effective in the treatment of chronic LBP than acupuncture? (3) Is SMT more effective in the treatment of chronic LBP than acupuncture? (4) Do certain subgroups respond more favorably to specific treatments? (5) Are any of these treatments more cost-effective than the others?

Author(s): 
Standaert, Christopher J.
Friedly, Janna
Erwin, Mark W.
Lee, Michael J.
Rechtine, Glenn
Henrikson, Nora B.
Norvell, Daniel C.
Publication Title: 
Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America

BACKGROUND: Recurrent urinary tract infections (UTIs) are a common problem among women. However, comparative effectiveness strategies for managing recurrent UTIs are lacking. METHODS: We performed a systematic literature review of management of women experiencing ?3 UTIs per year. We then developed a Markov chain Monte Carlo model of recurrent UTI for each management strategy with ?2 adequate trials published. We simulated a cohort that experienced 3 UTIs/year and a secondary cohort that experienced 8 UTIs/year.

Author(s): 
Eells, Samantha J.
Bharadwa, Kiran
McKinnell, James A.
Miller, Loren G.
Publication Title: 
Applied Health Economics and Health Policy

BACKGROUND: Low back pain (LBP) is a major health problem, having a substantial effect on peoples' quality of life and placing a significant economic burden on healthcare systems and, more broadly, societies. Many interventions to alleviate LBP are available but their cost effectiveness is unclear. OBJECTIVES: To identify, document and appraise studies reporting on the cost effectiveness of non-invasive and non-pharmacological treatment options for LBP.

Author(s): 
Andronis, Lazaros
Kinghorn, Philip
Qiao, Suyin
Whitehurst, David G. T.
Durrell, Susie
McLeod, Hugh
Publication Title: 
American Journal of Public Health

OBJECTIVES: The Nutrition Labeling and Education Act of 1990 mandates the Food and Drug Administration to promulgate changes in nutrition labeling regulations. This study investigates the potential health benefits associated with expected changes in food consumption resulting from the act. METHODS: This paper provides four estimates of the potential health benefits from the dietary changes expected to occur as a result of the 1990 act. The upper bound estimates begin with the premise that all consumers will adopt the daily reference values of total fat, saturated fat, and cholesterol.

Author(s): 
Zarkin, G. A.
Dean, N.
Mauskopf, J. A.
Williams, R.
Publication Title: 
Diabetes/Metabolism Research and Reviews

In recent years there has been rapid growth in diabetes in Japan which now is one of the nations most affected by the worldwide diabetes epidemic. Diabetes has been identified as a healthcare priority by the Ministry of Health, Labour and Welfare (MHLW). Type 1 diabetes is rare in Japan, and type 2 diabetes predominates in both adults and children. The growth in diabetes is due to increases in the number of people with type 2 diabetes associated with increased longevity and lifestyle changes.

Author(s): 
Neville, Susan E.
Boye, Kristina S.
Montgomery, William S.
Iwamoto, Kazuya
Okamura, Masato
Hayes, Risa P.

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