scholarly journals A cost effective, community based heart health promotion project in England: prospective comparative study

BMJ ◽  
1997 ◽  
Vol 315 (7108) ◽  
pp. 582-585 ◽  
Author(s):  
T. Baxter ◽  
P. Milner ◽  
K. Wilson ◽  
M. Leaf ◽  
J. Nicholl ◽  
...  
1998 ◽  
Vol 89 (6) ◽  
pp. 406-409 ◽  
Author(s):  
S. Martin Taylor ◽  
Susan Elliott ◽  
Kerry Robinson ◽  
Stuart Taylor

1998 ◽  
Vol 27 (5) ◽  
pp. 702-712 ◽  
Author(s):  
Jennifer O'Loughlin ◽  
Lise Renaud ◽  
Lucie Richard ◽  
Luis Sanchez Gomez ◽  
Gilles Paradis

1999 ◽  
Vol 19 (3) ◽  
pp. 263-268 ◽  
Author(s):  
Beverly Jung ◽  
Peter G. Blake ◽  
Ravindra L. Mehta ◽  
David C. Mendelssohn

Objective To determine the opinions and attitudes of Canadian nephrologists about dialysis modality decisions and optimal dialysis system design. Participants Members of the Canadian Society of Nephrology. Intervention A mailed survey questionnaire. Results A 66% response rate was obtained. Decisions about modality are reported to be based most strongly on patient preference (4.4 on a scale from 1 to 5), followed by quality of life (4.06), morbidity (3.97), mortality (3.85), and rehabilitation (3.69), while neither facility (1.78) nor physician (1.62) reimbursement are important. When asked about the current relative utilization of each modality, nephrologists felt that hospital-based hemodialysis (HD) is slightly overutilized (2.53), continuous ambulatory peritoneal dialysis (CAPD) is about right (3.00), while cycler peritoneal dialysis (PD) (3.53), community-based full (3.83) and self-care HD (3.91), and home HD (4.02) are underutilized. A hypothetical question about optimal distribution to maximize survival revealed that a type of HD should constitute 62.8% of the mix, with more emphasis on cycler PD (14.9%), community-based full care HD (13.8%), self-care HD (14.5%), and home HD (9.0%) than is current practice. However, when the goal was to maximize cost effectiveness, HD fell slightly to 57.8%. Conclusions These survey results suggest that the current national average 66%/34% HD/PD ratio is reasonable. However, there appears to be a consensus that Canada could evolve to a more cost-effective, community-based dialysis system without compromising patient outcomes.


2018 ◽  
Vol 5 (2) ◽  
pp. 584 ◽  
Author(s):  
Santoshkumar N. Deshmukh ◽  
Audumbar N. Maske

Background: The ideal method of abdominal wound closure remains to be discovered. It should be technically so simple that the results are as good in the hands of a trainee as in those of the master surgeon. The best abdominal closure technique should be fast, easy, and cost effective while preventing both early and late complications. Present study is undertaken to compare the two methods (Mass closure and Layered closure) of laparotomy wound closure in relation to post-operative complications, time for wound closure and cost effectiveness in both groups and also to decide the most effective method among the two.Methods: This prospective comparative study was conducted in department of surgery at a tertiary care teaching hospital at Solapur (Maharashtra) from January 2006 to January 2009. On admission, patients suspected of having intraabdominal pathology, a thorough clinical e and general assessment was done. Necessary radiological and biochemical investigations were done to support the diagnosis. After confirmation of diagnosis patients were subjected for exploratory laparotomy. The laparotomy wound was closed with either by Mass closure or Layered closure technique. Patients were followed up for 6 months in post-operative period for detection late complications.Results: Total 60 patients of were studied. Majority of patients were in 61 to 65 age group. Male outnumbered the females. Incidence of early complications like seroma, wound infection is more in layered closure group as compared to mass closure. Mean wound closure time is more in layered closure group. Mass closure technique is more cost effective than layered closure group.Conclusions: Mass closure technique is less time consuming, more cost effective and safe for closure of midline laparotomy incisions.


BMJ ◽  
1998 ◽  
Vol 316 (7132) ◽  
pp. 704-704 ◽  
Author(s):  
J. Muir ◽  
T. Lancaster ◽  
G. Fowler ◽  
A. Neil ◽  
G. D. Smith ◽  
...  

2014 ◽  
Vol 13 (1) ◽  
Author(s):  
Chadwick H Sikaala ◽  
Dingani Chinula ◽  
Javan Chanda ◽  
Busiku Hamainza ◽  
Mulenga Mwenda ◽  
...  

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