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Building Evidence for Effective Healthcare Programs

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Economics".

Deadline for manuscript submissions: closed (5 June 2023) | Viewed by 3942

Special Issue Editor

Department of Healthcare Management, Graduate School of Public Health, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea
Interests: economic evaluation of healthcare; healthcare accounting and finance

Special Issue Information

Dear Colleagues,

The number of publications in healthcare is increasing every year. However, there is still insufficient evidence for rational decision making in the healthcare community. As innovative approaches and interventions are introduced, new evidence is also necessary. The role of the researcher is to continuously produce such new evidence. While novel medical technologies and approaches can create problems that were not previously considered, they can also alleviate them. Economic concerns, such as cost, burden, efficiency, can always be one of the most important considerations. In the healthcare field, decision making is necessary from time to time. This issue focuses on the following topics: economic evaluation of a smart hospital, cost-effectiveness of non-pharmaceutical interventions in healthcare, alternative approaches in economic evaluations in healthcare, economic implications of hospital operations during the COVID-19 pandemic, etc.

Dr. Tae Hyun Kim
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • economic evaluation
  • cost-effectiveness
  • alternative approaches
  • interventions
  • smart hospitals
  • digital health

Published Papers (2 papers)

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Research

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12 pages, 881 KiB  
Article
Programmatic Cost-Effectiveness of a Second-Time Visit to Detect New Tuberculosis and Diabetes Mellitus in TB Contact Tracing in Myanmar
by Nyi Nyi Zayar, Rassamee Chotipanvithayakul, Kyaw Ko Ko Htet and Virasakdi Chongsuvivatwong
Int. J. Environ. Res. Public Health 2022, 19(23), 16090; https://doi.org/10.3390/ijerph192316090 - 01 Dec 2022
Cited by 1 | Viewed by 1356
Abstract
Background: Integration of diabetes mellitus screening in home visits for contact tracing for tuberculosis could identify hidden patients with either tuberculosis or diabetes mellitus. However, poor compliance to the first home screening has been reported. A second time visit not only increases screening [...] Read more.
Background: Integration of diabetes mellitus screening in home visits for contact tracing for tuberculosis could identify hidden patients with either tuberculosis or diabetes mellitus. However, poor compliance to the first home screening has been reported. A second time visit not only increases screening compliance but also the cost. This study aimed to determine if an additional second time visit was cost effective based on the health system perspective of the tuberculosis contact tracing program in Myanmar. Methods: This cross-sectional study was based on usual contact tracing activity in the Yangon Region, Myanmar, from April to December 2018 with integration of diabetes mellitus screening and an additional home visit to take blood glucose tests along with repeated health education and counseling to stress the need for a chest X-ray. New tuberculosis and diabetes mellitus cases detected were the main outcome variables. Programmatic operational costs were calculated based on a standardized framework for cost evaluation on tuberculosis screening. The effectiveness of an additional home visit was estimated using disability-adjusted life years averted. The willingness to pay threshold was taken as 1250.00 US dollars gross domestic product per capita of the country. Results: Single and additional home visits could lead to 42.5% and 65.0% full compliance and 27.2 and 9.3 additional years of disability-adjusted life years averted, respectively. The respective base costs and additional costs were 3280.95 US dollars and 1989.02 US dollars. The programmatic costs for an extra unit of disability-adjusted life years averted was 213.87 US dollars, which was lower than the willingness to pay threshold. Conclusions: From the programmatic perspective, conducting the second time visit for tuberculosis contact tracing integrated with diabetes mellitus screening was found to be cost effective. Full article
(This article belongs to the Special Issue Building Evidence for Effective Healthcare Programs)
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Review

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23 pages, 996 KiB  
Review
Nursing Home-Sensitive Hospitalizations and the Relevance of Telemedicine: A Scoping Review
by Maria Paula Valk-Draad and Sabine Bohnet-Joschko
Int. J. Environ. Res. Public Health 2022, 19(19), 12944; https://doi.org/10.3390/ijerph191912944 - 10 Oct 2022
Cited by 2 | Viewed by 1999
Abstract
The aging of society is increasing the number of hospitalizations of nursing home residents. Telemedicine might help reduce the frequency of these potentially risk-associated hospitalizations. This scoping review looked for evidence of a change in the rate of hospitalization and, if mentioned, any [...] Read more.
The aging of society is increasing the number of hospitalizations of nursing home residents. Telemedicine might help reduce the frequency of these potentially risk-associated hospitalizations. This scoping review looked for evidence of a change in the rate of hospitalization and, if mentioned, any cost savings and/or staff acceptance of the use of telemedicine in a nursing home setting. To identify available evidence, the electronic databases PubMed, Livivo, EBSCO and JSTOR were searched (without time or regional constraints) for comparative primary research studies on this topic in peer-reviewed journals. A total of 1127 articles were retrieved and 923 titles and abstracts were screened, with 16 studies published between 2001 and 2022 being included. Telemedicine consultation reduced the hospitalization of nursing home residents in 14/16 and care costs in 8/11 articles. Staff satisfaction was mentioned positively in five studies. Most studies used telemedicine involving medical diagnostic technologies (10), (electronic) health records (9), specialists (9) and specialized nursing staff (11). Few studies had a higher level of evidence: only one randomized clinical trial was included. There is the need for high credibility studies, using guidelines on protocol and reporting, to better understand the hindering and facilitating factors of telemedicine provision in the healthcare of nursing home residents. Full article
(This article belongs to the Special Issue Building Evidence for Effective Healthcare Programs)
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