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Estimated cost for cardiovascular disease risk-based management at a primary healthcare center in Nepal

Global health Research and Policy 2020年第1期5卷 414-422页

作者： Anu Aryal David Citrin Scott Halliday Anirudh Kumar Prajwol Nepal Archana Shrestha Rachel Nugent Dan Schwarz Nyaya health Nepal KathmanduNepal Department of Global health University of WashingtonSeattleWAUSA Department of Anthropology University of WashingtonSeattleWAUSA Henry M.Jackson School of International Studies University of WashingtonSeattleWAUSA Icahn School of Medicine at Mount Sinai Arnhold Institute for Global HealthNew YorkNYUSA Department of Medicine NYU Langone HealthNew YorkNYUSA Gillings School of Public health University of North CarolinaChapel HillNCUSA School of Medical Sciences Kathmandu UniversityDhulikhelNepal Center for Methods in Implementation and Prevention Science Yale School of Public HealthNew HavenCTUSA Department of Chronic Disease Epidemiology Yale School of Public HealthNew HavenCTUSA RTI International SeattleWAUSA Department of Medicine Division of Global Health EquityBrigham&Women’s Hospital75 Francis StreetBostonMA 02115USA Department of Medicine Beth Israel Deaconess Medical CenterBostonMAUSA Department of Medicine Harvard Medical SchoolBostonMAUSA Ariadne Labs Brigham and Women’s Hospital and Harvard T.H.Chan School of Public HealthBostonMAUSA

Background:Low-and middle-income countries are facing an increasing burden of disability and death due to cardiovascular *** makers and healthcare providers alike need resource estimation tools to improve healthcare delivery and to strengthen healthcare systems to address this *** estimated the direct medical costs of primary prevention,screening,and management for cardiovascular diseases in a primary healthcare center in Nepal based on the Global Hearts evidence based treatment protocols for risk-based ***:We adapted the World health Organization’s non-communicable disease costing tool and built a model to predict the annual cost of primary CVD prevention,screening,and management at a primary healthcare center *** used a one-year time horizon and estimated the cost from the Nepal government’s *** used Nepal health insurance board’s price for medicines and laboratory tests,and used Nepal government’s salary for human resource *** the model,we estimated annual incremental cost per case,cost for the entire population,and cost per *** also estimated the amount of medicines for one-year,annual number of laboratory tests,and the monthly incremental work load of physicians and nurses who deliver these ***:For a primary healthcare center with a catchment population of 10,000,the estimated cost to screen and treat 50%of eligible patients is USD21.53 per case and averages USD1.86 per capita across the catchment *** cost of screening and risk profiling only was estimated to be USD2.49 per *** same coverage level,we estimated that an average physician’s workload will increase annually by 190 h and by 111 h for nurses,i.e.,additional 28.5 workdays for physicians and 16.7 workdays for *** total annual cost could amount up to USD18,621 for such a primary healthcare ***:This is a novel study for a PHC-based,primary CVD risk-based management program in Nepal,which can provi

关键词： health care economics and organizations Cardiovascular diseases Risk management Global health Primary care Nepal

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Clinical Study on Tuina Combined with Auricular Point Sticking for Cervical Radiculopathy

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Journal of Acupuncture and Tuina Science 2014年第4期12卷 230-235页

作者： Wang Sai-na Sheng Feng Pan Yun-hua Xu Feng Wang Zhi-chao Cheng Lei Han Chou-ping Tuina Department Longhua HospitalShanghai University of Traditional Chinese Medicine

Objective: To observe the clinical effect of tuina combined with auricular point sticking on cervical radiculopathy and evaluate in health economics. Methods: Using randomized single-blind controlled clinical design, a total of 72 cases with cervical radiculopathy were randomly allocated into an observation group or a control group by the ratio of 1:1, 36 in each group. Cases in the observation group were treated with tuina combined with auricular point sticking, whereas cases in the control group were treated with tuina alone. Then the clinical effects in the two groups were observed and the cost of health economics was evaluated. Results: The drop-out, recovery, improvement and failure cases, recovery rate and total effective rate in the observation group were 1, 15, 20, 0, 42.9% and 100% respectively, versus 2, 6, 23, 5, 17.6% and 85.3% in the control group, showing significant differences in recovery rate and total effective rate(Phealth economics, the cost-effect in the observation group was better than that in the control group. Conclusion: Compared with tuina alone, tuina combined with auricular point sticking can obtain better effect and lower cost in health economics for cervical radiculopathy.

关键词： Tuina Massage Auricular Point Sticking Spondylosis Neck Paln Acupressure health care economics and organizations

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Country size bias in global health:crosscountry comparison of malaria policy and foreign aid

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Global health Research and Policy 2021年第1期6卷 456-467页

作者： Tomas Jezek Masaryk University BrnoCzechia

Background:Foreign aid has been shown to be favourably biased towards small *** study investigated whether country size bias also occurs in national malaria policy and development assistance from international ***:Data from publicly available sources were collected with countries as observational *** exploratory data analysis was based on the conceptual framework with socio-economic,environmental and institutional *** strength of relationships was estimated by the Pearson and polychoric correlation *** correlation matrix was explored by factor ***:Malaria burden is strongly correlated with GDP per capita,total health expenditure per capita,HDI;moderately with latitude,weakly with elevation,urban population share,per capita funding from the Global Fund,PMI USAID,UK government and *** country status is strongly correlated with population size,land area,island status;moderately with development assistance received per capita,weakly with funding per capita from Global Fund,government NMP and PMI *** score 1,a variable derived from our factor analysis and related to malaria endemicity,is significantly strongly correlated with the malaria burden,moderately with HDI,GDP per capita,total health expenditure per capita,PMI USAID funding;weakly with island status,urban population share,latitude,coastal population share,total government expenditure and trade openness,Global Fund funding,World Bank funding,UK government funding,and UNICEF funding per *** score 2,which captures variation not related to malaria endemicity,is significantly weakly related to the ICRG index,PMI USAID funding per capita and small country ***:The results suggest that malaria burden and economic development are bidirectionally *** development can contribute to a reduction in the malaria *** size does not negatively impact malaria burden,but it does account for greater dev

关键词： Endemic diseases Environment and public health Global burden of disease Global health health care economics and organizations International agencies Malaria

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