Cardiovascular Health Care Economics by William S. Weintraub

By William S. Weintraub

An illuminating and well timed synthesis of methodological and medical reports exhibiting how clinical bills may be confirmed, how the worth of scientific results may be assessed, and the way tricky offerings should be rationally made. The methodological chapters evaluation the conceptual and sensible concerns inquisitive about estimating and analyzing future health care expenditures, making health and wellbeing prestige and application tests, and statistically examining cost-effectiveness and medical trials. The scientific chapters practice those easy methods to the main medical components of cardiology-primary prevention of coronary artery disorder, acute coronary syndromes, angioplasty vs coronary skip surgical procedure, CABG vs drugs, congestive middle failure, arrhythmias, and cardiac surgical procedure. extra chapters contemplate using financial reports for coverage reasons and the way forward for Medicare lower than a balanced price range in an getting older the United States.

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Med Care 2000;38(6 Suppl 1):I49–I59. 3. Barnett P. Review of methods to determine VA health care costs. Med Care 1999;37:AS9–AS17. 4. Swindle R, VanDeusen-Lukas C, Alexander-Meyer D, et al. Cost analysis in the Department of Veterans Affairs: Consensus and future directions. Med Care 1999;37:AS3–AS8. 5. Barnett PG, Chen S, Boden W, et al. Cost-effectiveness of conservative management of non Q-wave myocardial infarction. Circulation 2002, 105:680–684. 6. Miller ME, Welch WP. Analysis of Hospital Medical Staff Volume Performance Standards: Technical Report.

An activity analysis is used to determine the labor employed. Supply and space costs are also determined. Direct measurement can be used to find the cost of a specific intervention or a few diagnostic tests or procedures. Because this method is labor-intensive, it is not feasible to use it to find all the health care costs incurred by patients. Pseudo-Bill The pseudo-bill approach combines VA utilization data and a non-VA reimbursement or charge schedule. The estimate mimics the itemized bills used by health care payers, giving the method its name.

We found that VA DSS captured the effect of procedures and length of stay on resource use. We also found that DSS data practices are important. About half of the VA stays took place at sites that did not incorporate data on CATH workload when calculating cost. These sites assigned the cost of the CATH laboratory to all patients who received medical care in proportion to their length of stay, regardless of whether they obtained this service. It is not surprising that these sites reported significantly lower costs for stays involving catheterization procedures than did the sites that assigned catheterization laboratory costs to the patients who were actually catheterized.

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