BACKGROUND The aging of population and the burden of disease among the aged have become one of the hot topics in the international health, and also brought tremendous pressure in the development of health service. METHODS A total of 1,377,681 patients aged 65 years and over were collected with multistage stratified cluster random sampling in 252 medical institutions in Liaoning China, and "Sy...

BACKGROUND In ageing populations, informal care holds great potential to limit rising health care expenditure. The majority of informal care is delivered by spouses. The loss of informal care due to the death of the spouse could therefore increase expenditure levels for formal care. OBJECTIVE To investigate the impact of the death of the spouse on health care expenditure by older people throu...

Inpatient hospice care can reduce futile treatment and medical costs. However, the cost trimming effect of home-based hospice care in hospital has yet not been explored. This study evaluates the impact of home-based hospice care on end-of-life expenditure in hospitals with different spending intensity. This is a population-based retrospective study in Taiwan. Cancer decedents were identified in...

Healthcare and Social Care are unique domains in terms of cultural importance, economic magnitude and complexity. On a cultural level, the level of advancement of a society is often measured in terms of protection of the less able. In economic terms, for 2009, total expenditure on healthcare in the United States was 2.6 trillion USD or 17.4% of the GDP1. Total expenditure on social care was 2.9...

introduction: ambulatory care is an inseparable part of health care system. it is commonly considered as the entrance of the patient to the health care system. high qualify ambulatory care has an important role in reducing mortality and morbidity rates. on the other hand, quality of information has an important role in the quality and safety of ambulatory health care. it is hence necessary to p...

introduction: feedback cards are recommended as a feasible tool for structured written feedback delivery in clinical education while effectiveness of this tool on the medical students’ performance is still questionable. the purpose of this study was to compare the effects of structured written feedback by cards as well as verbal feedback versus verbal feedback alone on the clinical performance ...

Although teen childbearing connotes negative outcomes for the mothers, we know little about the effects on the children of being born to a teen mother. We explore some of the possible health and medical care consequences associated with having a teenage mother. The 1987 National Medical Expenditure Survey (NMES), a nationally representative data set, is the data source we use to examine the con...

This study examined the effects of education, income, and wealth on medical care expenditures in two Medicare managed care plans. The study also sought to elucidate the pathways through which socioeconomic status (SES) affects expenditures, including preferences for health and medical care and ability to navigate the managed care system. We found that education, income, and wealth all affected ...

Introduction: Effective management of medical stores entails supervision of important drugs, and priority setting in purchase and distribution of drugs. Studies have mainly explored the inventory management at tertiary-care settings. Objective of this study was to explore the optimal drug inventory management technique suitable for a secondary care hospital. Method: Procurement, consumption, an...