BACKGROUND As alcohol-related health problems continue to rise, the attention of policy-makers is increasingly turning to Screening and Brief Intervention (SBI) programmes. The effectiveness of such programmes in primary healthcare is well evidenced, but very few cost-effectiveness analyses have been conducted and none which specifically consider the Italian context. METHODS The Sheffield Alc...

BACKGROUND Collaborative care is an effective treatment for the management of depression but evidence on its cost-effectiveness in the UK is lacking. AIMS To assess the cost-effectiveness of collaborative care in a UK primary care setting. METHODS An economic evaluation alongside a multi-centre cluster randomised controlled trial comparing collaborative care with usual primary care for adul...

One of the provisions of the health care reform legislation in 2010 was for funding pragmatic clinical trials or large observational studies for comparing the effectiveness of different approved medical treatments, involving broadly representative patient populations. After reviewing pragmatic clinical trials and the issues and challenges that have made them just a small fraction of comparative...

BACKGROUND Governments and donors all over Africa are searching for sustainable, affordable and cost-effective ways to improve the quality of malaria case management. Widespread deficiencies have been reported in the prescribing and counselling practices of health care providers treating febrile patients in both public and private health facilities. Cameroon is no exception with low levels of a...

6583 Background: Colorectal cancer (CRC) screening remains underutilized. Prior studies reported the cost-effectiveness of interventions to improve CRC screening, but none have been replicated in the setting of small medical practices. We recently conducted a randomized trial of an academic detailing strategy within 264 small physician offices in New York City. The objective of this analysis is...

BACKGROUND Lifestyle interventions affect patients' risk factors for metabolic syndrome (MeSy), a pre-stage to cardiovascular diseases, diabetes and related complications. An effective lifestyle intervention is the Swedish Björknäs intervention, a 3-year randomized controlled trial in primary care for MeSy patients. To include future disease-related cost and health consequences in a cost-effect...

BACKGROUND With rising healthcare costs comes an increasing demand for evidence-informed resource allocation using economic evaluations worldwide. Furthermore, standardization of costing and reporting methods both at international and national levels are imperative to make economic evaluations a valid tool for decision-making. The aim of this review is to assess the availability and consistency...

BACKGROUND The effectiveness of collaborative care for patients with major depressive disorder in primary care has been established. Assessing its cost-effectiveness is important for deciding on implementation. This review therefore evaluates the cost-effectiveness of collaborative care for major depressive disorder in primary care. METHODS A systematic search on economic evaluations of colla...

objective one of the prominent microorganisms in several reports of nosocomial infections is staphylococcus aureus (s. aureus) which is carried by several health care workers (hcw) many times throughout the day. the present investigation was conducted to assess the nasal and hand carriage rate of s. aureus amongst medical personnel of loghman hakim hospital's toxicological intensive care unit (...

background and objectives: spirituality and spiritual care, as essential components of holistic nursing care, are widely recognized, while spiritual aspect is still overlooked. spirituality has been associated with the caregiver’s sense of well-being and ability to cope. the aim of this study was to determine attitude of intensive care nurses toward spirituality and spiritual care and its relat...