BACKGROUND  The current estimates of the prevalence of adolescent morbid obesity and severe morbid obesity are about 21% and 6.6%, respectively. Obesity, if left untreated, may result in a variety of comorbid conditions and earlier mortality. Adolescent bariatric surgery is an effective, but expensive means to ameliorate these conditions and the risk of earlier mortality. We aimed to develop a ...

background the inclusion of cost-effectiveness data, as a basis for priority setting rankings, is a distinguishing feature in the formulation of the swedish national guidelines. guidelines are generated with the direct intent to influence health policy and support decisions about the efficient allocation of scarce healthcare resources. certain medical conditions may be given higher priority ran...

to estimate the prevalence and analyze factors associated with both public and private health services utilization in women population in a western district of iran.a cross-sectional study with 1200 individuals aged 18-49 years carried out in different districts of sanandaj city, western iran, in 2012. the main outcome variable was use of health service in the previous 12 months. the in-depende...

Predictive risk models (PRMs) are case-finding tools that enable health care systems to identify patients at risk of expensive and potentially avoidable events such as emergency hospitalisation. Examples include the PARR (Patients-at-Risk-of-Rehospitalisation) tool and Combined Predictive Model used by the National Health Service in England. When such models are coupled with an appropriate prev...

Comparative effectiveness research (CER) can make important contributions to the transformation of US health care by filling gaps left by tightly controlled clinical trials. However, without comprehensive and comparable data that reflect the diversity of the US health-care system, CER's value will be diminished. We document the limits of observational CER by examining the age at diagnosis, dise...

NC Med J May/June 2010, Volume 71, Number 3 developed, which involved strengthening the compressed bone through injection of cement. Case series studies that were restricted to a before-after comparison of patient outcomes demonstrated that they felt much better after the injection. Over 1,000 patients per year received this treatment in North Carolina. It was not until the summer of 2009 that ...

background and objectives: induced demand in healthcare is referred to as provision of unnecessary services or the patient by health services providers, while the patient is not aware of their unnecessity. apart from being unethical, this practice can potentially disturb the supply and demand balance in the health market, pose financial load on the patient, thread the patient’s health by imposi...

background essential primary health care is delivered through the public health center phc network by public health workers (behvarzs). health workers are exposed to different types of stresses while working. objectives the aim of this study is to determine the prevalence of burnout and associated factors among rural health workers in the health centers of birjand university of medical sciences...

recognizing the advantages of primary care as a means of improving the entire health system, this text comments on reforms of publicly funded primary health centers, and the rapid development of private forprofit providers in sweden. many goals and expectations are connected to such reforms, which equally require critical analyses of scarce resources, professional trust/motivation and business ...

OBJECTIVE Despite scientific evidence of effectiveness, psychotherapy for personality disorders is not yet fully deployed, nor is its reimbursement self-evident. Both clinicians and health care policy-makers increasingly rely on evidence-based medicine and health economics when determining a treatment of choice and reimbursement. This article aims to contribute to that understanding by applying...