OBJECTIVE To find out if the cost of health services was artificially increased because of a delay in surgery due to a lack of resources. DESIGN A retrospective cohort study. SETTING Three urban hospitals in Calgary, Alta. PATIENTS The study cohort comprised 4441 patients (1 index procedure for each patient). INTERVENTIONS Cholecystectomy, discectomy, hysterectomy, total knee and total ...

In publications which have compared the health expenditure in the component parts of the United Kingdom by applying the Resource Allocation Working Party (RAWP) formula to the health budget of England, Scotland, Wales, and Northern Ireland it has been previously concluded that Scotland's hospital and community health services expenditure is more than 19% above what would be a fair distribution....

introduction: one of the basic problems of hospital management is lack of an effective fiscal system, which causes in loose cost control. meanwhile, accounting techniques and economic analyses may help the managers to decide better in planning programs and investing fields. then, it’s time to have a better estimate of health care services costs in our competitive situation for the hospitals, in...

OBJECTIVE To estimate the direct healthcare cost of being overweight or obese throughout pregnancy to the National Health Service in Wales. DESIGN Retrospective prevalence-based study. SETTING Combined linked anonymised electronic datasets gathered on a cohort of women enrolled on the Growing Up in Wales: Environments for Healthy Living (EHL) study. Women were categorised into two groups: n...

This paper examines the costs of delivering screening, brief intervention, and referral to treatment (SBIRT) services within the first seven demonstration programs funded by the US Substance Abuse and Mental Health Services Administration. Service-level costs were estimated and compared across implementation model (contracted specialist, inhouse specialist, inhouse generalist) and service deliv...

Presented in this article are aggregate utilization and financial data from the four social health maintenance organization (S/HMO) demonstrations that were collected and analyzed as a part of the national evaluation of the S/HMO demonstration project conducted for the Health Care Financing Administration. The S/HMOs, in offering a $6,500 to $12,000 chronic care benefit in addition to the basic...

THE INTERPLAY AMONG QUALITY of care, technological innovation, and cost control creates a policy challenge for all health care systems. Improvements in the quality of care can reduce health care costs; for example, better management of chronic conditions may lessen the chance of hospitalization, and new drugs and medical devices might improve the quality and efficiency of care. Often, however, ...

Modern quality definition relies on patient centeredness and on patient needs for particular services, continuous control of the service provided, complete service quality management, and setting quality indicators as the health service endpoints. The health service provided to the patient has certain costs. Thus, one can ask the following: "To what extent does the increasing cost of patient ca...