Review
Medicine, General & Internal
Thomas Leonhard Heise, Jennifer Frense, Lara Christianson, Till Seuring
Summary: This review aims to assess the effects of financial incentives provided by employers to promote physical activity among working populations, considering factors such as age, gender, implementation, study quality, and intervention costs.
Article
Medicine, General & Internal
Shuang Zang, Meizhen Zhao, Yalan Zhu, Ying Zhang, Yu Chen, Xin Wang
Summary: This retrospective study aimed to describe and explore women's medical expenditures during pregnancy, childbirth, and puerperium in Dalian, China, at the beginning of the universal two-child policy. The study found that medical expenditure increased with age, with a rapid increase in women over 35 years old since 2016. Length of stay acted as a crucial mediator between hospital level, year, age, reimbursement ratio, and medical expenditure.
Article
Medicine, General & Internal
Zhengdong Zhong, Junnan Jiang, Shanquan Chen, Lu Li, Li Xiang
Summary: This study aimed to determine the impact of critical illness insurance (CII) on out-of-pocket medical expenses and effective reimbursement rate in rural China. The findings showed that while OOP payments increased after the implementation of CII, greater population coverage and financial support are crucial to reducing medical expenses.
Article
Medicine, General & Internal
Jesus Gomez-Rossi, Jondis Schwartzkopff, Anne Mueller, Katrin Hertrampf, Jens Abraham, Georg Gassmann, Peter Schlattmann, Gerd Goestemeyer, Falk Schwendicke
Summary: This qualitative correlational study examined the barriers and facilitators to the delivery of oral healthcare and oral hygiene in German care homes. The study identified lack of access to professional dental care as a major limitation to better oral health, and lack of dentists willing to treat patients at these facilities as the most discussed barrier. The findings suggest that interventions should focus on empowering care home staff, providing better incentives for dentists, and promoting cooperation between stakeholders.
Review
Medicine, General & Internal
Tobias B. Polak, David G. J. Cucchi, Joost van Rosmalen, Carin A. Uyl-de Groot
Summary: This study aims to quantify and characterize the usage of expanded access (EA) data in National Institute for Health and Care Excellence (NICE) technology appraisals. The study found that over one in five appraisals used EA data, which can meaningfully inform safety, efficacy, and resource use analyses in various disease areas.
Article
Medicine, General & Internal
Martine Hoogendoorn, Isaac Corro Ramos, Stephane Soulard, Jennifer Cook, Erkki Soini, Emma Paulsson, Maureen Rutten-van Molken
Summary: The study evaluated the cost-utility of the fixed dose combination of the bronchodilators tiotropium and olodaterol versus two comparators in three European countries. The results showed that tiotropium/olodaterol is a cost-effective treatment option versus tiotropium or LABA/ICS in all three countries, with more effectiveness and cost savings in Finland and Sweden compared to LABA/ICS.
Review
Medicine, General & Internal
Priyanga Diloshini Ranasinghe, Subhash Pokhrel, Nana Kwame Anokye
Summary: This study summarizes the existing evidence on the economics of physical activity in low-income and middle-income countries, highlighting the economic burden of insufficient physical activity and socioeconomic correlates. Economic evaluation studies for physical activity promotion interventions are lacking in LMICs, indicating a need to prioritize setting an economic research agenda in these areas.
Article
Medicine, General & Internal
Vittal Mogasale, Samuel Mwaura Ngogoyo, Vijayalaxmi V. Mogasale
Summary: In 2015, an estimated 1,008,642 cases of cholera in 44 African countries resulted in an economic burden of approximately $130 million. When considering the 38,104 cholera deaths, the economic burden increased to $1 billion. These estimates are heavily dependent on factors such as cholera incidence rates, calculation of time lost due to illness and deaths, hospitalization rates, and hospitalization costs.
Review
Medicine, General & Internal
Adesola Oluwafunmilola Olumide, Amir Shmueli, Olayemi O. Omotade, Emmanuel S. Adebayo, Temitope O. Alonge, Gabriel O. Ogun
Summary: The study estimated the economic cost of treating selected NCDs in Nigeria, showing high direct costs for each disease. The findings underscore the necessity for advocating primary prevention, improving early diagnosis, and providing affordable treatment, given that the average monthly minimum wage in Nigeria is less than US$85.00 and treatment costs are mainly paid out-of-pocket by the population.
Article
Medicine, General & Internal
Tuba Saygin Avsar, Louise Jackson, Hugh McLeod
Summary: Tobacco cessation during pregnancy is not considered a priority in LMICs despite international recognition of the issue. Factors such as country-specific prevalence of tobacco use during pregnancy, availability of healthcare resources, and characteristics of potential interventions all influence the use of health economics evidence for policy making in LMICs.
Article
Medicine, General & Internal
Calvin Chiu, Anne Wong, Odette Melvin, Jessica Vernon, Jenny X. Liu, Sandra McCoy, Laura J. Packel
Summary: This study examines the variation in sales of sexual and reproductive health products in pharmacies in Kenya using administrative data, taking advantage of the natural variation in the COVID-19 pandemic and accompanying policy restrictions. The results show a negative association between COVID-19 deaths and sales quantity, an increase in sales price, and a decrease in revenues per pharmacy per week. The changes in sales quantity and price vary among different SRH products.
Article
Medicine, General & Internal
Yalew Bayeh, Chalie Tadie Tsehay, Wubshet Debebe Negash
Summary: This study assessed health system responsiveness and associated factors for delivery care in public health facilities in Northeast Ethiopia. The overall responsiveness for delivery care was found to be low, with basic amenities, choice of provider, and social support being the least rated domains. Important interventions to improve responsiveness for delivery care include emphasizing mothers during spontaneous vaginal delivery, preventing obstetric complications, increasing the number of healthcare professionals, and ensuring appropriate referrals and clean delivery wards.
Article
Medicine, General & Internal
Gulam Bahadur, Roy Homburg, Kanna Jayaprakasan, Claudia Joanne Raperport, Judith A. F. Huirne, Santanu Acharya, Paul Racich, Ali Ahmed, Anil Gudi, Abha Govind, Eric Jauniaux
Summary: This study found that the number of oocytes retrieved per IVF cycle has an impact on the live birth rate and multiple gestation pregnancy rates. There was limited benefit in live birth rate beyond the 6-15 oocyte group, and the risk of multiple gestation pregnancy was lower in the 1-5 oocyte group.
Article
Medicine, General & Internal
James Gaughan, Dan Liu, Nils Gutacker, Karen Bloor, Tim Doran, Jonathan Richard Benger
Summary: A retrospective observational study was conducted to measure the impact of general practitioner services in emergency departments (GPEDs) in NHS hospitals in England. The study found no adverse effects on patient outcomes and no evidence to support the hypothesized benefits of placing GPs in emergency settings, except for a marginal reduction in unplanned reattendances.
Article
Medicine, General & Internal
Bernard Taverne, Gabriele Laborde-Balen, Khaly Diaw, Madjiguene Gueye, Ndeye-Ngone Have, Jean-Francois Etard, Khoudia Sow
Summary: A national health coverage system named CMU has been developed in Senegal since 2013, but its impact on out-of-pocket expenses for people living with HIV remains unknown. A study was conducted to assess the impact of this system on health expenses for PLHIV, with findings showing that the average OOP amount for routine consultation is 11 euros for adults and children, and 32.5 euros for MSM, indicating limited effectiveness of the system in providing free healthcare for PLHIV as recommended by WHO.
Editorial Material
Medicine, General & Internal
Livio Garattini, Anna Padula
POSTGRADUATE MEDICINE
(2018)
Editorial Material
Economics
Livio Garattini, Anna Padula
APPLIED HEALTH ECONOMICS AND HEALTH POLICY
(2018)
Editorial Material
Medicine, General & Internal
Livio Garattini, Anna Padula
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE
(2018)
Editorial Material
Medicine, General & Internal
Livio Garattini, Anna Padula
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE
(2019)
Letter
Medicine, General & Internal
Livio Garattini, Anna Padula
EUROPEAN JOURNAL OF INTERNAL MEDICINE
(2019)
Article
Medicine, General & Internal
Livio Garattini, Anna Padula
CROATIAN MEDICAL JOURNAL
(2019)
Letter
Economics
Livio Garattini, Anna Padula
Editorial Material
Medicine, General & Internal
Anna Padula, Livio Garattini
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE
(2020)
Letter
Medicine, General & Internal
Livio Garattinia, Anna Padula, Pier Mannuccio Mannucci
EUROPEAN JOURNAL OF INTERNAL MEDICINE
(2020)
Article
Medicine, General & Internal
Livio Garattini, Anna Padula, Pier Mannuccio Mannucci
INTERNAL AND EMERGENCY MEDICINE
(2020)
Editorial Material
Medicine, General & Internal
Livio Garattini, Anna Padula
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE
(2020)
Article
Medicine, General & Internal
Livio Garattini, Anna Padula, Pier Mannuccio Mannucci
Summary: Pharmacy has traditionally been seen as a discipline focused on drug development, production, and compounding. In recent years, pharmacists have advocated for a shift in focus from 'product' to 'patient', with clinical pharmacy and pharmaceutical care being the key concepts supporting this change.
INTERNAL AND EMERGENCY MEDICINE
(2021)
Article
Biology
Anna Padula, Marina Bambi, Chiara Mengoni, Claudia Greco, Nadia Mucci, Ilaria Greco, Alberto Masoni, Sara Del Duca, Giovanni Bacci, Giacomo Santini, Renato Fani, Marco Zaccaroni
Summary: This study examined the changes in gut microbial communities of European hares after a short-term diet modification, finding that the short-term variation in food availability did not significantly alter the hares' gut microbiome. Further research is needed to estimate significant time threshold for impacting microbiome composition.
Article
Genetics & Heredity
Patrizia Giangregorio, Lorenzo Naldi, Chiara Mengoni, Claudia Greco, Anna Padula, Marco Zaccaroni, Renato Fani, Giovanni Argenti, Nadia Mucci
Summary: The Strigiformes are facing challenges like habitat loss and the illegal wildlife trade, but biomolecular research using microsatellite markers has provided a valuable tool for tracking genetic variability and aiding in conservation efforts. Testing highly polymorphic microsatellite loci has led to the development of a panel of 12 markers that can identify individuals across multiple species, benefiting authorities in forensic investigations and aiding in genetic research for both wild and captive populations.
Correction
Economics
Livio Garattini, Anna Padula
EUROPEAN JOURNAL OF HEALTH ECONOMICS
(2020)