جستجوی مقالات مرتبط با کلیدواژه « direct costs » در نشریات گروه « پزشکی »

Colorectal cancer is one of the most common cancers that its incidence and prevalence and so deaths due to this cancer have increased worldwide recently. This study examines the economic burden of colorectal cancer from different perspectives by conducting a scoping review.

In this scoping review, by searching Scopus, PubMed, Embase, Cochrane, and Web of Science, the articles reporting the costs of CRC were reviewed. The search was limited to those published in the past years leading up to 2020. In addition to categorizing different aspects of the reviewed paper, per capita costs were adjusted with the purchasing power parity in order to make some comparisons possible. In this study, the calculated costs of retrieved studies were categorized based on the perspective of each study.

Out of 29 studies, only two have reported indirect costs of CRC, and 4 studies have reported both direct and indirect costs. In other studies, only direct costs of CRC have been reported. Nearly 40% of studies calculated CRC costs from the provider’s perspective. The highest reported annual per-patient cost was $175020(PPP-adjusted) which is related to the average annual costs of patients with CRC at the fourth stage in the United States from a provider perspective. The lowest reported amount was $ 954(PPP-adjusted) which was related to average annual inpatient costs in Brazil from a provider perspective.

Due to variations in study characteristics in terms of perspective, type of costs, type of patient included, etc. any comparison between the economic burden of CRC should be made with caution. However, reviewing various aspects of the economic burden of CRC reported in included studies, will provide researchers and policymakers with a better insight into the CRC burden while designing intervention programs will reduce the budget impact of the those programs.

Due to occupational accidents, many costs are annually lost from the countries’ Gross Domestic Product (GDP). Estimating these costs can be essential for optimal investments and establishing appropriate policies in many countries, such as Iran. The present study aimed to review the studies conducted on the safety economics and the costs of accidents in Iran from 2000 to 2021.

The reliable databases “Web of Science”, “Embase”, “IranDoc”, “SID”, “Magiran”, “Google Scholar”, “PubMed” and “Scopus” were used to conduct this research. Articles in these databases were searched and extracted by searching for keywords such as “accident”, “cost of accidents”, “occupational accidents” and “Iran” in Persian and English from 2000 to 2021.

Among the 66 identified articles, 19 were selected as final articles, of which 11 studies were carried out in the transportation industry and eight in other industries. Among these studies, nine studies only examined and stated the total costs, and six studies separately examined and stated the direct, indirect, and total costs. Four other studies also investigated and expressed the costs caused by accidents in other ways. Most notably, in three studies, the number of direct costs is higher than indirect costs. Similarly, only six studies estimated the damage to the GDP, ranging from 0.03% to 6.46% of the GDP.

The results of the review of studies showed that occupational accidents cause the loss of a significant part of Iran’s GDP. It is recommended to carry out further studies on the relationship between investment in the safety sector and reducing the costs of accidents concerning the grouping of jobs, mainly in the process, service, and production industries, to prevent wasting such heavy costs.

The financial consequences of the increasing prevalence of diabetes show that diabetes is one of the main challenges of healthcare systems. This study aimed to investigate the direct costs imposed on insurance companies and patients by the delivery of first-level services to patients with type 2 diabetes, who were covered by health insurance and social security insurance plans in Ilam, Iran, in 2019.

In this descriptive analytical study, the population included all patients with type 2 diabetes, who had available electronic records in comprehensive health centers and were covered by the insurance companies of Ilam. The data collection tool was a checklist, and data analysis was performed in SPSS version 20. Inferential statistics, including independent t-test and one-way analysis of variance, were measured, and descriptive statistics, including mean and standard deviation, were calculated.

A total of 800 patients entered this study, 71.4% of whom were female. The mean age of male and female patients was 59.42 and 54.97 years, respectively. The average annual direct cost was estimated at 62,742,383 Rials per person; the highest cost was related to hospitalization (49,794,297 Rials) (79.3%), and the lowest cost was related to imaging (673,148 Rials) (1%). There was no significant relationship between the direct costs and gender, age, marital status, education, occupation, duration of disease, body mass index (BMI), type of insurance, or blood pressure (P<0.05).

According to the findings of this study, diabetes imposes a significant financial burden on the healthcare system, including significant hospitalization and medication costs. The majority of patients were covered by health insurance, and the financial burden was significant for individuals and governments. Therefore, elimination of predisposing factors for the disease and optimal management can reduce the imposed costs on healthcare systems.

Residents spend much of their time at the hospitals to earn their required educational skills and although they act as a kind of human resource in the hospital, they increase hospital costs. The present study was designed to calculate the share of educational costs of different medical residents in hospitals.

In this descriptive and applied study performed in one of the hospitals affiliated to Iran University of Medical Sciences, the hospital cost items of education of residents in different medical fields during the academic year of 2017-2018 were identified by use of two scenarios.

In short, mean educational cost of one resident in the studied academic year was about 5357$ based on the first scenario and about 5404 $ according to the second scenario. Based on both scenarios, salaries paid to residents accounted for more than 50% of the costs followed by the cost of consumed materials by residents. Forensic Medicine and Anesthesiology residency programs had respectively the lowest and highest share of costs in both scenarios.

The cost of training in the hospital is different among residency fields based on the required tests and errors in each field. But, in order to save hospital costs, the culture of optimal use of materials as well as medical equipment should be taught to residents.