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At least 55 records · Page 3Linked to original sources
PubMed1985

Fraud and abuse of government medical benefit programs by psychiatrists.

Government rosters of physicians suspended from the Medicare and Medicaid programs because of fraud and abuse indicate that psychiatrists form a disproportionately large segment of the total. Of the factors contributing to this situation, the most notable is that because psychiatrists charge for time rather than for services, they are more readily apprehended if they violate the rules. The authors speculate on whether in fact psychiatrists break the law more than physicians in other-specialties or whether the statistics are purely artifactual.

Crime↗
PubMedDate not supplied

Cost of hospitalizations associated with sickle cell disease in the United States.

OBJECTIVE: This study estimated the number and cost of hospitalizations associated with sickle cell disease in the United States. METHODS: To estimate the number of hospitalizations per year in the United States of people with sickle cell disease, the authors used data for the years 1989 through 1993 from national hospital discharge surveys conducted by the National Center for Health Statistics. The authors derived cost estimates using data from a 1992 national hospital discharge survey conducted by the Agency for Health Care Policy and Research and a 1992 survey of physicians conducted by the American Medical Association. RESULTS: During the years 1989 through 1993, there were on average an estimated 75,000 hospitalizations per year of children and adults with sickle cell disease. The average direct cost per hospitalization (in 1996 dollars) was estimated at $6300, for a total direct cost of $475 million per year. In 66% of hospital discharge records, government programs were listed as the expected principal source of payment. CONCLUSIONS: The cost of hospitalizations associated with sickle cell disease is substantial. Because government programs pay most of this cost, further government-funded research to develop interventions that prevent complications of the disease has great potential for cost savings as well as for reducing the suffering of those afflicted with this painful genetic disorder. These national cost estimates contribute to an understanding of the impact of sickle cell disease and should be useful in establishing research priorities.

Adolescent↗
PubMed1991

[Pre-project evaluation of a government based international family planning co-operative project--from a survey at project site in Colombia].

A government based international co-operative project for family planning was formulated between Japan and Colombia. A baseline survey was carried out at the project site in northern Colombia as a pre-project evaluation. A total of 330 households were sampled and the housewives were interviewed concerning family planning. Births averted by the existing government program were estimated employing Bongaarts prevalence model. In addition, background and conditions leading to inability to receive family planning services were analyzed. The results showed that of total births averted, government programs contributed around 50% reflecting the apparent insufficiency of the services in reaching women in their forties and teens. Educational attainment and place of birth on the part of the woman, household income, discussion of number of children desired between husband and wife were among the most important factors for women wishing contraception practice but not being able to receive family planning services. Based on this analysis, a service program was mapped out to meet the need of residents of the project site.

Adolescent↗
PubMed1991

Regulatory control of indoor Rn.

Regulation of indoor Rn is explored in the context of cost-effectiveness of regulatory action. Evaluation of cost (i.e., mitigation expenses) and benefits (i.e., savings associated with medical expenses and lost productivity related to lung cancer) at various action levels indicate that regulatory programs would be economically inefficient and unreasonable if standards were established at or below the current EPA action guide (150 Bq m-3 or less). For the approximately 95% of U.S. homes with Rn levels near or below 150 Bq m-3, government programs should continue to focus on public information and consumer protection. For the small number of homes with high Rn levels, government programs should focus on identifying high risk homes and encouraging homeowners to reduce Rn levels. Because of the potential for substantial risk reduction, such efforts would be cost-effective in these homes.

Air Pollution, Radioactive↗
PubMedDate not supplied

The impact of the transcendental meditation program on government payments to physicians in Quebec.

PURPOSE: This study evaluated whether governmental medical payments in Quebec were affected by the Transcendental Meditation (TM) technique. DESIGN: This retrospective study used a pre- and postintervention design in which government payments for physicians' services were reviewed for 3 years before and up to 7 years after subjects started the technique. Payment data were adjusted for aging and year-specific variation (including inflation) using normative data. No separate control group was used; thus it is impossible to determine whether the changes were caused by the TM program or some other factor. SUBJECTS: A volunteer group of 677 provincial health insurance enrollees was evaluated. The subjects had chosen to practice the TM technique before they were selected to enter the study. The subjects (348 men, 329 women) had diverse occupations. Their average age was 38 years and ranged from 18 to 71 years at the start of the TM program. INTERVENTION: The TM technique of Maharishi Mahesh Yogi is a standardized procedure practiced for 15 to 20 minutes twice daily while sitting comfortably with eyes closed. SETTING: Province of Quebec, Canada. RESULTS: During the 3 years before starting the TM program, the adjusted payments to physicians for treating the subjects did not change significantly. After beginning TM practice, subjects' adjusted expenses declined significantly. The several methods used to assess the rate of decline showed estimates ranging from 5% to 7% annually. CONCLUSIONS: The results suggests that the TM technique reduces government payments to physicians. However, because of the sampling method used, the generalizability of these results to wider populations could not be evaluated.

Adolescent↗
PubMedDate not supplied

The impact of the transcendental meditation program on government payments to physicians in Quebec: an update.

PURPOSE: To determine whether practice of the Transcendental Meditation (TM) technique can affect medical expenses. DESIGN: The evaluation was a quasi experimental, longitudinal, cost-minimization study. SETTING: Province of Quebec, Canada. SUBJECTS: This study involved 1418 Quebec health insurance enrollees who practiced the TM technique compared with 1418 subjects who were randomly selected from enrollees of the same age, sex, and region. TM subjects had chosen to begin the technique prior to learning about and choosing to enter the study. MEASURES: This 14-year, pre- and postintervention study retrospectively assessed government payments to physicians for treating the TM and comparison groups. Other medical expense data for individuals were unavailable. Data were inflation-adjusted. For each subject, least squares regression slopes were calculated to estimate pre- and postintervention annual rates of change in payments. We compared the groups' means and 1%, 5%, and 10% trimmed means (robust estimators) of the slopes. RESULTS: Before starting meditation, the yearly rate of increase in payments between groups was not significantly different (p > .17). After commencing meditation, the TM group's mean payments declined 1% to 2% annually. The comparison group's payments increased up to 11.73% annually over 6 years. There was a 13.78% mean annual difference (p = .0017). CONCLUSIONS: The results suggest that the TM technique reduced payments to physicians between 5% and 13% annually relative to comparison subjects over 6 years. Randomized studies are recommended.

Adult↗
PubMed1991

Musculoskeletal disease in Denmark. The Danish Health and Morbidity Survey 1986-87.

The Danish Health and Morbidity Survey of 1986-87 demonstrates a high prevalence of musculoskeletal disorders in the population over 15 years of age. The point-prevalence for long-standing illnesses of the musculoskeletal system was 13 percent. Half of the respondents had had pain during the last 2 weeks. Back disorder was the specific disease that was most frequent. Diseases and symptoms of the musculoskeletal system were frequent in the age groups over 44 years old, and occurred more often in women than in men. Back disorders were reported more often by blue-collar workers and self-employed persons than by white-collar workers. The study has contributed to an action program in the Danish government program on health.

Adolescent↗