Matches in SemOpenAlex for { <https://semopenalex.org/work/W848417400> ?p ?o ?g. }
- W848417400 abstract "textabstractSince the late nineteenth century, population's health has improvedtremendously, at least in wealthy nations. Life expectancy at birth in theNetherlands has increased at an unprecedented pace from less than 40 years in1860 to currently 76 years for males and 81 years for females. It is widelyaccepted that better hygiene, housing and nutrition have contributed to thisincrease through a reduction in communicable diseases, rather than medicalcare. The small overlap between the period with the major declines in mortalityand the period of major advances in medicine suggests that the contribution ofmedical care to population health is at least limited, and has even been doubted[170]. However, it is now commonly believed that many preventive andcurative interventions have contributed to improved health [153]. Diseases thatwere killers in the past can now be cured or prevented.The improvement of population health comes at a price. Particularlyfrom the 1970s onwards, health care spending has increased fast, and currentlyaccounts for about 10% of the gross national product. The increase in health carespending is, apart from wage and price increases, generally attributed to twophenomena: the development of medical technology and, more recently, theageing of society. It is too commonplace to claim that medical innovation is costincreasing in generaL Some innovations will increase costs, whereas others willbe cost saving. In fact, the economic consequences of technologies can only beassessed for specific technologies related to specific indications [91]. Forexample, preventive interventions such as cervical and breast cancer screeningare effectively reducing cancer incidence but costs have shown to outweighsavings [270 280]. In contrast, treatment of stroke patients in specialized strokeunits results in more favourable health outcomes and cuts costs compared totreatment in general wards [122]. However, there are strong indications that onan aggregate level medical technology leads to increased health care spending[219].An objective of health care policy is to provide health care in suchmanner that population's health is maximized with an efficient use of resources.The current situation has put pressure upon policy makers to contain healthcare costs, and to restrict access to health care interventions that are evidence based, with proven effectiveness, and with acceptable cost-effectiveness.However, health (care) policies that maximize the overall health benefit atcontained costs can only be successful when data are available on apopulation's health and its determinants, on health care needs, and on theeffectiveness and efficiency of existing and newly developed medicaltechnology.In this thesis we present these data for two quite different healthproblems: injury and cervical cancer. For injury, population based estimates arepresented of health care costs and post-injury functional outcome, subdividedby injury diagnoses. We also investigated determinants of injury related healthcare costs and functional outcome. For cervical cancer, we evaluated severaloptions to improve the efficiency of population based screening and follow-up.The thesis starts with a chapter on the distribution of total health care costs bydiseases and injuries, and by basic demographic indicators." @default.
- W848417400 created "2016-06-24" @default.
- W848417400 creator A5087548627 @default.
- W848417400 date "2004-09-29" @default.
- W848417400 modified "2023-09-23" @default.
- W848417400 title "Describing health and medical costs, and the economic evaluation of health care: applications in injuries and cervical cancer" @default.
- W848417400 cites W132366067 @default.
- W848417400 cites W1495816825 @default.
- W848417400 cites W1537598136 @default.
- W848417400 cites W167527372 @default.
- W848417400 cites W1966586628 @default.
- W848417400 cites W1983122360 @default.
- W848417400 cites W1984554475 @default.
- W848417400 cites W1988590161 @default.
- W848417400 cites W1997804572 @default.
- W848417400 cites W2000041299 @default.
- W848417400 cites W2005364640 @default.
- W848417400 cites W2016701355 @default.
- W848417400 cites W2019398887 @default.
- W848417400 cites W2028532700 @default.
- W848417400 cites W2031527333 @default.
- W848417400 cites W2033247925 @default.
- W848417400 cites W2033552856 @default.
- W848417400 cites W2035680424 @default.
- W848417400 cites W2036952967 @default.
- W848417400 cites W2042586383 @default.
- W848417400 cites W2043081795 @default.
- W848417400 cites W2046755215 @default.
- W848417400 cites W2061366860 @default.
- W848417400 cites W2071087843 @default.
- W848417400 cites W2074099014 @default.
- W848417400 cites W2075773226 @default.
- W848417400 cites W2076661739 @default.
- W848417400 cites W2079562020 @default.
- W848417400 cites W2094581205 @default.
- W848417400 cites W2102089766 @default.
- W848417400 cites W2103663513 @default.
- W848417400 cites W2107479781 @default.
- W848417400 cites W2138746759 @default.
- W848417400 cites W2141196337 @default.
- W848417400 cites W2143323306 @default.
- W848417400 cites W2158985195 @default.
- W848417400 cites W2162787972 @default.
- W848417400 cites W2168891251 @default.
- W848417400 cites W2171562562 @default.
- W848417400 cites W2312642363 @default.
- W848417400 cites W2339926369 @default.
- W848417400 cites W2396010384 @default.
- W848417400 cites W2403824557 @default.
- W848417400 cites W2473786944 @default.
- W848417400 cites W2475476181 @default.
- W848417400 cites W2918390156 @default.
- W848417400 cites W3216186274 @default.
- W848417400 cites W587796778 @default.
- W848417400 hasPublicationYear "2004" @default.
- W848417400 type Work @default.
- W848417400 sameAs 848417400 @default.
- W848417400 citedByCount "1" @default.
- W848417400 crossrefType "journal-article" @default.
- W848417400 hasAuthorship W848417400A5087548627 @default.
- W848417400 hasConcept C114350782 @default.
- W848417400 hasConcept C121608353 @default.
- W848417400 hasConcept C126322002 @default.
- W848417400 hasConcept C133925201 @default.
- W848417400 hasConcept C144133560 @default.
- W848417400 hasConcept C159110408 @default.
- W848417400 hasConcept C160735492 @default.
- W848417400 hasConcept C162324750 @default.
- W848417400 hasConcept C21333345 @default.
- W848417400 hasConcept C27415008 @default.
- W848417400 hasConcept C2778220009 @default.
- W848417400 hasConcept C2908647359 @default.
- W848417400 hasConcept C50522688 @default.
- W848417400 hasConcept C71924100 @default.
- W848417400 hasConcept C99454951 @default.
- W848417400 hasConceptScore W848417400C114350782 @default.
- W848417400 hasConceptScore W848417400C121608353 @default.
- W848417400 hasConceptScore W848417400C126322002 @default.
- W848417400 hasConceptScore W848417400C133925201 @default.
- W848417400 hasConceptScore W848417400C144133560 @default.
- W848417400 hasConceptScore W848417400C159110408 @default.
- W848417400 hasConceptScore W848417400C160735492 @default.
- W848417400 hasConceptScore W848417400C162324750 @default.
- W848417400 hasConceptScore W848417400C21333345 @default.
- W848417400 hasConceptScore W848417400C27415008 @default.
- W848417400 hasConceptScore W848417400C2778220009 @default.
- W848417400 hasConceptScore W848417400C2908647359 @default.
- W848417400 hasConceptScore W848417400C50522688 @default.
- W848417400 hasConceptScore W848417400C71924100 @default.
- W848417400 hasConceptScore W848417400C99454951 @default.
- W848417400 hasLocation W8484174001 @default.
- W848417400 hasOpenAccess W848417400 @default.
- W848417400 hasPrimaryLocation W8484174001 @default.
- W848417400 hasRelatedWork W178115655 @default.
- W848417400 hasRelatedWork W1931478248 @default.
- W848417400 hasRelatedWork W1944169291 @default.
- W848417400 hasRelatedWork W2064604288 @default.
- W848417400 hasRelatedWork W2065467763 @default.
- W848417400 hasRelatedWork W2113944892 @default.
- W848417400 hasRelatedWork W2127479489 @default.