Abstract：
OBJECTIVES:Elective hip replacement is a common procedure for elderly people with osteoarthrosis. With more elderly people in the future, the demand for hip replacements will increase and put additional constraints on hospital services. The objective was to explore the future need for hip replacements and related costs and to investigate if anticipated future efficiency gains might alleviate the strain of increased demand. STUDY DESIGN:Registry-based modelling study. METHODS:Data were obtained from the Irish Central Statistics Office and the national Hospital Inpatient Enquiry system for 2011-2017. We estimated the future demand for hip replacements each year until 2051 and analysed changes in hip replacement rates and the average length of stay. These assumptions were used in our projections. RESULTS:Assuming no change in procedure rates, the annual cost of providing elective hip replacements is expected to increase by 1060 (30%) episodes in 2026 which implies a cost increment of €16M (33%) (vs 2017-level). If the historical increase in the procedure rate is assumed, the cost will increase by €33M (67%). If the observed reduction in length of stay can be maintained, costs will reduce by €14M (29.0%). Such a cost saving may alleviate the effect of the demographic changes and observed increases in procedure rates. CONCLUSIONS:Steady-state assumptions are unrealistic and efficiency gains can alleviate future pressure from population growth. However, this analysis has not addressed the present insufficient capacity of public hospitals to meet population needs, as judged by waiting lists and transfers to private hospitals.
journal_name
Public Healthjournal_title
Public healthauthors
Mealy A,Sorensen Jdoi
10.1016/j.puhe.2019.10.013subject
Has Abstractpub_date
2020-03-01 00:00:00pages
10-16eissn
0033-3506issn
1476-5616pii
S0033-3506(19)30333-6journal_volume
180pub_type
杂志文章相关文献
PUBLIC HEALTH文献大全abstract：OBJECTIVES:To investigate repeatability, and construct and convergent validity of the Questionnaire d'Activité Physique pour les Personnes Âgées (QAPPA), a self-reported physical activity questionnaire for the elderly. STUDY DESIGN:Cross-sectional and prospective (1-year follow-up) data from two postal surveys among m...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/j.puhe.2012.10.018
更新日期：2013-09-01 00:00:00
abstract：:The swift identification of outbreaks of infection is essential for effective control in the population. One of the functions of surveillance is to detect outbreaks but it could be argued that this is one of the weaker aspects of routine surveillance at present. This paper describes a technique which might meet this s...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/s0033-3506(97)00044-9
更新日期：1997-07-01 00:00:00
abstract：OBJECTIVES:In order to gain further insight into the seroepidemiology of Bordetella pertussis infection and immunity against diphtheria in Chongqing, China, the concentrations of antibodies to pertussis toxin (PT) and diphtheria toxin (DT) were investigated in a healthy population. STUDY DESIGN:Cross-sectional study. ...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/j.puhe.2017.12.009
更新日期：2018-03-01 00:00:00
abstract：:In order to describe hospital bed usage by people with HIV disease in a provincial setting, a retrospective analysis of admissions to hospital wards in Oxford was undertaken for people admitted to hospital with all HIV-related illnesses or complications of HIV-related treatment. A total of 83 people were identified as...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/s0033-3506(05)80128-3
更新日期：1993-09-01 00:00:00
abstract：:This paper examines the complex interconnections between the development of health promotion and multidisciplinary public health, respectively. Health promotion takes a distinctive interdisciplinary and multiprofessional perspective on health. Historically, it has brought together practitioners from varied disciplinar...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/j.puhe.2007.02.005
更新日期：2007-06-01 00:00:00
abstract：:This paper discusses waste management in the UK and its relationship with health. It aims to outline the role of health professionals in the promotion of waste management, and argues for a change in their role in waste management regulation to help make the process more sustainable. The most common definition of susta...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/j.puhe.2006.05.021
更新日期：2006-10-01 00:00:00
abstract：BACKGROUND:Euthanasia is performed relatively frequently among AIDS patients. OBJECTIVE:To examine the relationship between euthanasia and physician assisted suicide (EAS) and AIDS. METHODS:A descriptive retrospective study in which data was collected from all cases of EAS which were reported to the Public Prosecutor...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/s0033-3506(98)00207-8
更新日期：1998-01-01 00:00:00
abstract：OBJECTIVES:The aim of this study was to investigate consumers' willingness to pay (WTP) for cheeses bearing reduced-fat and low salt claims in Spain. STUDY DESIGN:An experiment with 219 cheese consumers was conducted in the period March-May 2015. We used different versions of cheese bearing reduced-fat and low salt cl...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/j.puhe.2016.02.004
更新日期：2016-06-01 00:00:00
abstract：OBJECTIVE:To evaluate a nurse-led attendance allowance screening service in General Practice. DESIGN:Intervention study. SETTING:One General Practice located in two sites in deprived areas in the East-End of Glasgow (Carstairs Deprivation Index-6 and 4). PARTICIPANTS:Participants aged >64 y who in the nurses clinica...
journal_title：Public health
pub_type： 杂志文章
doi：10.1038/sj.ph.1900848
更新日期：2002-07-01 00:00:00
abstract：OBJECTIVES:Influenza vaccination is the best protection against infection and severe complications of disease, such as hospitalization and death. Therefore, it is important to accurately estimate vaccination coverage and to evaluate the role of race/ethnicity. This study examines racial disparities in influenza vaccina...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/j.puhe.2018.01.030
更新日期：2018-05-01 00:00:00
abstract：:The aim of this study was to describe changes in glucose tolerance over 3 y and to establish the prevalence of diabetes and impaired glucose tolerance in an unselected non-institutionalised elderly population aged 70 y or over at the beginning of the study. Diabetes was assessed on the basis of self-reports and 2 h or...
journal_title：Public health
pub_type： 杂志文章
doi：10.1038/sj.ph.1900553
更新日期：1999-07-01 00:00:00
abstract：:Preterm birth is defined as birth before 37 completed weeks gestation, and it is estimated that each day, across the world over 41,000 infants are born before this gestational age. The risk of adverse consequences declines with increasing gestational age. While this paper focuses on the consequences of preterm birth, ...
journal_title：Public health
pub_type： 杂志文章,评审
doi：10.1016/j.puhe.2014.03.010
更新日期：2014-05-01 00:00:00
abstract：:The XIX World Congress of Epidemiology discussed 'Changing populations, changing diseases: epidemiology for tomorrow's world' and was able to set a benchmark for the current state for the science of population health. However, 'changing populations and changing diseases' mean that robust epidemiological enquiry is, an...
journal_title：Public health
pub_type：
doi：10.1016/j.puhe.2011.12.011
更新日期：2012-03-01 00:00:00
abstract：OBJECTIVES:Mobile food vendors (also known as street food vendors) may be important sources of food, particularly in minority and low-income communities. Unfortunately, there are no good data sources on where, when, or what vendors sell. The lack of a published assessment method may contribute to the relative exclusion...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/j.puhe.2013.05.006
更新日期：2013-08-01 00:00:00
abstract：OBJECTIVES:This study evaluated mediating effects of the health status on the association between socio-economic status (SES) and medicine use. It was hypothesized that more privileged people show a reduced use of medicines, as compared with the underprivileged, because of their superior health status. It was further h...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/j.puhe.2018.12.018
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVES:To investigate hygiene practices of caterers at large events in order to: support the production of guidance on catering at such events; to compare hygiene standards at weekends with other times in the week; and to learn lessons in preparation for the London Olympics in 2012. STUDY DESIGN:UK-wide study of c...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/j.puhe.2012.04.007
更新日期：2012-08-01 00:00:00
abstract：:Bicycling in Sweden has almost doubled between 1980 and 1992/3 among persons aged 25-64 y. The upward trend is continuing. For the elderly (65 or older) the bicycle is a common means of transport, in both Sweden and a number of other countries. Almost one-third of the Swedish population aged 65 or older bike at some t...
journal_title：Public health
pub_type： 杂志文章
doi：10.1038/sj.ph.1900713
更新日期：2001-01-01 00:00:00
abstract：OBJECTIVE:To examine the association of neighbourhood median income and racial/ethnic composition with the availability of tobacco products in Omaha Metropolitan Area, Nebraska, USA. METHODS:A total of 94 census tracts were selected at random. The outcome measures were the percentage of stores that sold tobacco and th...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/j.puhe.2010.04.010
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVES:To investigate the incidence of hypertension and its risk factors in Kerala, India where the epidemiological transition is more advanced than elsewhere in India. STUDY DESIGN:Prospective cohort study. METHODS:A sample of 297 individuals (aged 15-64 years) in rural Kerala, India, who were free of hypertensi...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/j.puhe.2011.11.002
更新日期：2012-01-01 00:00:00
abstract：OBJECTIVE:To undertake a review of the literature relating to public health planning and interventions at previous summer Olympic and Paralympic Games and other relevant major summer sporting events or mass gatherings, with a focus on official publications and peer-reviewed articles. STUDY DESIGN:Literature review. M...
journal_title：Public health
pub_type： 杂志文章,评审
doi：10.1016/j.puhe.2008.04.016
更新日期：2008-11-01 00:00:00
abstract：:Tobacco use is the single most preventable cause of death in the world today. Unchecked, tobacco-related deaths will increase to more than eight million per year by 2030. Galvanized by the seriousness of the threat, the Member States of the World Health Organization (WHO) negotiated the WHO Framework Convention on Tob...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/j.puhe.2011.09.022
更新日期：2011-12-01 00:00:00
abstract：:All 17330 Accident and Emergency Department (A and E) attendances following injury (67% of all A and E attendances by residents of the EH54 postcode (the town of Livingston) at St John's Hospital during 1995 and 1996 were examined to study local accident epidemiology. The overall annual injury attendance rate for male...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/s0033-3506(99)00181-x
更新日期：1999-11-01 00:00:00
abstract：OBJECTIVE:To develop and test a reliable and practical self-administrated questionnaire in Chinese to evaluate outpatient satisfaction in China. DESIGN:In order to ensure content validity, the 19 items of this questionnaire were generated based on literature review, interview and group discussion. Acceptability was te...
journal_title：Public health
pub_type： 杂志文章,多中心研究
doi：10.1016/j.puhe.2015.03.004
更新日期：2015-11-01 00:00:00
abstract：:The recent 90-year anniversary of the Battle of the Somme presents an opportunity to examine the public health response to the trench diseases, new conditions which arose in the trenches of World War I. Throughout history, there have been two views of epidemic disease: the configurationist and contagionist perspective...
journal_title：Public health
pub_type： 历史文章,杂志文章
doi：10.1016/j.puhe.2006.12.014
更新日期：2007-08-01 00:00:00
abstract：STUDY OBJECTIVE:To assess levels of physical activity in the general population and amongst the 'healthy', and to identify factors associated with this important health behaviour. DESIGN:Population-based cross-sectional study. SETTING:North-west England. PARTICIPANTS:Adults (aged at least 18 years) registered with a...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/j.puhe.2005.08.021
更新日期：2006-03-01 00:00:00
abstract：OBJECTIVES:Carbon monoxide (CO) poisoning represents a significant public health burden. CO incidents require multiple responders, including the Health Protection Agency (HPA). However, best practice guidance does not yet exist in the UK for chemicals. Since CO is a good template for chemical incidents, the authors aim...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/j.puhe.2010.11.011
更新日期：2011-03-01 00:00:00
abstract：OBJECTIVES:Malnutrition is one of the leading causes of death among children younger than five years. In this study, we aimed to formulate a ready-to-use supplementary food (RUSF), based on local food products, and investigate its efficacy on growth indicators in children with mild to moderate malnutrition. STUDY DESI...
journal_title：Public health
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.puhe.2020.06.025
更新日期：2020-08-01 00:00:00
abstract：OBJECTIVE:To assess women's knowledge and attitude toward Ethiopian current abortion law. STUDY DESIGN:A quantitative, community-based cross-sectional survey. METHODS:Women of reproductive age in three selected lower districts in Bahir Dar, North-West Ethiopia, were included. Multi-stage simple random sampling and si...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/j.puhe.2017.03.020
更新日期：2017-07-01 00:00:00
abstract：OBJECTIVES:To determine whether multiple viewings of one's ultraviolet (UV) facial photo differentially affects subsequent sun protection behaviors relative to a single viewing. STUDY DESIGN:Pretest-posttest control group. METHODS:Southern California college students (N = 151) were randomly assigned to be shown their...
journal_title：Public health
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.puhe.2018.03.023
更新日期：2018-07-01 00:00:00
abstract：OBJECTIVES:There is a high prevalence of depressive disorders among children and adolescents globally, accounting for 45% of disability-adjusted life years among 10- to 24-year-olds. Although it has been recognized as a major public health concern in Pakistan, there have been no studies exploring the development or cro...
journal_title：Public health
pub_type： 杂志文章
doi：10.1016/j.puhe.2018.11.022
更新日期：2019-03-01 00:00:00
