{"title":"Social medicine: The advance of organized health services in America","authors":"Jack Kasten","doi":"10.1016/0160-7995(81)90012-5","DOIUrl":"10.1016/0160-7995(81)90012-5","url":null,"abstract":"","PeriodicalId":76948,"journal":{"name":"Social science & medicine. Medical economics","volume":"15 1","pages":"Pages 48-49"},"PeriodicalIF":0.0,"publicationDate":"1981-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0160-7995(81)90012-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87011376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A comparative analysis of health care costs in three selected countries: The United States, the United Kingdom and Australia","authors":"Paivi Tripp","doi":"10.1016/0160-7995(81)90005-8","DOIUrl":"10.1016/0160-7995(81)90005-8","url":null,"abstract":"<div><p>This paper purports to compare quantitatively health care delivery in three countries: the United States, the United Kingdom, and Australia. Since each of the societies relies on a different means of financing—the United States representing a decentralized and mixed model; the United Kingdom centralized and publicly financed, and Australia a system somewhere in-between the two—the impact of fiscal structure on health care is examined in particular. In the context of this study, the “goodness” of health care is measured on the basis of cost and availability of care.</p></div>","PeriodicalId":76948,"journal":{"name":"Social science & medicine. Medical economics","volume":"15 1","pages":"Pages 19-30"},"PeriodicalIF":0.0,"publicationDate":"1981-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0160-7995(81)90005-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18257855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cost-effectiveness of duodenal ulcer treatment","authors":"A.J. Culyer, A.K. Maynard","doi":"10.1016/0160-7995(81)90003-4","DOIUrl":"10.1016/0160-7995(81)90003-4","url":null,"abstract":"<div><p>This study compares the costs of treating duodenal ulcer disease by a drug regimen and surgery. While a final assessment of the relative advantages of one treatment against the other depends upon the outcome of long term epidemiological study of the history of the disease with interventions of various kinds, provisional results indicate that relative costliness per case depends mainly on the scope of the costs considered (e.g. institutional or social) and on the rate of discount: taking account of social costs and using the Treasury's public sector discount rate, the use of drugs in suitable cases appears less costly.</p></div>","PeriodicalId":76948,"journal":{"name":"Social science & medicine. Medical economics","volume":"15 1","pages":"Pages 3-11"},"PeriodicalIF":0.0,"publicationDate":"1981-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0160-7995(81)90003-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17839477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Class inequality and health care: The origins and impact of the national health service","authors":"Darek Niklas","doi":"10.1016/0160-7995(81)90016-2","DOIUrl":"10.1016/0160-7995(81)90016-2","url":null,"abstract":"","PeriodicalId":76948,"journal":{"name":"Social science & medicine. Medical economics","volume":"15 1","pages":"Page 51"},"PeriodicalIF":0.0,"publicationDate":"1981-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0160-7995(81)90016-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87848169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effectiveness of social casework","authors":"Robert M. Chamberlain","doi":"10.1016/0160-7995(81)90009-5","DOIUrl":"10.1016/0160-7995(81)90009-5","url":null,"abstract":"","PeriodicalId":76948,"journal":{"name":"Social science & medicine. Medical economics","volume":"15 1","pages":"Page 47"},"PeriodicalIF":0.0,"publicationDate":"1981-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0160-7995(81)90009-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84639968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health and development: Socio-economic determinants of mortality structure","authors":"Z.M. Berrebi, Jacques Silber","doi":"10.1016/0160-7995(81)90006-X","DOIUrl":"10.1016/0160-7995(81)90006-X","url":null,"abstract":"<div><p>The study of the relation between mortality and development has often been limited to the analysis of the effect of income per capita on some measure of the level of mortality such as the age standardized death rate. This paper takes a different look at the problem not only because it considers a whole series of socio-economic variables which are related to development but also because it studies the effect of development on the different causes of death. A principal component analysis based on international data for the year 1964. is presented and allows one to propose a typology of causes of death.</p></div>","PeriodicalId":76948,"journal":{"name":"Social science & medicine. Medical economics","volume":"15 1","pages":"Pages 31-39"},"PeriodicalIF":0.0,"publicationDate":"1981-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0160-7995(81)90006-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18257856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alfred Hallstrom, Mickey S. Eisenberg, Lawrence Bergner
{"title":"Modeling the effectiveness and cost-effectiveness of an emergency service system","authors":"Alfred Hallstrom, Mickey S. Eisenberg, Lawrence Bergner","doi":"10.1016/0160-7995(81)90004-6","DOIUrl":"10.1016/0160-7995(81)90004-6","url":null,"abstract":"<div><p>Survival from out-of-hospital cardiac arrest is in large part determined by the time from collapse to initiation of cardiopulmonary resuscitation (CPR) and the time from collapse to initiation of definitive care. A model utilizing these two crucial times was developed to examine various prehospital emergency medical services (EMS). The effectiveness (percent survival) and cost-effectiveness (cost divided by effectiveness) of four different EMS systems were examined. Two of the systems are already operational in various parts of the country: (1) basic life support consisting of CPR as provided by emergency medical technicians (EMT's); and (2) advanced life support consisting of definitive care as provided by paramedics. Two proposed systems are: (1) rapid defibrillation by EMTs; and (2) rapid defibrillation by EMT's with paramedic backup response. Both of these proposed systems are currently under experimental study.</p><p>The four systems were examined using various parameters such as ratio of paramedic to EMT vehicles, percentage of citizens trained in CPR and response time. Compared to the basic EMT system, the paramedic system is more effective and cost-effective. The proposed system using rapid defibrillation by EMT's is less effective than the paramedic system but is the more cost-effective. The proposed system incorporating rapid defibrillation by EMT's with paramedic backup is the most effective but also the most costly. The resulting cost-effectiveness is less than with rapid defibrillation by EMT's alone. As demonstrated in this analysis, the two proposed systems offer possibilities for improved resuscitation following out-of-hospital cardiac arrest.</p></div>","PeriodicalId":76948,"journal":{"name":"Social science & medicine. Medical economics","volume":"15 1","pages":"Pages 13-17"},"PeriodicalIF":0.0,"publicationDate":"1981-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0160-7995(81)90004-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17839476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}