A value-based, no-cost-to-patient health model in the developing world: Critical appraisal of a unique patient-centric neurosurgery unit

Thakar, Sumit; Dadlani, Ravi; Sivaraju, Laxminadh; Aryan, Saritha; Mohan, Dilip; Kiran, Narayanam Anantha Sai; Rajarathnam, Ravikiran; Shyam, Maya; Sadanand, Venkatraman; Hegde, Alangar S.

doi:10.4103/2152-7806.162484

Cited by 5 publications

(1 citation statement)

References 12 publications

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“…There are some institutes operated by charitable trusts that offer completely free neurosurgical services and do not even have a billing department. [34] In some respects, this is similar to the Canadian system where the hospital becomes the payer. Unfortunately, only 21.6 crore (216 million) people, or 17% of the total population, were covered by health insurance at the end of March 2014.…”

Section: Socioeconomic Issuesmentioning

confidence: 92%

Is outpatient brain tumor surgery feasible in India?

Turel

Bernstein

2016

Neurol India

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The current trend in all fields of surgery is towards less invasive procedures with shorter hospital stays. The reasons for this change include convenience to patients, optimal resource utilization, and cost saving. Technological advances in neurosurgery, aided by improvements in anesthesia, have resulted in surgery that is faster, simpler, and safer with excellent perioperative recovery. As a result of improved outcomes, some centers are performing brain tumor surgery on an outpatient basis, wherein patients arrive at the hospital the morning of their procedure and leave the hospital the same evening, thus avoiding an overnight stay in the hospital. In addition to the medical benefits of the outpatient procedure, its impact on patient satisfaction is substantial. The economic benefits are extremely favorable for the patient, physician, as well as the hospital. In high volume centers, a day surgery program can exist alongside those for elective and emergency surgeries, providing another pathway for patient care. However, due to skepticism surrounding the medicolegal aspects, and how radical the concept at first sounds, these procedures have not gained widespread popularity. We provide an overview of outpatient brain tumor surgery in the western world, discussing the socioeconomic, medicolegal, and ethical issues related to its adaptability in a developing nation.

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Section: Socioeconomic Issuesmentioning

confidence: 92%

Is outpatient brain tumor surgery feasible in India?

Turel

Bernstein

2016

Neurol India

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Admission/Discharge Criterion for Acute Care Surgery Patients in the ICU: A General Review of ICU Admission and Discharge Indications

Narayan

Kashuk

2019

Intensive Care for Emergency Surgeons

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Importance of Economic Evaluation in Health Care: An Indian Perspective

Dang¹,

Likhar²,

Alok

2016

Value in Health Regional Issues

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Health economic studies provide information to decision makers for efficient use of available resources for maximizing health benefits. Economic evaluation is one part of health economics, and it is a tool for comparing costs and consequences of different interventions. Health technology assessment is a technique for economic evaluation that is well adapted by developed countries. The traditional classification of economic evaluation includes cost-minimization, cost-effectiveness analysis, cost-utility analysis, and cost-benefit analysis. There has been uncertainty in the conduct of such economic evaluations in India, due to some hesitancy with respect to the adoption of their guidelines. The biggest challenge in this evolutionary method is lack of understanding of methods in current use by all those involved in the provision and purchasing of health care. In some countries, different methods of economic evaluation have been adopted for decision making, most commonly to address the question of public subsidies for the purchase of medicines. There is limited evidence on the impact of health insurance on the health and economic well-being of beneficiaries in developing countries. India is currently pursuing several strategies to improve health services for its population, including investing in government-provided services as well as purchasing services from public and private providers through various schemes. Prospects for future growth and development in this field are required in India because rapid health care inflation, increasing rates of chronic conditions, aging population, and increasing technology diffusion will require greater economic efficiency into health care systems.

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A value-based, no-cost-to-patient health model in the developing world: Critical appraisal of a unique patient-centric neurosurgery unit

Cited by 5 publications

References 12 publications

Is outpatient brain tumor surgery feasible in India?

Is outpatient brain tumor surgery feasible in India?

Admission/Discharge Criterion for Acute Care Surgery Patients in the ICU: A General Review of ICU Admission and Discharge Indications

Importance of Economic Evaluation in Health Care: An Indian Perspective

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