A systematic review of the cost and economic outcomes of home enteral nutrition

A Wong, G Goh, MD Banks, JD Bauer - Clinical Nutrition, 2018 - Elsevier
Objectives Studies are lacking in the health economic implications of home enteral nutrition
(HEN) in home-residing and long-term care/institutionalized patients. The aims of this review …

Evaluation of reconfigurations of acute stroke services in different regions of England and lessons for implementation: a mixed-methods study

NJ Fulop, A Ramsay, RM Hunter… - Health Services …, 2019 - discovery.ucl.ac.uk
Background: Centralising acute stroke services is an example of major system change
(MSC).'Hub and spoke'systems, consisting of a reduced number of services providing acute …

The volume and outcome relationship for thyroidectomy in England

WK Gray, S Aspinall, N Tolley, J Day… - Langenbeck's Archives of …, 2021 - Springer
Purpose The delivery of surgical care in England has seen a momentum towards
centralisation within larger volume hospitals and surgical teams. The aim of this study was to …

A descriptive model for a multidisciplinary unit for colorectal and pelvic malformations

A Vilanova-Sanchez, DR Halleran… - Journal of pediatric …, 2019 - Elsevier
Introduction Patients with anorectal malformations (ARM), Hirschsprung disease (HD), and
colonic motility disorders often require care from specialists across a variety of fields …

Distance to specialist care and disease outcomes in inflammatory bowel disease

NZ Borren, G Conway, W Tan… - Inflammatory bowel …, 2017 - academic.oup.com
Background Optimal treatment of inflammatory bowel disease (IBD) requires specialized
health care. Patients frequently travel long distances to obtain care for IBD, which may …

The potential role of cost-utility analysis in the decision to implement major system change in acute stroke services in metropolitan areas in England

RM Hunter, NJ Fulop, RJ Boaden, C McKevitt… - Health Research Policy …, 2018 - Springer
Background The economic implications of major system change are an important
component of the decision to implement health service reconfigurations. Little is known …

The associations between injury mechanism and extended hospital stay among pediatric patients: findings from a trauma Center in Saudi Arabia

S Alghnam, JA Towhari, I Al Babtain, M Al Nahdi… - BMC pediatrics, 2019 - Springer
Background A hospitalized patient's length of stay (LOS) can have a significant impact on
the performance and operating costs of a healthcare facility. Among pediatric patients …

[HTML][HTML] A matter of (good) faith? Understanding the interplay of power and the moral agency of managers in healthcare service reconfiguration

CQ Smith, I Williams, W Leggett - Social Science & Medicine, 2024 - Elsevier
Previous studies of service reconfiguration in healthcare have explored the influence of
power on processes and outcomes. However, in these accounts the moral agency of …

How to cost the implementation of major system change for economic evaluations: case study using reconfigurations of specialist cancer surgery in part of London …

CS Clarke, C Vindrola-Padros, C Levermore… - … health economics and …, 2021 - Springer
Background Studies have been published regarding the impact of major system change
(MSC) on care quality and outcomes, but few evaluate implementation costs or include them …

Cost-utility analysis of major system change in specialist cancer surgery in London, England, using linked patient-level electronic health records and difference-in …

CS Clarke, M Melnychuk, AIG Ramsay… - … Health Economics and …, 2022 - Springer
Background Studies have shown that centralising surgical treatment for some cancers can
improve patient outcomes, but there is limited evidence of the impact on costs or health …