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Forecasting the value of podiatric medical care in newly insured diabetic patients during implementation of the affordable care act in california / Jonathan Labovitz in Journal of the American Podiatric Medical Association, vol.106, 3 (Mai-juin 2016)
[article]
in Journal of the American Podiatric Medical Association > vol.106, 3 (Mai-juin 2016) . - p. 163-171
Titre : Forecasting the value of podiatric medical care in newly insured diabetic patients during implementation of the affordable care act in california Type de document : article de périodique Auteurs : Jonathan Labovitz ; Gerald Kominski Année de publication : 2016 Article en page(s) : p. 163-171 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Diabète
[Thésaurus Mesh]Patient Protection and Affordable Care Act (USA)
[Thésaurus Mesh]Pied diabétique
[Thésaurus HELB]:Paramédical:Soins podologiquesRésumé : Background: Because value-based care is critical to the Affordable Care Act success, we forecasted inpatient costs and the potential impact of podiatric medical care on savings in the diabetic population through improved care quality and decreased resource use during implementation of the health reform initiatives in California.
Methods: We forecasted enrollment of diabetic adults into Medicaid and subsidized health benefit exchange programs using the California Simulation of Insurance Markets (CalSIM) base model. Amputations and admissions per 1,000 diabetic patients and inpatient costs were based on the California Office of Statewide Health Planning and Development 2009-2011 inpatient discharge files. We evaluated cost in three
categories: uncomplicated admissions, amputations during admissions, and discharges to a skilled nursing facility. Total costs and projected savings were calculated by applying the metrics and cost to the projected enrollment.
Results: Diabetic patients accounted for 6.6% of those newly eligible for Medicaid or health benefit exchange subsidies, with a 60.8% take-up rate. We project costs to be $24.2 million in the diabetic take-up population from 2014 to 2019. Inpatient costs were 94.3% higher when amputations occurred during the admission and 46.7% higher when discharged to a skilled nursing facility. Meanwhile, 61.0% of costs were attributed to uncomplicated admissions. Podiatric medical services saved 4.1% with a 10% reduction in admissions and amputations and an additional 1% for every 10% improvement in access to podiatric medical care.
Conclusions: When implementing the Affordable Care Act, inclusion of podiatric medical services on multidisciplinary teams and in chronic-care models featuring prevention helps shift care to ambulatory settings to realize the greatest cost savings.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible J Périodique Erasme - périodiques Périodiques Disponible Fractures du calcanéus [dossier] / Nicolas Grenot in Revue du podologue, 107 (septembre-octobre 2022)
[article]
in Revue du podologue > 107 (septembre-octobre 2022) . - p. 7-20
Titre : Fractures du calcanéus [dossier] Type de document : article de périodique Auteurs : Nicolas Grenot, Auteur Année de publication : 2022 Article en page(s) : p. 7-20 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Fracture
[Thésaurus HELB]:Paramédical:Soins podologiques
[Thésaurus Mesh]:C:Calcanéus:Calcanéus / chirurgie
[Thésaurus Mesh]:C:Calcanéus:Calcanéus / innervation
[Thésaurus Mesh]:C:Calcanéus:Calcanéus / traumatismes
[Thésaurus Mesh]Calcanéus
[Thésaurus Mesh]Orthèses de piedMots-clés : Angle de Böhler Arthrose talo-calcanéenne Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité REV Périodique Erasme - périodiques Périodiques Disponible