Cost-Utility Analysis of Screening Intervals for Diabetic Retinopathy in Patients With Type 2 Diabetes Mellitus

Article Abstract:

The cost-effectiveness of screening diabetics for eye disease varies significantly depending on the age of the patient, their risk factors for eye disease, and how often they are screened. Researchers estimated the cost of screening every year, every other year, or every three years in a hypothetical group of patients. Annual screening would be beneficial in younger patients with poorly controlled blood sugar but not as beneficial in older patients. Patients at low-risk probably would not need annual screening either.

Economic aspects, Reports, Diagnosis, Medical examination, Retinal diseases, Medical screening, Health screening, Cost benefit analysis

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Estimating Hospital Deaths Due to Medical Errors: Preventability Is in the Eye of the Reviewer

Article Abstract:

The number of deaths from medical errors in US hospitals may have been exaggerated. A panel of 14 doctors who reviewed 111 deaths at seven Veterans' hospitals found that less than 1% of the patients would have lived three months or more in relatively good health if optimal care had been provided.

Health aspects, Patient outcomes, Mortality, Hospital patients, Medical errors

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The Unreliability of Individual Physician "Report Cards" for Assessing the Costs and Quality of Care of a Chronic Disease

Article Abstract:

Physician report cards may be unable to detect differences in physician practice and may encourage doctors to "cheat". Researchers determined the reliability of physician report cards covering diabetes care in a large HMO, a university teaching clinic and a private practice group. The study covered 232 doctors and 3,642 patients with type 2 diabetes. Doctors would need to have more than 100 diabetic patients to make the report card a reliable indicator, whereas most had fewer than 60. Doctors could improve their profile by refusing to treat patients who have poor control of their blood sugar.

Care and treatment, Evaluation, Physicians, Medical professions

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