<h3>abstract</h3> <b>Objectives</b>: To determine the demands on healthcare resources caused by different types of illnesses and variation with age sex. <b>Design:</b> Information use was obtained from all 22 sectors in Netherlands. Most important (hospitals, nursing homes, inpatient psychiatric care, institutions for mentally disabled people) have national registries. Total expenditures each sector were subdivided into 21 groups, sex, 34 diagnostic groups. <b>Setting:</b> Netherlands, 1994....

Obesity is a major cause of morbidity and mortality associated with high medical expenditures. It has been suggested that obesity prevention could result in cost savings. The objective this study was to estimate the annual lifetime costs attributable obesity, compare those similar smoking, discuss implications for prevention.

A prospective study was done to investigate functional outcome, quality of life, and type residence after hip fracture in patients 65 years age older. One hundred two admitted consecutively a university general hospital were followed up as long 4 months admission. The mean the participants 83 years; 58% came from their own home, 42 % institutions. Nearly 70% had or more diagnoses other than fracture. Cumulative mortality 20% at Of surviving patients, 57% back original situation for...

It has been demonstrated repeatedly that time to death is a much better predictor of health care expenditures than age. This known as the 'red herring' hypothesis. In this article, we investigate whether also case regarding disease-specific hospital expenditures. Longitudinal data samples from Dutch register (n=11 253 455) were used estimate 94 two-part models. Based on these models, Monte Carlo simulations assess predictive value proximity and age Results revealed there was clear effect...

During the COVID-19 pandemic, provision of non-COVID healthcare was recurrently severely disrupted. The objective to determine whether disruption hospital use, either due cancelled, postponed, or forgone care, during first pandemic year impacted socioeconomic groups differently compared with pre-pandemic use.

During the 1980s and 1990s life expectancy at birth has risen only slowly in Netherlands. In 2002, however, rise suddenly accelerated. We studied possible causes of this remarkable development. Mortality data by age, gender cause death were analyzed using table methods age-period-cohort modeling. Trends determinants mortality (including health care delivery) compared with trends mortality. Two-thirds increase since 2002 due to declines among those aged 65 over. Declines reflected a period...

Worldwide, socioeconomic differences in health and use of healthcare resources have been reported, even countries providing universal coverage. However, it is unclear how large these are for different types care to what extent status plays a role. Therefore, our aim was examine expenditure utilization differ according educational level income, whether can be explained by inequalities.Data from 18,936 participants aged 25-79 years the Dutch Health Interview Survey were linked at individual...

Abstract Background Healthcare costs are continuously increasing, and impose a strong responsibility on governments for an adequate allocation of resources among healthcare provisions patients. Objectives The aims the present study were to describe intellectual disability (ID) other mental disorders in context total all diseases, determinate future need resources, especially ID disorders. Methods authors performed top‐down cost‐of‐illness comprising Netherlands 1994. Data use obtained 22...

Background: The escalating costs of health care raise questions about demographic, epidemiological and technological determinants future projections. objectives this work are to describe the age pattern costs, analyse age‐specific cost changes project in an ageing population. Methods: Comprehensive cost‐of‐illness data for whole Dutch population 1988 1994 compared by type care. National on all hospital admissions, nursing days clinical interventions period 1988–1994 is used trends Population...

The inclusion of medical costs in life years gained economic evaluations health care technologies has long been controversial. Arguments favour the such are gaining support, which shifts question from whether to how include these costs. This paper elaborates on issue cost effectiveness analysis given current practice related diseases included. We combine insights theoretical literature unrelated with so-called 'red herring' literature. It is argued that for most interventions it would be...

Long-term care is often associated with high health expenditures. In the Netherlands, an ageing population will likely increase demand for long-term within near future. The development of risk profiles not only be useful projecting future demand, but also providing clues that may prevent or delay utilization. Here, we report our identification predictors utilization in a cohort hospital patients aged 65+ following their discharge from and who, prior to admission, were living at home. data...

Although job loss has been associated with decline in health, the effect of long term unemployment is less clear and under-researched. Furthermore, impact an economic recession on this relationship unclear. We investigated associations single transitions persistence health. subsequently examined whether these are affected by latest recession, which began 2008.In total, 57,911 participants from Dutch Health Interview Survey who belonged to labour force between 2004 2014 were included. Based...

Background Chronic infection with hepatitis B or C virus (HBV/HCV) can progress to cirrhosis, liver cancer, and even death. In a low endemic country as the Netherlands, migrants are key risk group could benefit from early diagnosis antiviral treatment. We assessed cost-effectiveness of screening foreign-born for chronic HBV and/or HCV using societal perspective. Methods The was evaluated Markov model. Estimates on prevalence, programme costs, participation treatment uptake, transition...

The effect of population aging on future health services use depends the relationship between longevity gains and health. Whether further in life expectancy will be paired by improvements is uncertain. We therefore analyze ageing under different scenarios. focus possibly diverging trends dimensions their use. Using longitudinal data use, a latent Markov model has been estimated that includes this to perform simulation study dynamics drive aging. simulate three scenarios (expansion morbidity,...

The World Health Organization has identified physical inactivity as the fourth leading risk factor for global mortality. People often intend to engage in activity on a regular basis, but have trouble doing so. To realize their health goals, people can voluntarily accept deadlines with consequences that restrict undesired future behaviors (i.e., commitment devices). We examined if lottery-based leverage regret aversion would help overweight individuals attaining goal of attending gym twice...

Aggregated claims data on medication are often used as a proxy for the prevalence of diseases, especially chronic diseases. However, linkage between and diagnosis tend to be theory based not very precise. Modelling disease probability at an individual level using may yield more accurate results.Individual probabilities having certain were estimated Random Forest (RF) algorithm. A training set was created from general practitioners database 276 723 cases that included medication. Model...

Since in an ageing society more long-term care (LTC) facilities are needed, it is important to understand the main determinants of first-time utilization services. The Andersen service model, which distinguishes predisposing, enabling and need factors, was used develop a model for LTC services among general population Netherlands. We data on 214,821 persons registered database practitioners (NIVEL Primary Care Database). For each person medical history known, as well characteristics such...

Consumption of raw or undercooked meat increases the risk infection with Toxoplasma gondii. Freezing products can eliminate this risk. may affect consumers' valuation in two different ways: it be valued positively because increased food safety negatively (perceived) loss quality. In a Discrete Choice Experiment on four we studied difference willingness to pay for frozen and non-frozen Netherlands. Analyses revealed that most Dutch consumer groups prefer meat. Price was important decisions,...