ABSTRACT
The first step toward providing treatment, is getting the right diagnosis in real time; before it is too late. Without this, resource deployment may appear to be comparable to the scale and scope of the problem, while in reality it may just be a drop in the ocean. Maternal depression, during pregnancy is a debilitating risk to both the mother and the child, but the bigger problem is, it goes unnoticed, undetected, and therefore untreated. If mobile technology can be deployed to screen for depression in real time by the pregnant mother herself, it will go miles in creating a HOPE for health.
Subject(s)
Depression , Mass Screening , Pregnancy , Child , Female , Humans , Depression/diagnosis , TechnologyABSTRACT
BACKGROUND: Only a few studies address the financial impact of the management of bile duct injuries (BDI). This study was aimed to assess the cost of BDI sustained during cholecystectomy. METHODS: Patients who underwent surgical repair for post cholecystectomy BDI and due for routine follow up between August 2006 and September 2007 were called for an interview. RESULTS: 47 patients were interviewed. There were 39 (83%) women and 8 (17%) men. The median direct cost was US$ 1626 (451-11,009); 73,983 (20,521-500,910). The median indirect cost was US$ 312 (26-2,708); 14,196 (1,183-123,214). Total median cost was US$ 2,045 (488-12,369); 93,046 (22,204-562,790). The median total costs of management of BDI was 9.98 times the costs of a cholecystectomy at our centre (US$ 205); (9,328) and was 8.41 times the median monthly income of the patients (US$ 243); (11,057). CONCLUSIONS: Our results will help the hospital administrators and the insurance agencies to calculate and revise the packages and premium for cholecystectomy so that the extra cost of a possible BDI is evenly distributed.
