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Activity-based cost-of-illness: an alternative to quality-adjusted life years for measuring outcomes in elderly people.
To evaluate the approach of activity-based cost-of-illness (ACI) as a potential outcome measure in elderly people. The cost-of-illness approach focuses on the quantification of the economic burden of disease. Cost-of-illness studies have been conducted in several countries in recent years, including studies of the cost of type 2 diabetes mellitus, chronic pain, stroke, depression, Parkinson's disease, and multiple sclerosis in the elderly. A systematic literature search was conducted on the PubMed and Medline databases. A literature search from 1990 to 2010 was conducted in PubMed and Medline. The search was limited to cost-of-illness studies in adults or elderly people. Studies were selected based on the presence of the four important components of the cost-of-illness approach: costs, illnesses, activities, and the consequences. The results were organized in three groups according to the level of evidence. In our study, we identified 12 studies that were included in the review. ACI is a suitable alternative to the traditional approach of calculating quality-adjusted life years in the assessment of the outcomes of elderly people. Although the evidence from the literature is weak, we conclude that ACI represents a useful outcome measure in the assessment of the burden of illness and an alternative to quality-adjusted life years for health-related quality of life in elderly people.European Union citizens in Australia should continue to have easy access to health services despite the government's recent legislation to change the composition of Australia's foreign medical workforce, the head of Australia's doctors' union said.
In a fiery speech to the Australian Medical Association's annual conference in Sydney, Dr Tony Bartone said it was a "gross injustice" to cut the rights of doctors in the country's largest health market.
"It is the right of any EU citizen to seek care in Australia and it is the right of the Australian doctor to be able to practise, to the same standard that was delivered in Europe," Dr Bartone said.
"So we have to seek redress, we have to seek justice, and so far we have not seen anything that would allow us to suggest the change in the legislation will achieve anything."
The medical union said Australian doctors already provided a higher proportion of the care overseas than did their US colleagues.Sign up to FREE email alerts from Mirror - Arsenal FC Subscribe
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