“China’s health care system has undergone considerable changes toward a ‘fee for service’ model where access to treatment is affected by a patient’s ability to pay,” said Professor GAO Runlin, Chairman of the Chinese Society of Cardiology. Professor GAO reported that the level of treatment given to a heart patient in China did not directly equate to the patient’s risk of subsequent death or disability.
Researchers, at The George Institute for International Health in Sydney and the Chinese Society of Cardiology discovered that, while effective treatments are often available, the decision to provide more costly treatments in hospital was not determined primarily by the likelihood of clinical benefit, but rather by a patient’s socioeconomic status, or ability to pay for services. The study also found that relatively inexpensive drug therapies that are highly effective in reducing the risks of future heart attack were frequently prescribed to patients on discharge from hospital, but a patient’s use of these drugs diminished rapidly once they went home.
Coronary heart disease has emerged as a leading cause of morbidity and premature death in China today. As the burden of cardiovascular diseases rise in China, so will the numbers of patients presenting with heart attack and related complications. Statistics from the World Health Organization’s Global Burden of Diseases Study predict deaths from cardiovascular diseases in China are likely to quadruple to four million per year by 2020.
“Patterns of current practice in managing Acute Coronary Syndromes, commonly known as heart attack and severe angina, reflect choices made by our clinicians towards prescription of expensive interventions. By identifying the gaps in both treatment and cost-efficiency, steps can be taken to reduce the impact of one the worlds, and China’s, leading killers” said Professor GAO.
The results are from the Clinical Pathways for the Management of Acute Coronary Syndromes project (CPACS), which was jointly developed by the Chinese Society of Cardiology and The George Institute for International Health to review how patients suffering from acute coronary syndromes are being managed at hospitals across China.
Data was collected from almost 3000 patients in over 50 hospitals from 18 provinces of China. Patients who were admitted to hospital with a diagnosis of an acute coronary syndrome were assessed during hospitalisation and in the first six months after discharge.
Co-principal Investigator for the CPACS study, Dr Anushka Patel, at The George Institute for International Health, believes that the situation found in China is by no means unique to that country. “The early data indicate that China is confronting similar challenges as those experienced in other countries. There is evidence that guidelines for ACS management can promote cost-effective care and improve patient outcomes. However, in addition to approaches directed at promoting guidelines adherence within hospitals and amongst clinicians, health care system reform is the likely key to future success,” Dr Patel stated.
“Many opportunities for improving patient care and for cost-effective allocation of scarce resources for the management of ACS are available in China. These include earlier presentation to hospital, earlier treatment following heart attack, better risk stratification, and reduced length of hospitalisation,” added Professor GAO.
The two year project is also supported by Sanofi-Aventis, China, Guidant Corporation and the Royal Australasian College of Physicians.
Emma Orpilla | alfa
Diagnoses: When Are Several Opinions Better Than One?
19.07.2016 | Max-Planck-Institut für Bildungsforschung
High in calories and low in nutrients when adolescents share pictures of food online
07.04.2016 | University of Gothenburg
Researchers from the Institute for Quantum Computing (IQC) at the University of Waterloo led the development of a new extensible wiring technique capable of controlling superconducting quantum bits, representing a significant step towards to the realization of a scalable quantum computer.
"The quantum socket is a wiring method that uses three-dimensional wires based on spring-loaded pins to address individual qubits," said Jeremy Béjanin, a PhD...
In a paper in Scientific Reports, a research team at Worcester Polytechnic Institute describes a novel light-activated phenomenon that could become the basis for applications as diverse as microscopic robotic grippers and more efficient solar cells.
A research team at Worcester Polytechnic Institute (WPI) has developed a revolutionary, light-activated semiconductor nanocomposite material that can be used...
By forcefully embedding two silicon atoms in a diamond matrix, Sandia researchers have demonstrated for the first time on a single chip all the components needed to create a quantum bridge to link quantum computers together.
"People have already built small quantum computers," says Sandia researcher Ryan Camacho. "Maybe the first useful one won't be a single giant quantum computer...
COMPAMED has become the leading international marketplace for suppliers of medical manufacturing. The trade fair, which takes place every November and is co-located to MEDICA in Dusseldorf, has been steadily growing over the past years and shows that medical technology remains a rapidly growing market.
In 2016, the joint pavilion by the IVAM Microtechnology Network, the Product Market “High-tech for Medical Devices”, will be located in Hall 8a again and will...
'Ferroelectric' materials can switch between different states of electrical polarization in response to an external electric field. This flexibility means they show promise for many applications, for example in electronic devices and computer memory. Current ferroelectric materials are highly valued for their thermal and chemical stability and rapid electro-mechanical responses, but creating a material that is scalable down to the tiny sizes needed for technologies like silicon-based semiconductors (Si-based CMOS) has proven challenging.
Now, Hiroshi Funakubo and co-workers at the Tokyo Institute of Technology, in collaboration with researchers across Japan, have conducted experiments to...
14.10.2016 | Event News
14.10.2016 | Event News
12.10.2016 | Event News
21.10.2016 | Health and Medicine
21.10.2016 | Information Technology
21.10.2016 | Materials Sciences