Direct cost Health Dictionary

Direct Cost: From 1 Different Sources


Costalgia

Pain in the ribs.... costalgia

Cost

Actual expenses incurred to provide a health care product or service. Cost can be divided into a number of types including: average cost: The average cost per unit; equals the total cost divided by the units of production. avoided cost: Cost caused by a health problem that is avoided by a health care intervention. direct cost: Cost borne by the health care system, the community and families, e.g. diagnosis and treatment costs. A cost that is identifiable directly with a particular activity, service or product. fixed cost: Costs that, within a defined period, do not vary with the quantity produced, e.g. overhead costs of maintaining a building. incremental cost: The difference between marginal costs of alternative interventions. indirect cost: Cost which cannot be identified directly with a particular activity, service or product of the programme experiencing the cost. Indirect costs are usually apportioned among the programme’s services in proportion to each service’s share of direct costs. intangible cost: The cost of pain and suffering resulting from a disease, condition or intervention. marginal cost: The additional cost required to produce an additional unit of benefit (e.g. unit of health outcome). operating cost: In the health field, the financial requirements necessary to operate an activity that provides health services. These costs normally include costs of personnel, materials, overheads, depreciation and interest. opportunity cost: The benefit foregone, or value of opportunities lost, by engaging resources in a service. It is usually quantified by considering the benefit that would accrue by investing the same resources in the best alternative manner. recurrent cost: An item of expenditure that recurs year after year, such as the remuneration of health workers and other staff; the cost of food and other goods and services; the cost of vaccines, medicines, appliances and other supplies; the replacement of equipment; and the maintenance of buildings and equipment. tangible cost: Objective elements in the production of care, i.e. number of personnel, beds, consumables, technologies, staff qualifications. total cost: The sum of all costs incurred in producing a set quantity of service.... cost

Cost Of Illness

The personal cost of acute or chronic disease. The cost to the patient may be an economic, social or psychological cost or loss to himself, his family or community. The cost of illness may be reflected in absenteeism, productivity, response to treatment, peace of mind, quality of life, etc. It differs from health care costs in that this concept is restricted to the cost of providing services related to the delivery of health care, rather than the impact on the personal life of the patient. See “burden of disease”.... cost of illness

Costal

Anything pertaining to the ribs.... costal

Cost-benefit Analysis

The systematic comparison, in monetary terms, of all the costs and benefits of proposed alternative schemes with a view to determining: which scheme or combination of schemes will contribute most to the achievement of predetermined objectives at a fixed level of investment; or the magnitude of the benefit that can result from schemes requiring the minimum investment. The resources required per unit of benefit must be determined, account being taken of the fact that costs and benefits accrue with time. For example, the cost of establishing a home and community care programme might be compared with the total cost of building residential facilities. Cost-benefit analysis can also be applied to specific medical tests and treatments.... cost-benefit analysis

Costus

Costus speciosus

Zingiberaceae

San: Pushkara, Kashmeera, Kemuka;

Hin: Kebu, Keyu, Kust;

Ben: Keu, Kura

Mal: Channakkizhangu, Channakoova;

Tam: Kostam; Mar: Penva;

Tel: Kashmeeramu

Importance: Costus is one of the plants which contains diosgenin in its rhizome. It is widely used as starting material in the commercial production of steroidal hormones. The rhizomes are useful in vitiated conditions of kapha and pitta, burning sensation, flatulence, constipation, helminthiases, leprosy, skin diseases, fever, hiccough, asthma, bronchitis, inflammation and aneamia. It is used to make sexual hormones and contraceptives (Warrier et al,1994).

Distribution: The plant is widely distributed in Asia and other tropical countries like India, Nepal, Pakistan, Sri Lanka and China. In India, it occurs mostly in Arunachal Pradesh, Meghalaya, Nagaland, Tamil Nadu, Assam, Tripura and Kerala.

Botany: Costus speciosus (Koenig.) Sm. belonging to the family Zingiberaceae consists of two varieties viz., var. nepalensis Rose., found only in Nepal and Arunachal Pradesh and var. argycophyllus Wall., having a wide distribution in India.

The plant is a succulent herb with long leafy spirally twisted stems, 2-3m in height and horizontal rhizomes. Leaves are simple, spirally arranged, oblanceolate or oblong, glabrous above, silky pubescent beneath with broad leaf sheaths. Flowers are white, large, fragrant, arranged in dense terminal spikes. Bracts are bright red. The single stamen present is perfect, lip large with incurved margins. Fruits are globose or ovoid capsules with obovoid or sub- globose seeds (Warrier et al,1994).

Agrotechnology: Costus can be raised under a wide range of agroclimatic conditions. It prefers sandy loam soil for good growth. Propagation is by rhizomes. The best season for planting is April- May. The seed rate recommended is 2-2.4t/ha. The spacing adopted is 50x50cm. After an initial ploughing FYM or poultry manure should be applied at the rate of 30t/ha and the field is to be ploughed again irrigated and prepared to obtain a fine seed bed. Furrows are opened and the rhizome pieces are placed horizontally at a depth of 8-10cm and covered with soil. Care is taken to place the eye buds facing upwards. After 70-75 days about 90-95% sprouting is obtained. Desiccation of the young sprouts have been observed in the hot summer months, necessitating liberal water supply during the period. As September-November is the period of maximum tuberization at least two irrigations should be given at that time. One during the sprouting period of the crop followed by two more keeps the crop fairly free of weeds. Application of 37t/ha of poultry manure and fertilizers, 60kg P2O5 and 40kg K2O /ha as a basal doze, along with 80kg N/ha applied in 3 equal split dozes will take care. Crop is harvested at the end of seven months. Harvesting includes 2 operations, cutting the aerial shoots and digging out the rhizomes. Cost of production of diosgenin ranges from Rs. 271-300/kg (Atal, et al,1982).

Properties and activity: Tubers and roots contain diosgenin, 5 -stigmast-9(11)-en-3 ol, sitosterol- -D- glucoside, dioscin, prosapogenins A and B of dioscin, gracillin and quinones. Various saponins, many new aliphatic esters and acids are reported from its rhizomes, seeds and roots. Seeds, in addition, contain - tocopherol. Saponins from seeds are hypotensive and spasmolytic. Rhizomes possess antifertility, anticholinestrase, antiinflammatory, stimulant, depurative and anthelmintic activities (Hussain et al, 1992).... costus

Nhs Direct

A government-initiated, countrywide, telephone-based helpline which enables members of the public with a potential emergency or inquiry about health to receive counselling over the telephone. They can then be advised on the most appropriate course of action: perhaps an urgent visit to the nearest Accident & Emergency department, a non-urgent visit to the general practitioner, or even self-medication. The intention is to reduce the high workloads of GPs and A&E departments without endangering patients. NHS Direct is expected to be enhanced to provide:

links to community pharmacies and social services.

access to NHS Direct information via the Internet and information points in public sites.

publication of a guide on health care for dispatch to callers.... nhs direct

Administrative Costs

Costs which are not attributable to the direct delivery of health services and are not direct clinical care or service costs.... administrative costs

Average Cost

See “cost”.... average cost

Avoided Cost

See “cost”.... avoided cost

Cost Centre

An accounting device whereby all related costs attributable to some “financial centre” within an organization, such as a department, centre or programme, are segregated for accounting or reimbursement purposes.... cost centre

Cost Containment

A set of steps to control or reduce inefficiencies in the consumption, allocation or production of health care services which contribute to higher than necessary costs.... cost containment

Cost Minimization Analysis

A determination of the least costly among alternative interventions that are assumed to produce equivalent outcomes.... cost minimization analysis

Cost Outlier

A case which is more costly to treat compared with other persons in a particular diagnosis-related group. Outliers also refer to any unusual occurrence of cost, cases which skew average costs or unusual procedures.... cost outlier

Cost Sharing

Payment method whereby a person is required to pay some health costs in order to receive medical care. The general set of financing arrangements whereby the consumer must pay out-of-pocket to receive care, either at the time of initiating care or during the provision of health care services, or both. Cost sharing can also occur when an insured person pays a portion of the monthly premium for health care insurance.... cost sharing

Cost Shifting

Recouping the cost of providing uncompensated care by increasing revenues from some payers to offset losses and lower net payments from other payers.... cost shifting

Cost-benefit

The relationship between the cost of an activity and the benefit that accrues from it.... cost-benefit

Cost-effectiveness Analysis

A form of analysis that seeks to determine the costs and effectiveness of a health intervention compared with similar alternative interventions to determine the relative degree to which they will obtain the desired health outcome(s).... cost-effectiveness analysis

Cost-efficiency

The extent to which financial resources are being used as well as possible.... cost-efficiency

Cost-of-illness Analysis

A determination of the economic impact of a disease or health condition, including treatment costs.... cost-of-illness analysis

Cost-of-living Adjustment (cola)

Increase to a monthly long-term disability benefit, usually after the first year of payments. May be a flat percentage (e.g. 3%) or tied to changes in inflation.... cost-of-living adjustment (cola)

Costing

Methods and processes for calculating costs (actual and estimated) required to achieve certain goals, obtain certain products or carry out certain processes, or for maintenance of the health service.... costing

Costner

(American) One who is embraced by all

Cosner, Costnar, Cosnar, Costnor, Cosnor... costner

Costus Speciosus

(Koenig) Sm.

Family: Zingiberaceae.

Habitat: Assam, North Bengal, Khasi and Jaintia Hills, sub Himalayan tracts of Uttar Pradesh and Himachal Pradesh and Western Ghats.

English: Canereed, Wild Ginger.

Ayurvedic: Kebuka, Kembuka.

Siddha/Tamil: Krrauvam, Malai Vasambu, Ven Kottam.

Folk: Kebu.

Action: Astringent, purgative, depurative, anti-inflammatory (used in gout, rheumatism; bronchitis, asthma, catarrhal fevers, dysuria), anthelmintic, antivermin, maggoticide, antifungal.

The rhizomes contain saponins— dioscin, gracillin and beta-sitosterol- beta-D-glucoside. The alkaloids show papaverine-like smooth-muscle-relaxant activity, cardiotonic activity like that of digitalis and antispasmodic,

CNS-depressant, diuretic and hydro- choleretic activities. Saponins show significant anti-inflammatory and an- tiarthritic activity.

The seeds also contain saponins and exhibit potent and sustained hypoten- sive and bradycardiac activities in dogs with low toxicity and without any haemolytic activity; also weak spasmolytic activity on isolated guinea-pig ileum.

All parts of the plant yield steroidal sapogenin, diogenin (quantity varies from 0.32 to 4%).

(Not to be confused with Kushtha of Indian medicine, Saussurea lappa.)... costus speciosus

Da Costa’s Syndrome

See EFFORT SYNDROME.... da costa’s syndrome

Direct Insult

Viral, bacterial and fungal PNEUMONIA

Lung trauma or contusion

Inhalation of toxic gases or smoke

ASPIRATION of gastric contents

Near-drowning... direct insult

Direct Patient Care

Any activities by a health professional involving direct interaction, treatment, administration of medications or other therapy or involvement with a patient.... direct patient care

Fixed Cost

See “cost”.... fixed cost

Incremental Cost

See “cost”.... incremental cost

Indirect Cost

See “cost”.... indirect cost

Intangible Cost

The cost of pain and suffering resulting from a disease, condition or intervention.... intangible cost

Marginal Cost

See “cost”.... marginal cost

Operating Cost

See “cost”.... operating cost

Opportunity Cost

See “cost”.... opportunity cost

Recurrent Cost

See “cost”.... recurrent cost

Costal Cartilage

a cartilage that connects a *rib to the breastbone (*sternum). The first seven ribs (true ribs) are directly connected to the sternum by individual costal cartilages. The next three ribs are indirectly connected to the sternum by three costal cartilages, each of which is connected to the one immediately above it.... costal cartilage

Costochondritis

n. a painful condition of the chest wall, caused by inflammation in the joints between ribs and cartilage, breastbone and cartilage, or breastbone and clavicles. It can be caused by strenuous or repetitive movements. The condition is usually shortlived and resolves without treatment. Compare Tietze’s syndrome.... costochondritis

Direct Oral Anticoagulant

(DOAC) a relatively recently introduced class of drugs that reduce coagulation of the blood by inhibition of one of the coagulation factors (Factor Xa). They may be used as an alternative to *warfarin in many (but not all) cases, their advantage being that regular blood tests are not required for dose adjustment. Examples include, apixaban, dabigatran, edoxaban, and rivaroxaban.... direct oral anticoagulant



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