Overregulation of Health Care: Musings on Disruptive Innovation Theory

Disruptive innovation theory provides one lens through which to describe how regulations may stifle innovation and increase costs. Basing their discussion on this theory, Curtis and Schulman consider some of the effects that regulatory controls may have on innovation in the health sector

The effects of artificial lighting on activity of Namib Desert bats (Mammalia: Chiroptera)

The large-scale use of artificial light throughout the night has occurred in the last 100 years and continues to increase globally. Artificial light impacts many animal and plant taxa. The effects of artificial light on bats is species specific. The Namib Desert in Namibia is still relatively dark but subject to the same drivers of increasing development and urbanization that have increased the spread of artificial light globally. This study investigated the effects of the introduction of ultraviolet, yellow and white artificial light on the activity of bats in a rural environment with minimal development in the Namib Desert. Four sites, 100 m apart, had one light and one bat detector each. The fourth light was a dark control. Each site was sampled four times by each light type. Bat activity was recorded by the bat detectors. Eight bat species were recorded during the experiment. Activity increased for open air and clutter-edge foraging species analysed. Broadband white light caused the highest increases in activity followed by yellow light when compared with the dark control site. Ultraviolet light caused the lowest increases in activity contrary to expectations.Mengwaga ye 100 ya go feta go bile le koketšego ye kgolo ya tšhomišo ya seetša sa maitirelo bošego ka moka. Setlwaedi se se ata kudu lefaseng ka moka go feta pele, gomme se ama diphoofolo tše ntši le mehuta ya dimela. Leganata la Namib go la Namibia gabotse le sa ntše le swiswetše, eupša le ka fase ga dikgontšhi tša go oketša tlhabollo le toropofatšo tšeo di hlotšego koketšego tšhomišong ya seetša sa maitirelo lefaseng ka bophara. Dikhuetšo tša seetša sa maitirelo go memankgagane di fapana go ya ka mohuta. Nyakišišo ye e nyakišišitše dikhuetšo tša tsebagatšo ya seetša sa maitirelo sa go phadima, serolwane le se sešweu go modiro wa memankgagane ka tikologong ya nagaselegae ya go ba le tlhabollo ye nyane ka Leganateng la Namib. Seetša se setee le tithekethara e tee ya mankgagane di hlomilwe go le lengwe le le lengwe la mafelo a mane, a go arogantšhwa ka 100 m. Seetša sa bone se be se le taolo ya leswiswi. Lefelo le lengwe le le lengwe le dirilwe mohlala makga a mane ka mohuta wo mongwe le wo mongwe wa seetša. Modiro wa mankgagane e rekotilwe ka ditithekethara tša mankgagane. Mehuta ya mankgagane ye seswai e rekotilwe nakong ya eksperimente. Modiro wa mehuta ya sebakabakeng le ya go sela thobekgeng ye e sekasekilwego e oketšegile. Seetša se sešweu sa porotepente se hlotše dikoketšego tša modiro, sa latelwa ke seetša se se serolwane, ge se bapetšwa le lefelo la taolo ya leswiswi. Go fapana le ditetelo, seetša sa go phadima se hlotše dikoketšego tša fasefase modirong.School of Environmental SciencesM. Sc. (Nature Conservation

Unit Costs of Health and Social Care 2016

This is the latest updated volume in a well-established series bringing together information from a variety of sources to estimate national unit costs for a wide range of health and social care services. This report consists of tables for approaching 100 types of service which, as well as providing the most detailed and comprehensive information possible, also quotes sources and assumptions so users can adapt the information for their own purposes. This year we have included a guest editorial: Agency staff in the NHS; and two articles: Costs of the Well London programme and PUCC: The Preventonomics Unit Cost Calculator. There is also a new schema providing the costs of the Geriatric Care Management Model (GRACE) and new information has been added to the Adoption and GP schemas. Changes have also been made to further improve the costs of NHS overheads and environmental costs have been extended to appear in the mental health hospital services schema

Unit Costs of Health and Social Care 2017

This is the latest updated volume in a well-established series bringing together information from a variety of sources to estimate national unit costs for a wide range of health and social care services. This report consists of tables for approaching 100 types of service which, as well as providing the most detailed and comprehensive information possible, also quotes sources and assumptions so users can adapt the information for their own purposes. This year we have included a guest editorial: Estimating medication costs for economic evaluation; and two articles: Health care costs in the English NHS: reference tables for average annual NHS spend by age, sex and deprivation group, and a survey of English dental practices with costs in mind. There are new schemas for sexual health services, self-management programmes, advocacy and counselling for children, positive behavioural support for adults, the costs of perinatal anxiety and depression and supported living homes for adults with autism and complex needs. Please note that until the 2017 UC Report is printed (expected early February 2018), the online version is subject to change. Any revisions made after the print run will be listed on this page

Unit Costs of Health & Social Care 2020

A volume of unit costs relating to a variety of health and social care services and staf

A survey of Local Authorities and Home Improvement Agencies: identifying the hidden costs of providing a home adaptations service

Introduction: The Royal College of Occupational Therapists has launched a campaign to demonstrate that occupational therapists improve lives and save money for health and social care services. Occupational therapists play a major part in supporting older and disabled people to remain in their own homes through the provision of home adaptations. Among other benefits, studies have shown that home adaptations can reduce falls in the home and could therefore help reduce hospital admissions. To evidence savings however, information on the full costs of supplying and fitting home adaptations are needed. Method: Local authorities and Home Improvement Agencies were surveyed in 2013/14 to obtain the information required to estimate these costs. Time inputs for staff involved in their provision have been collected and staff costs and total costs calculated for 18 commonly fitted adaptations. The process of obtaining publicly funded home adaptations is also discussed. Findings: For major adaptations, the total mean cost was £16,647, ranging from £2474 to £36,681. Staffing costs absorbed up to 24% of the total mean cost. The total mean cost for minor adaptations was £451 with average staffing costs forming 76%. Conclusion: Staff costs are an important consideration when estimating the costs of providing home adaptations