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The challenge for the future is to make such interventions more effective, cost effective and less demanding.
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And as in the case of the radical mastectomy, there is a far more effective, cost-effective and sustainable treatment.
That is, are the resulting spending levels reflected in more effective, cost-effective, and higher quality health care?
In particular, approaches that are less reliant upon belief modification to bring about therapeutic change may prove to be briefer, more effective, cost-effective, and more readily disseminated into routine practice.
The data should be accessible from anywhere as well as being able to generate actionable insights to make the overall system more effective and cost effective.
For HGD, they found RFA to be more effective and cost effective than surveillance followed by surgery.
For nondysplastic Barrett's, they found surveillance until HGD to be more effective and cost effective than initial RFA.
Brief lifestyle counselling by an AHW and brief advice by ED staff are more effective and cost effective than an information leaflet alone (PIL).
This problem will need to be tackled if treatment according to rapid diagnostic tests is to be more effective and cost effective than presumptive treatment.
Brief lifestyle counselling (BLC) by an AHW for hazardous and harmful drinkers identified by screening is more effective and cost effective than brief advice (BA) conducted by ED staff in the typical ED setting.
One study has reported that a stratified care strategy, in which patients with lower migraine severity received nonsteroidal antiinflammatory drugs (NSAIDs) plus metoclopramide while patients with higher migraine severity received a triptan, was more effective and cost effective than stepped care (Von Seggern 2002).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com