The Economic, Medical/Scientific and Regulatory Aspects of Clinical Nutrition Practice: What Impacts What?: Peebles, Scotland, March 2007
Malnutrition has been known in hospital and outpatient care for more than 30 years. It is estimated that an average of 30% of patients are affected, and in the majority of cases the problem remains unrecognized and untreated. Moreover, this disease-related malnutrition increases health costs by 30-70% as recent studies have shown, exceeding even the costs of obesity. Nutrition interventions, generating in comparison only a small cost, may therefore result in substantial absolute savings. This publication gives an overview of the current state of affairs in Europe and the US, also examining the economics of malnutrition. Also discussed are reimbursement models for enteral nutrition as well as regulatory aspects and their impact on practice. The book closes with a discussion of future challenges and opportunities. Considering the extent of the problem, this publication will be of interest not only to doctors directly involved in the care of patients, but also to policy makers and administrative personnel.
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Table of Contents
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1 - 14: The Magnitude of the Problem of Malnutrition in EuropeByJens Kondrup;Jens KondrupNutrition Unit, Rigshospitalet and Department of Human Nutrition, Faculty of Life Sciences, University of Copenhagen, Copenhagen, DenmarkSearch for other works by this author on:Janice M. SorensenJanice M. SorensenNutrition Unit, Rigshospitalet and Department of Human Nutrition, Faculty of Life Sciences, University of Copenhagen, Copenhagen, DenmarkSearch for other works by this author on:
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15 - 28: Malnutrition in North America: Where Have We Been? Where Are We Going?ByGordon L. JensenGordon L. JensenDepartment Nutritional Sciences, Pennsylvania State University, University Park, PA, USASearch for other works by this author on:
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29 - 40: The Economics of MalnutritionByM. EliaM. EliaInstitute of Human Nutrition, University of Southampton, and Southampton General Hospital, Southampton, UKSearch for other works by this author on:
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41 - 52: The Need for Consistent Criteria for Identifying MalnutritionByL. John HofferL. John HofferLady Davis Institute for Medical Research, McGill University, Sir Mortimer B. Davis-Jewish General Hospital, Montreal, Que., CanadaSearch for other works by this author on:
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53 - 70: Enteral Nutrition Reimbursement – The Rationale for the Policy: The US PerspectiveByAlan K. Parver;Alan K. ParverPowell Goldstein LLP, Washington, DC, USASearch for other works by this author on:Sarah E. MutinskySarah E. MutinskyPowell Goldstein LLP, Washington, DC, USASearch for other works by this author on:
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71 - 78: Enteral Nutrition Reimbursement – The Rationale for the Policy: The German PerspectiveByNorbert PahneNorbert PahneBundesverband der Hersteller von Lebensmittel für besondere Ernährungszwecke (Diätverband) e.V., Bonn, GermanySearch for other works by this author on:
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79 - 93: Food Modification versus Oral Liquid Nutrition SupplementationByHeidi J. SilverHeidi J. SilverDepartment of Medicine, Vanderbilt University School of Medicine, Nashville, TN, USASearch for other works by this author on:
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95 - 104: Cost-Effectiveness Analysis and Health PolicyByDavid J. TorgersonDavid J. TorgersonYork Trials Unit, Department of Health Sciences, University of York, York, UKSearch for other works by this author on:
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105 - 111: Implementing Nutritional Standards: The Scottish ExperienceByAlastair W. McKinlayAlastair W. McKinlayDepartment of Gastroenterology, Aberdeen Royal Infirmary, Aberdeen, UKSearch for other works by this author on:
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113 - 119: Innovative Models for Clinical Nutrition and FinancingByJan Van EmelenJan Van EmelenIndependent Health Insurance Funds, Brussels, BelgiumSearch for other works by this author on:
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121 - 126: ENHA: What is It and What Does It Do? Strategies to Make Malnutrition a Key Priority in EU Health PolicyByFrank de ManFrank de ManEuropean Nutrition for Health Alliance, London, UKSearch for other works by this author on:
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127 - 136: Brief History of Parenteral and Enteral Nutrition in the Hospital in the USAByBruce R. BistrianBruce R. BistrianClinical Nutrition, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USASearch for other works by this author on:
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137 - 158: What Went Right? The Story of US Medicare Medical Nutrition TherapyByStephanie PatrickStephanie PatrickAmerican Dietetic Association, Washington, DC, USASearch for other works by this author on: