INVESTMENT MODALITIES IN MEDICAL ECONOMICS TO ALTER PATHOPHYSIOLOGICAL METRICS, DECREASE FISCAL/SOCIETAL BURDEN AND INCREASE PRODUCTIVE CAPACITY

Ralph J. DiLibero, MD

Veterans Administration Hospital, Mather California

California Department of Health Services, Sacramento California

Benefits Branch Chief

Anura Ratnasiri, RSSIII

California Department of Health Services, Sacramento California

Benefits Branch

ABSTRACT

Investment to produce change in wellness proves to be a methodology that “satisfies” an economic scarcity while meeting standards of both technological-scientific-economic improvement as well as standards of an increased societal perception of wellness, yielding in turn a proven additional increased productive capacity.   This Western cultural economic investment proves to be a “good” investment gamble.  The applied economic modalities of the investment and their raison d'être legitimately achieve a hopefully rational cultural-economic consensus of valued satisfaction along with a sustainable increased productive capacity for a given individual and for a given society at a defined place and at time definite.  Indeed, wellness is a desired economic goal worthy of investment because wellness allows for a society’s increased productive capacity.

Financing plays a leading role in determining not only the investment methodology, but also the availability and ultimate benefit quality. Moreover, net monetary advantages in the end-result weigh favorably against the degree of initial financial investment.  In addition, and naturally to follow from their documented end-result, a sustainable increased productive capacity projects not only to a present but also to a future time.

This original study examines a projected cost that will destabilize an economic system if a choice of no investment allows a status quo to continue within the prevailing institutional rules and regulations in California.  Documenting that health quality can not only be cost-effectively sustained, but also substantially improved within an existing economic of budgetary constraint of scarce resources, sheds light on the risk of an economic investment gamble that utilizes a set of primary preventive care derivatives to deliver, monitor and statistically evaluate the economic consequences of defined medical ecolo-nomic cohorts. Two monitored metric modalities of investment, screening for specific treatment and counseling to foster behavioral change, prove to yield cost-effective increased productive capacities in both -- resultant economic cost savings return and increased societal wellness within the two statistically significantly documented cohorts.  The problem boils down to allaying a projected decreased wellness and decreased productive capacity accompanied by increasing costs that point to a financial crisis.  Hip fracture is an economic and functional societal burden that demands investment to alleviate this problem.  Investment to alter traditional pathophysiological metrics in two cohorts from definitively admitted 413,733 consecutive hip fractures reveals a significantly significant documented reduction in the rate of hip fracture by 33.5% and the easing of subsequent wellness and fiscal morbidities.