PMID: 11914464Mar 27, 2002Paper

Health care consumption among elderly patients in california: a comprehensive 10-year evaluation of trends in hospitalization rates and charges

The Gerontologist
James A KoziolSandra C Christiansen

Abstract

This report examines health care rates, charges, and patterns of consumption from a comprehensive California hospitalization data set covering 1986-1995. An improved understanding of current trends in health care consumption would facilitate the development of future resource allocation models. We obtained discharge and charge data from all licensed nonfederal hospitals in California between 1986 and 1995 relating to inpatient discharges of individuals aged 55 years and older. We used the direct method of standardization to adjust discharge statistics for differing age and gender case mixes, and we adjusted all charges to 1990 dollars for cost comparisons. Standardized to the 1990 population, annual discharge rates declined between 1986 and 1992, then leveled off to about 227 per 1,000 between 1993 and 1995. Rates of both discharges and charges for men consistently exceeded those for women, there being about a 5-year lag between female and male rates of discharge. The insurance payer mix shifted between 1986 and 1995, with dramatic declines in private insurance mirrored by increases in managed care. Hospital care consumption among the elderly people in California demonstrates a trend of increasing adjusted total charges despite...Continue Reading

References

Jan 1, 1982·Annals of Internal Medicine·S A Finkler
Dec 19, 1996·The New England Journal of Medicine·J G JollisD B Mark
Jul 9, 1998·American Journal of Respiratory and Critical Care Medicine·M E GrassoG F Anderson
Nov 20, 1998·The New England Journal of Medicine·J P Kassirer
Dec 24, 1998·The New England Journal of Medicine·L I IezzoniH R Burstin
Feb 18, 1999·The New England Journal of Medicine·T Bodenheimer
Feb 25, 1999·The New England Journal of Medicine·R Kuttner
Nov 7, 1999·The Journal of Allergy and Clinical Immunology·P LozanoK B Weiss
Sep 13, 2000·The Journal of Allergy and Clinical Immunology·K B WeissC S Lyttle

❮ Previous
Next ❯

Citations

Oct 15, 2011·International Psychogeriatrics·Esther Iecovich, Aya Biderman
Aug 9, 2005·World Journal of Surgery·Henrik Petrowsky, Pierre-Alain Clavien
Oct 24, 2007·Social Work in Health Care·Michèle Preyde, Tina Chapman
May 12, 2009·Journal of Evidence-based Social Work·Michèle PreydeTracey Dingwall
Feb 15, 2011·European Journal of Ageing·Israel DoronPnina Weisberg-Yosub

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.