Cost characteristics of hospital patients were analyzed in 2238 medical records randomly selected from 42,880 dicharges in six contrasting hospital populations in the year 1976. Total hospital billings were concentrated on a few patients. On average, the high-cost 13% of patients consumed as many resources as the low-cost 87%. Repeated hospitalizations for the same disease were more characteristic of the expensive patients than were single cost-intensive stays, "intensive care," or prolonged single hospitalizations. Potentially harmful personal habits (e.g., drinking and smoking) were indicated in the records of high-cost patients substantially more often than in those of low-cost patients. Unexpected complications during treatment were five times more frequent in the high-cost group. Public policy programs for health insurance or cost control should include provisions based on the special characteristics of high-cost patients.
Predicting emergency readmissions for patients discharged from the medical service of a teaching hospital
Targeting elders for geriatric evaluation and management: reliability, validity, and practicality of a questionnaire
Prospective reimbursement for state-of-the-art medical practice: the case for invasive electrophysiologic evaluation
A needs-based methodology for allocating health care resources in Ontario, Canada: development and an application
Prognosis, survival, and the expenditure of hospital resources for patients in an intensive-care unit
Does increased access to primary care reduce hospital readmissions? Veterans Affairs Cooperative Study Group on Primary Care and Hospital Readmission
Primary intensive care: pilot study of a primary care-based intervention for high-utilizing patients
Is health-related quality of life among older, chronically ill patients associated with unplanned readmission to hospital?
Medically unexplained symptoms in frequent attenders of secondary health care: retrospective cohort study
Validity of self reported utilisation of primary health care services in an urban population in Spain
Socio-demographic and clinical characteristics of re-presentation to an Australian inner-city emergency department: implications for service delivery
Need, enabling, predisposing, and behavioral determinants of access to preventative care in Argentina: analysis of the national survey of risk factors
Mental health treatment and medical care utilization in a fee-for-service system: outpatient mental health treatment following the onset of a chronic disease
The relation of body weight to length of stay and charges for hospital services for patients undergoing elective surgery: a study of two procedures
The medication minefield: using computerized decision support systems to reduce preventable adverse drug events and hospitalizations
Prevention of readmission in elderly patients with congestive heart failure: results of a prospective, randomized pilot study
A randomized trial of primary intensive care to reduce hospital admissions in patients with high utilization of inpatient services
Strategies to improve continuity of care and decrease rehospitalization of cancer patients: a review
Economic outcome under Medicare prospective payment at a tertiary-care institution: the effects of demographic, clinical, and logistic factors on duration of hospital stay and part A charges for medical back problems (DRG 243)
Prospective validation of a predictive model that identifies homeless people at risk of re-presentation to the emergency department
Chronic catastrophes: exploring the concentration and sustained nature of ambulatory prescription drug expenditures in the population of British Columbia, Canada
Predictors of health resource use by disabled older female Medicare beneficiaries living in the community
What's cost got to do with it? Association between hospital costs and frequency of admissions among "high users" of hospital care
Risk factors for recurrent admissions with diabetic ketoacidosis: a case-control observational study
Acute care hospitals providing elderly and long-term care services: a survey of the Massachusetts experience
Outcome and costs of intensive care. A follow-up study on patients requiring prolonged mechanical ventilation
Emergency readmissions are substantially determined by acute illness severity and chronic debilitating illness: a single centre cohort study
Comparing performance of 30-day readmission risk classifiers among hospitalized primary care patients
Biomedical factors associated with hospitalization of older adults: The Bambuí Health and Aging Study (BHAS)
Regression-based sampling for persons with high health expenditures: evaluating accuracy and yield with the 1997 MEPS
Impact of pharmacist discharge medication therapy counseling and disease state education: Pharmacist Assisting at Routine Medical Discharge (project PhARMD)
Residents examine factors associated with 30-day, same-cause hospital readmissions on an internal medicine service
Survival, quality of life, and charges in critically III surgical patients requiring prolonged ICU stays
Utilization of medical services by alcoholics participating in a health maintenance organization outpatient treatment program: three-year follow-up
Post-hospitalization transitions: Examining the effects of timing of primary care provider follow-up
Transition of patients with COPD across different care settings: challenges and opportunities for hospitalists
Prevalence of common mental health disorders in adults who are high or costly users of healthcare services: protocol for a systematic review and meta-analysis
Impact of Critical Illness Insurance on the Burden of High-Cost Rural Residents in Central China: An Interrupted Time Series Study
Psychosocial factors and the management of physical illness: a contribution to the cost-containment of medical care
Evaluation of a care transition program with pharmacist-provided home-based medication review for elderly Singaporeans at high risk of readmissions
Rehabilitation outcome of older patients with end-stage renal disease and lower extremity amputation
Demonstrated health care cost savings for women: findings from a community health worker intervention designed to address depression and unmet social needs
Identifying and understanding determinants of high healthcare costs for breast cancer: a quantile regression machine learning approach
Risk factors, causes, and rates associated with hospital readmission after pediatric neck mass surgery.
Health care spending in prostate cancer: An assessment of characteristics and health care utilization of high resource-patients.
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.
Neural Activity: Imaging
Imaging of neural activity in vivo has developed rapidly recently with the advancement of fluorescence microscopy, including new applications using miniaturized microscopes (miniscopes). This feed follows the progress in this growing field.
The Tendon Seed Network
Tendons are rich in the extracellular matrix and are abundant throughout the body providing essential roles including structure and mobility. The transcriptome of tendons is being compiled to understand the micro-anatomical functioning of tendons. Discover the latest research pertaining to the Tendon Seed Network here.
Myocardial stunning is a mechanical dysfunction that persists after reperfusion of previously ischemic tissue in the absence of irreversible damage including myocardial necrosis. Here is the latest research.
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.
Incretins are metabolic hormones that stimulate a decrease in glucose levels in the blood and they have been implicated in glycemic regulation in the remission phase of type 1 diabetes. Here is the latest research.
Chromatin Regulation and Circadian Clocks
The circadian clock plays an important role in regulating transcriptional dynamics through changes in chromatin folding and remodelling. Discover the latest research on Chromatin Regulation and Circadian Clocks here.
“Long Covid-19” describes illness in patients who are reporting long-lasting effects of the SARS-CoV-19 infection, often long after they have recovered from acute Covid-19. Ongoing health issues often reported include low exercise tolerance and breathing difficulties, chronic tiredness, and mental health problems such as post-traumatic stress disorder and depression. This feed follows the latest research into Long Covid.
Spatio-Temporal Regulation of DNA Repair
DNA repair is a complex process regulated by several different classes of enzymes, including ligases, endonucleases, and polymerases. This feed focuses on the spatial and temporal regulation that accompanies DNA damage signaling and repair enzymes and processes.