PMID: 8991270Jan 1, 1996Paper

High hospital admission rates and inappropriate care

Health Affairs
J RestucciaS Payne

Abstract

This study tests whether the rate of inappropriate hospital admissions is high in areas with high medical admission rates. Seventy small geographic areas were formed by grouping Massachusetts ZIP codes by similarity of hospital use. Appropriateness of hospital admission was measured both by applying the Appropriateness Evaluation Protocol and by applying physicians' judgment to the medical records of patients age sixty-five and older who were admitted for treatment of a medical condition in 1990-1992. No relationship between hospital admission rate and inappropriate admission rate was found, which calls into question the common assumption that areas with higher hospital use have more inappropriate use of hospital care.

References

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Citations

Jan 8, 1999·The New England Journal of Medicine·C M AshtonN P Wray
Jul 11, 2002·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Michel P KossovskyJean-Michel Gaspoz
Jun 7, 2012·The Journal of Ambulatory Care Management·Jayasree BasuLee R Mobley
Jan 5, 2008·BMJ : British Medical Journal·Sarah Purdy, Tom Griffin
Jan 23, 2004·BMC Health Services Research·Mark F GuagliardoDavid C Goodman
Jul 26, 2012·Health Economics Review·John E SchneiderSarah A Jeffers
Jan 29, 2014·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·B-P Robra
Jul 1, 1997·Journal of General Internal Medicine·G E RosenthalK E Covinsky
Mar 23, 2004·Health Services Research·Chunliu ZhanGregg S Meyer
Nov 15, 2014·Medical Care·Arjun K VenkateshHarlan M Krumholz
Oct 20, 2007·Journal of Biomedical Informatics·L G Gortzis, G Nikiforidis
Feb 12, 2017·Geriatrics & Gerontology International·Ke ZhouDavid Matchar
Apr 6, 1999·Medical Care Research and Review : MCRR·J A AlexanderJ Banaszak-Holl
May 30, 2013·Medical Care Research and Review : MCRR·James D ReschovskyPatrick S Romano
May 24, 2018·International Journal of Environmental Research and Public Health·Yan ZhangYingchun Chen
Feb 22, 2000·Journal of the American Geriatrics Society·D SalibaL Rubenstein
Dec 8, 2019·International Journal of Environmental Research and Public Health·Guangwen GongJingjing Chang

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