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Changes in the Source of Unscheduled Hospitalizations in the United States

Changes in the Source of Unscheduled Hospitalizations in the United States ORIGINAL ARTICLE Changes in the Source of Unscheduled Hospitalizations in the United States Keith E. Kocher, MD, MPH,*w Justin B. Dimick, MD, MPH,wz and Brahmajee K. Nallamothu, MD, MPHwy clinical conditions now originating in the ED. This trend does not Background: Hospitalizations represent a significant portion of the seem to be harming patients or worsening LOS. annual expenditures for the US health care system. Understanding Key Words: care delivery system, emergency department, health recent changes in the sources of unscheduled admissions may care organization, hospital administration, inpatient care provide opportunities to improve the quality and cost of inpatient care. (Med Care 2013;51: 689–698) Objectives: To examine sources of unscheduled hospitalization over a 10-year period and implications for inpatient mortality and length of stay (LOS). ospitalizations represent a significant portion of the Research Design: Observational study using the 2000–2009 Hannual expenditures for the US health care system. Nationwide Inpatient Sample. Between 1997 and 2008, aggregate inflation-adjusted costs of inpatient stays grew by 4.4% annually. The Centers for Subjects: We categorized unscheduled hospitalizations as those Medicare and Medicaid Services (CMS) reported that hos- related to transfers, direct admissions from outpatient providers, and pital care represented about 30% of the $2.6 trillion http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Medical Care Wolters Kluwer Health

Changes in the Source of Unscheduled Hospitalizations in the United States

Medical Care , Volume 51 (8) – Aug 1, 2013

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References (29)

Copyright
Copyright © 2013 by Lippincott Williams & Wilkins
ISSN
0025-7079
eISSN
1537-1948
DOI
10.1097/MLR.0b013e3182992c7b
pmid
23752257
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE Changes in the Source of Unscheduled Hospitalizations in the United States Keith E. Kocher, MD, MPH,*w Justin B. Dimick, MD, MPH,wz and Brahmajee K. Nallamothu, MD, MPHwy clinical conditions now originating in the ED. This trend does not Background: Hospitalizations represent a significant portion of the seem to be harming patients or worsening LOS. annual expenditures for the US health care system. Understanding Key Words: care delivery system, emergency department, health recent changes in the sources of unscheduled admissions may care organization, hospital administration, inpatient care provide opportunities to improve the quality and cost of inpatient care. (Med Care 2013;51: 689–698) Objectives: To examine sources of unscheduled hospitalization over a 10-year period and implications for inpatient mortality and length of stay (LOS). ospitalizations represent a significant portion of the Research Design: Observational study using the 2000–2009 Hannual expenditures for the US health care system. Nationwide Inpatient Sample. Between 1997 and 2008, aggregate inflation-adjusted costs of inpatient stays grew by 4.4% annually. The Centers for Subjects: We categorized unscheduled hospitalizations as those Medicare and Medicaid Services (CMS) reported that hos- related to transfers, direct admissions from outpatient providers, and pital care represented about 30% of the $2.6 trillion

Journal

Medical CareWolters Kluwer Health

Published: Aug 1, 2013

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