scholarly journals Emergency health service contact and reincarceration after release from prison: A prospective cohort study

2019 ◽  
Vol 29 (2) ◽  
pp. 85-93 ◽  
Author(s):  
Dominique F. Andrade ◽  
Matthew J. Spittal ◽  
Kathryn J. Snow ◽  
Faye S. Taxman ◽  
Julia L. Crilly ◽  
...  
Keyword(s):  
Cohort Study ◽  
Health Service ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Service Contact ◽  
Release From Prison

scholarly journals Age, mode of conception, health service use and pregnancy health: a prospective cohort study of Australian women

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Jane Fisher ◽  
Karen Wynter ◽  
Karin Hammarberg ◽  
John McBain ◽  
Frances Gibson ◽  
...  
Keyword(s):  
Cohort Study ◽  
Health Service ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Service Use ◽  
Health Service Use

scholarly journals Effects of whole-body MRI on outpatient health service costs: a general-population prospective cohort study in Mecklenburg-Vorpommern, Germany

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e056572
Author(s):  
Carsten Oliver Schmidt ◽  
Elizabeth Sierocinski ◽  
Sebastian Baumeister ◽  
Katrin Hegenscheid ◽  
Henry Völzke ◽  
...  
Keyword(s):  
Cohort Study ◽  
General Population ◽  
Health Service ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Population Based ◽  
Whole Body ◽  
Service Utilisation ◽  
Specialist Care ◽  
Whole Body Mri

ObjectiveWhole-body MRI (wb-MRI) is increasingly used in research and screening but little is known about the effects of incidental findings (IFs) on health service utilisation and costs. Such effects are particularly critical in an observational study. Our principal research question was therefore how participation in a wb-MRI examination with its resemblance to a population-based health screening is associated with outpatient service costs.DesignProspective cohort study.SettingGeneral population Mecklenburg-Vorpommern, Germany.ParticipantsAnalyses included 5019 participants of the Study of Health in Pomerania with statutory health insurance data. 2969 took part in a wb-MRI examination in addition to a clinical examination programme that was administered to all participants. MRI non-participants served as a quasi-experimental control group with propensity score weighting to account for baseline differences.Primary and secondary outcome measuresOutpatient costs (total healthcare usage, primary care, specialist care, laboratory tests, imaging) during 24 months after the examination were retrieved from claims data. Two-part models were used to compute treatment effects.ResultsIn total, 1366 potentially relevant IFs were disclosed to 948 MRI participants (32% of all participants); most concerned masses and lesions (769 participants, 81%). Costs for outpatient care during the 2-year observation period amounted to an average of €2547 (95% CI 2424 to 2671) for MRI non-participants and to €2839 (95% CI 2741 to 2936) for MRI participants, indicating an increase of €295 (95% CI 134 to 456) per participant which corresponds to 11.6% (95% CI 5.2% to 17.9%). The cost increase was sustained rather than being a short-term spike. Imaging and specialist care related costs were the main contributors to the increase in costs.ConclusionsCommunicated findings from population-based wb-MRI substantially impacted health service utilisation and costs. This introduced bias into the natural course of healthcare utilisation and should be taken care for in any longitudinal analyses.

scholarly journals Injecting drug use is an independent risk factor for reincarceration after release from prison: A prospective cohort study

2018 ◽  
Vol 38 (3) ◽  
pp. 254-263
Author(s):  
Rebecca J. Winter ◽  
Mark Stoové ◽  
Paul A. Agius ◽  
Margaret E. Hellard ◽  
Stuart A. Kinner
Keyword(s):  
Risk Factor ◽  
Cohort Study ◽  
Drug Use ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Independent Risk Factor ◽  
Injecting Drug Use ◽  
Release From Prison

scholarly journals Intellectual disability and patient activation after release from prison: a prospective cohort study

2017 ◽  
Vol 61 (10) ◽  
pp. 939-956 ◽  
Author(s):  
J. T. Young ◽  
C. Cumming ◽  
K. van Dooren ◽  
N. G. Lennox ◽  
R. Alati ◽  
...  
Keyword(s):  
Cohort Study ◽  
Intellectual Disability ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Patient Activation ◽  
Release From Prison

scholarly journals Incidence and risk factors for mortality after release from prison in Australia: a prospective cohort study

Addiction ◽  
2017 ◽  
Vol 113 (5) ◽  
pp. 937-945 ◽  
Author(s):  
Simon J. Forsyth ◽  
Megan Carroll ◽  
Nicholas Lennox ◽  
Stuart A. Kinner
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Release From Prison

scholarly journals Do welfare benefit reassessments of people with mental health conditions lead to worse mental health? A prospective cohort study

2019 ◽  
Vol 66 (2) ◽  
pp. 136-149
Author(s):  
Ruth Stuart ◽  
Sanchika Campbell ◽  
Beatrice Osumili ◽  
Emily J Robinson ◽  
Mary Frost-Gaskin ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Health Service ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Exposed Group ◽  
Health Conditions ◽  
Control Group ◽  
Mental Health Conditions

Background: There have been cases of suicide following the Work Capability Assessment (WCA), a questionnaire and interview for those claiming benefits due to ill health or disability in the United Kingdom. Aims: To examine whether experiencing problems with welfare benefits, including WCA, among people with pre-existing mental health conditions was associated with poorer mental health and wellbeing and increased health service use and costs. Methods: A prospective cohort study of an exposed group ( n = 42) currently seeking help from a Benefits Advice Service in London and a control group ( n = 45) who had recently received advice from the same service. Questionnaires at baseline and 3-, 6- and 12-month follow-ups. Results: The exposed group had higher mean scores for anxiety ( p = .008) and depression ( p = .016) at baseline and the control group higher mean scores for wellbeing at baseline ( p = .034) and 12 months ( p = .035). However, loss to follow-up makes overall results difficult to interpret. The control group had higher incomes throughout the study, particularly at the 12-month follow-up ( p = .004), but the differences could have been accounted for by other factors. Health service costs were skewed by a few participants who used day-care services intensively or had inpatient stays. Over the study period the proportion of exposed participants engaged in benefits reassessment ranged from 50% to 88%, and 40% to 76% of controls. Conclusion: The hardship of living with financial insecurity and a mental health condition made it difficult for our participants to sustain involvement in a 12-month study and the frequency of benefit reviews meant that the experiences of our controls were similar to our exposed group. These limitations limit interpretation but confirm the relevance of our research. The control data raise the question of whether people with mental health conditions are being disproportionately reassessed.

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