scholarly journals Contributions of COPD, asthma, and ten comorbid conditions to health care utilization and patient-centered outcomes among US adults with obstructive airway disease

2017 ◽  
Vol Volume 12 ◽  
pp. 2515-2522 ◽  
Author(s):  
Terrence Murphy ◽  
Gail McAvay ◽  
Heather Allore ◽  
Jason Stamm ◽  
Paul Simonelli
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Airway Disease ◽  
Obstructive Airway Disease ◽  
Care Utilization ◽  
Comorbid Conditions ◽  
Patient Centered

scholarly journals The Impact of Patient-Centered Medical Home on Hypertension-Associated Health Care Utilization and Cost

2018 ◽  
Vol 21 ◽  
pp. S122
Author(s):  
ZS Almalki ◽  
AA Alotaibi ◽  
AM Bahowirth ◽  
NM Alsalamah ◽  
SM Alshahrani
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Medical Home ◽  
Care Utilization ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
The Impact

scholarly journals The patient-centered oncology care on health care utilization and cost

2018 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Hailun Liang ◽  
Lei Tao ◽  
Eric W. Ford ◽  
May A. Beydoun ◽  
Shaker M. Eid
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Patient Centered ◽  
Oncology Care

scholarly journals Association of High-Cost Health Care Utilization With Longitudinal Changes in Patient-Centered Medical Home Implementation

2020 ◽  
Vol 3 (2) ◽  
pp. e1920500 ◽  
Author(s):  
Ashok Reddy ◽  
Eric Gunnink ◽  
Leslie Taylor ◽  
Edwin Wong ◽  
Adam J. Batten ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Medical Home ◽  
Care Utilization ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Longitudinal Changes

scholarly journals Evaluation of a Diabetes Self-Management Program: Claims Analysis on Comorbid Illnesses, Health Care Utilization, and Cost (Preprint)

2017 ◽  
Author(s):  
Ralph M Turner ◽  
Qinli Ma ◽  
Kate Lorig ◽  
Jay Greenberg ◽  
Andrea R DeVries
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Health Care Utilization ◽  
Management Program ◽  
Self Management ◽  
Care Utilization ◽  
Control Cohort ◽  
Comorbid Conditions ◽  
Research Environment ◽  
Integrated Research

BACKGROUND An estimated 30.3 million Americans have diabetes mellitus. The US Department of Health and Human Services created national objectives via its Healthy People 2020 initiative to improve the quality of life for people who either have or are at risk for diabetes mellitus, and hence, lower the personal and national economic burden of this debilitating chronic disease. Diabetes self-management education interventions are a primary focus of this initiative. OBJECTIVE The aim of this study was to evaluate the impact of the Better Choices Better Health Diabetes (BCBH-D) self-management program on comorbid illness related to diabetes mellitus, health care utilization, and cost. METHODS A propensity score matched two-group, pre-post design was used for this study. Retrospective administrative medical and pharmacy claims data from the HealthCore Integrated Research Environment were used for outcome variables. The intervention cohort included diabetes mellitus patients who were recruited to a diabetes self-management program. Control cohort subjects were identified from the HealthCore Integrated Research Environment by at least two diabetes-associated claims (International Classification of Diseases-Ninth Revision, ICD-9 250.xx) within 2 years before the program launch date (October 1, 2011-September 30, 2013) but did not participate in BCBH-D. Controls were matched to cases in a 3:1 propensity score match. Outcome measures included pre- and postintervention all-cause and diabetes-related utilization and costs. Cost outcomes are reported as least squares means. Repeated measures analyses (generalized estimating equation approach) were conducted for utilization, comorbid conditions, and costs. RESULTS The program participants who were identified in HealthCore Integrated Research Environment claims (N=558) were matched to a control cohort of 1669 patients. Following the intervention, the self-management cohort experienced significant reductions for diabetes mellitus–associated comorbid conditions, with the postintervention disease burden being significantly lower (mean 1.6 [SD 1.6]) compared with the control cohort (mean 2.1 [SD 1.7]; P=.001). Postintervention all-cause utilization was decreased in the intervention cohort compared with controls with −40/1000 emergency department visits vs +70/1000; P=.004 and −5780 outpatient visits per 1000 vs −290/1000; P=.001. Unadjusted total all-cause medical cost was decreased by US $2207 in the intervention cohort compared with a US $338 decrease in the controls; P=.001. After adjustment for other variables through structural equation analysis, the direct effect of the BCBH-D was –US $815 (P=.049). CONCLUSIONS Patients in the BCBH-D program experienced reduced all-cause health care utilization and costs. Direct cost savings were US $815. Although encouraging, given the complexity of the patient population, further study is needed to cross-validate the results.

scholarly journals There’s no place like home: Integrating pulmonary rehabilitation into the home setting

2017 ◽  
Vol 87 (2) ◽  
Author(s):  
Madalina Macrea ◽  
Richard ZuWallack ◽  
Linda Nici
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Exercise Capacity ◽  
Pulmonary Rehabilitation ◽  
Cost Effective ◽  
Care Utilization ◽  
Patient Centered ◽  
Home Setting ◽  
Home Based ◽  
Related Quality

<p>Traditional, outpatient pulmonary rehabilitation provided to stable COPD patients leads to significant improvements in dyspnea, exercise capacity and health related quality of life.  Also, when started during or shortly after a hospitalization for a COPD exacerbation, pulmonary rehabilitation improves these patient-centered outcomes and arguably reduces subsequent health care utilization and mortality.  Despite these benefits, the uptake of traditional pulmonary rehabilitation remains disappointingly poor.  Home-based pulmonary rehabilitation, a safe and effective alternative to traditional, center-based programs, can broaden access. While proven improvements in dyspnea, exercise capacity and health status justify implementation of home-based pulmonary rehabilitation, it would be helpful to know whether it can also decrease health care utilization and be cost-effective. </p>

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