scholarly journals Health Care Utilization and Cost Burden of Herpes Zoster in a Community Population

2009 ◽  
Vol 84 (9) ◽  
pp. 787-794 ◽  
Author(s):  
Barbara P. Yawn ◽  
Robbin F. Itzler ◽  
Peter C. Wollan ◽  
James M. Pellissier ◽  
Lina S. Sy ◽  
...  
Keyword(s):  
Health Care ◽  
Herpes Zoster ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Cost Burden ◽  
Community Population

Abstract 12593: Sex-related Differences in Health Care Utilization in Patients With Atrial Flutter

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Kathryn Kim ◽  
Steven Kim ◽  
Michael H Kim
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Incremental Cost ◽  
Atrial Flutter ◽  
Care Delivery ◽  
Age Groups ◽  
Care Utilization ◽  
Cost Burden ◽  
Limited Data ◽  
Men And Women

Introduction: Sex-related differences in health care utilization have been described for patients (pts) with any atrial fibrillation (AF) either with or without atrial flutter (AFL). Limited data, however, are available when stratified by sex in pts with AFL only. Methods: Using MarketScan Commercial and Medicare databases, pts aged ≥ 20 years with a minimum of one inpatient or two outpatient AFL diagnoses in 2005 and a minimum of 12 months of continuous enrollment pre and post index were identified. Any AF pts were excluded. AFL only pts were propensity score matched to pts without AFL or AF based on age, sex, region, payer, and cardiovascular (CV) comorbidities. Using projected prevalence of AFL for 2010, costs were estimated 12 months post index. Results: 1,042 pts (62 % men) with AFL were identified. Men exceeded women in the age adjusted prevalence of AFL across all age groups (mean age 67 with 8 age ranges from 20 to ≥ 85). Cost projections were made for 74,466 AFL pts. Men ($453 million) had a significantly higher national total incremental cost burden for all expenditures than women ($253 million). Men had higher per patient incremental cost and national cost burden for treatment specific to AFL across the age groups. Men also had a higher per patient incremental cost and national total cost burden ($291 versus $90 million) for CV specific expenditures, especially at ages < 85. Total costs were greatest for men < 55 years old with total costs of 25,643 dollars per patient of which 75 % of the value represented CV specific costs. Per patient costs were more similar for men and women with AFL at 55 years and older. Per patient inpatient costs were greater in men whereas per patient outpatient costs were greater in women. On a national and per patient cost level, AFL treatment specific costs decreased in men and women 75 years and older. Conclusions: Costs in pts with AFL only are more driven by men from both a per patient and national cost perspective with the highest burden at younger ages < 55. These sex-related differences in epidemiology and resource utilization need further exploration. Potential disparities in care delivery may exist given these cost data.

Hypochondriacal concerns in a community population

2001 ◽  
Vol 31 (4) ◽  
pp. 577-584 ◽  
Author(s):  
KARL J. LOOPER ◽  
LAURENCE J. KIRMAYER
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Help Seeking ◽  
Psychiatric Symptoms ◽  
Urban Setting ◽  
Care Utilization ◽  
Medical Illness ◽  
Regression Analyses ◽  
Co Morbidity ◽  
Community Population

Background. Hypochondriasis is recognized as an important disorder in clinical populations, associated with increased health care utilization, disability and psychiatric co-morbidity. Few studies have investigated hypochondriasis in the community. We report on the broader concept of illness worry in a community population.Methods. Five hundred and seventy-six subjects from an ethnically diverse urban setting were surveyed. Information was gathered on sociodemographic variables, medical and psychiatric status, health care utilization and disability. Bivariate and multivariate regression analyses were used to compare groups with illness worry (with and without the medical condition) to those without illness worry.Results. Only one subject of 533 (0·2 %) met criteria for hypochondriasis and seven (1·3 %) fulfilled abridged criteria. However, 33 (6 %) of the sample had illness worry. Of these, 17 had the illness about which they worried. Compared with controls, both illness worry groups had elevated levels of medical illness, psychiatric symptoms, help-seeking, health care use and disability. In multiple regression analyses, illness worry was an independent predictor of somatic symptoms, help-seeking, and disability, when sociodemographic and medical variables were controlled.Conclusions. Hypochondriasis appears to be a rare disorder in the community while illness worry is relatively common. Illness worry was present in equal numbers of subjects with the illness of concern, as those without. Illness worry was an independent factor contributing to increased levels of distress, health care utilization, and disability, even when medical status was controlled, suggesting that it is an important issue for further research.

Sign in / Sign up

Export Citation Format

Share Document