scholarly journals Mindfulness-Based Stress Reduction in an Integrated Care Delivery System: One-Year Impacts on Patient-Centered Outcomes and Health Care Utilization

2014 ◽  
pp. 4-9 ◽  
Author(s):  
Tracy McCubbin
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Integrated Care ◽  
Delivery System ◽  
Stress Reduction ◽  
Care Delivery ◽  
Care Utilization ◽  
Patient Centered ◽  
Mindfulness Based Stress Reduction ◽  
One Year

(Dis)integrated Care: Barriers to Health Care Utilization for Trans Women Living With HIV

2017 ◽  
Vol 28 (5) ◽  
pp. 708-722 ◽  
Author(s):  
Lauren Munro ◽  
Zack Marshall ◽  
Greta Bauer ◽  
Rebecca Hammond ◽  
Caleb Nault ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Integrated Care ◽  
Care Utilization ◽  
Barriers To Health Care ◽  
Women Living With Hiv ◽  
Trans Women ◽  
Living With Hiv ◽  
Barriers To Health

Creating a Patient-Centered Health Care Delivery System

2014 ◽  
Vol 31 (1) ◽  
pp. 12-21 ◽  
Author(s):  
Khaled Mohammed ◽  
Margaret B. Nolan ◽  
Tamim Rajjo ◽  
Nilay D. Shah ◽  
Larry J. Prokop ◽  
...  
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Patient Centered

Preoperative Educational Intervention Decreases Unplanned Gastrostomy-Related Health Care Utilization

2018 ◽  
Vol 84 (10) ◽  
pp. 1555-1559 ◽  
Author(s):  
Wesley E. Barry ◽  
Erica N. Barin ◽  
Lori C. Marshall ◽  
Majella Doherty ◽  
Eugene Nguyen ◽  
...  
Keyword(s):  
Health Care ◽  
Multivariate Analysis ◽  
Health Care Utilization ◽  
Medical Devices ◽  
Odds Ratio ◽  
Retrospective Cohort ◽  
Formal Education ◽  
Care Plan ◽  
Care Utilization ◽  
One Year

Apprehension in taking independent care of children with medical devices may lead to unnecessary visits to the ED and/or acute clinic (AC). To address these concerns, our institution implemented a gastrostomy tube (GT) class in 2011 for caretakers. We hypothesized that inappropriate GT-related ED/AC visits would be lower in preoperatively educated caregivers. We performed a retrospective cohort study of all patients aged 0 to 18 who received GT (surgical or percutaneous) at our institution between 2006 and 2015 (n = 1340). Class attendance (trained vs untrained) and unscheduled GT-related ED/AC visits one year after GT placement were reviewed. Gastrostomy-related ED/AC visits were classified as appropriate (hospital-based intervention) or inappropriate (site care and education/reassurance). Occurrence of ED/AC visits was compared between trained and untrained cohorts. We found that 59 per cent of patients had an unscheduled GT-related ED/AC visit within one year of placement. The trained cohort had 27 per cent less unplanned ED/AC visits within one year (mean 1.21 (SD 1.82) vs untrained 1.65 (2.24), P < 0.001). On multivariate analysis, GT education independently decreased one-year GT-related health care utilization (Odds Ratio 0.75, 95% Confidence Interval 0.59–0.95). Formal education seems to decrease GT-related health care utilization within one year of placement and should be integrated into a comprehensive care plan to improve caregiver self-efficacy.

scholarly journals Outpatient Pain Predicts Subsequent One-Year Acute Health Care Utilization Among Adults With Sickle Cell Disease

2014 ◽  
Vol 48 (1) ◽  
pp. 65-74 ◽  
Author(s):  
Miriam O. Ezenwa ◽  
Robert E. Molokie ◽  
Zaijie Jim Wang ◽  
Yingwei Yao ◽  
Marie L. Suarez ◽  
...  
Keyword(s):  
Health Care ◽  
Sickle Cell Disease ◽  
Health Care Utilization ◽  
Sickle Cell ◽  
Care Utilization ◽  
Cell Disease ◽  
Acute Health Care ◽  
One Year

A Patient-Centered Health Care Delivery System by a University Obstetrics and Gynecology Department

2005 ◽  
Vol 105 (1) ◽  
pp. 205-210 ◽  
Author(s):  
Garland D. Anderson ◽  
Carolyn Nelson-Becker ◽  
Edward V. Hannigan ◽  
Abbey B. Berenson ◽  
Gary D. V. Hankins
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Obstetrics And Gynecology ◽  
Patient Centered

scholarly journals Frailty and Dementia: Differences in Health Care Utilization and Costs

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 821-821
Author(s):  
Stephanie Denise Sison ◽  
Gahee Oh ◽  
Sandra Shi ◽  
Brianne Olivieri-Mui ◽  
Ellen McCarthy ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Utilization ◽  
Retrospective Cohort ◽  
Care Delivery ◽  
The United States ◽  
Care Utilization ◽  
Fee For Service ◽  
Total Cost ◽  
Nuanced Understanding

Abstract Frailty and dementia are associated with poor health outcomes and increased health care utilization. A more nuanced understanding of this dynamic may be useful in improving care and developing policies. This retrospective cohort study was conducted using 5% random sample of Medicare fee-for-service beneficiaries (n=1,132,367; mean age 76.2 years; 57.9% female) in 2014-2016. We compared average 1-year home time (number of days alive outside of the hospital and SNF), mean total cost per beneficiary, and number of incident ICU stays per 100 person-years (PY) across four groups: frailty and dementia, dementia alone, frailty alone or neither. Frailty and dementia were identified using validated claims-based algorithms. We also determined differences in costs per group across different regions within the United States. Beneficiaries with both frailty and dementia had a high 1-year mortality rate of 21.9% (vs. dementia alone [9.7%], frailty alone [9.4%] or neither [2.1%]), while having less home time (306 days; difference of 36 days, 31 days, and 53 days, respectively), and more incident ICU stays per 100 PY (29.9 vs 9.5, 25.8, and 5.6, respectively). Mean total costs for beneficiaries with both was $26,030 compared to other groups ($12,096, $24,693, and $9,029, respectively). Across the United States, range of costs varied the most for beneficiaries with both frailty and dementia ($13,244-31,987 vs $4,621-15,364, $20,090-30,965, and $7,672-10,450, respectively). Increase in health care utilization and wide geographic variation in costs associated with patients with frailty and dementia suggests room for improvement in health care delivery to improve outcomes of this group.

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