scholarly journals Transit use and health care costs: A cross-sectional analysis

2022 ◽  
Vol 24 ◽  
pp. 101294
Author(s):  
Brian E. Saelens ◽  
Richard T. Meenan ◽  
Erin M. Keast ◽  
Lawrence D. Frank ◽  
Deborah R. Young ◽  
...  
2016 ◽  
Vol 62 (1) ◽  
pp. 48-56 ◽  
Author(s):  
Kathryn Graham ◽  
Joyce Cheng ◽  
Sharon Bernards ◽  
Samantha Wells ◽  
Jürgen Rehm ◽  
...  

Objective: To measure service use and costs associated with health care for patients with mental health (MH) and substance use/addiction (SA) problems. Methods: A 5-year cross-sectional study (2007-2012) of administrative health care data was conducted (average annual sample size = 123,235 adults aged >18 years who had a valid Ontario health care number and used at least 1 service during the year; 55% female). We assessed average annual use of primary care, emergency departments and hospitals, and overall health care costs for patients identified as having MH only, SA only, co-occurring MH and SA problems (MH+SA), and no MH and/or SA (MH/SA) problems. Total visits/admissions and total non-MH/SA visits (i.e., excluding MH/SA visits) were regressed separately on MH, SA, and MH+SA cases compared to non-MH/SA cases using the 2011-2012 sample ( N = 123,331), controlling for age and sex. Results: Compared to non-MH/SA patients, MH/SA patients were significantly ( P < 0.001) more likely to visit primary care physicians (1.82 times as many visits for MH-only patients, 4.24 for SA, and 5.59 for MH+SA), use emergency departments (odds, 1.53 [MH], 3.79 [SA], 5.94 [MH+SA]), and be hospitalized (odds, 1.59 [MH], 4.10 [SA], 7.82 [MH+SA]). MH/SA patients were also significantly more likely than non-MH/SA patients to have non-MH/SA-related visits and accounted for 20% of the sample but over 30% of health care costs. Conclusions: MH and SA are core issues for all health care settings. MH/SA patients use more services overall and for non-MH/SA issues, with especially high use and costs for MH+SA patients.


1999 ◽  
Vol 2 (5) ◽  
pp. 387-388
Author(s):  
M Goodman ◽  
T DeFor ◽  
S Cooper ◽  
M Maciosek

2006 ◽  
Vol 3 (s1) ◽  
pp. S6-S19 ◽  
Author(s):  
Tatiana Andreyeva ◽  
Roland Sturm

Background:Physical activity has clear health benefits but there remains uncertainty about how it affects health care costs.Objective:To examine how physical activity is associated with changes in health expenditure for a national sample age 54 to 69 y, and estimate how this association varies across people with different chronic diseases and health behaviors.Methods:Data were from the Health and Retirement Study, a national longitudinal survey of late middle age Americans.Results:Correcting for baseline differences in active and inactive groups, physical activity was associated with reduced health care costs of about 7% over 2 y (or $483 annually).Conclusions:Regular physical activity in late middle age may lower health expenditure over time, and the effect is likely to be more pronounced for the obese, smokers, and individuals with some baseline health problems. While substantially large for the health care system, our estimates are much smaller than health-unadjusted comparisons or cross-sectional effects.


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