EX1 The Effects of Polypharmacy on Health Care Costs and Hospital Admissions in Thai Elderly Population: Multivariate Two-Part Models

Background: Breastfeeding is associated with lower risk of infectious diseases, leading to fewer hospital admissions and pediatrician consultations. It is cost saving for the health care system, however, it is not usually estimated from actual cohorts but via simulation studies. Methods: A cohort of 970 children was followed-up for twelve months. Data on mother characteristics, pregnancy, delivery and neonate characteristics were obtained from medical records. The type of neonate feeding at discharge, 2, 4, 6, 9 and 12 months of life was reported by the mothers. Infectious diseases diagnosed in the first year of life, hospital admissions, primary care and emergency room consultations and drug treatments were obtained from neonate medical records. Health care costs were attributed using public prices and All Patients Refined–Diagnosis Related Groups (APR–DRG) classification. Results: Health care costs in the first year of life were higher in children artificially fed than in those breastfed (1339.5€, 95% confidence interval (CI): 903.0–1775.0 for artificially fed vs. 443.5€, 95% CI: 193.7–694.0 for breastfed). The breakdown of costs also shows differences in primary care consultations (295.7€ for formula fed children vs. 197.9€ for breastfed children), emergency room consultations (260.1€ for artificially fed children vs. 196.2€ for breastfed children) and hospital admissions (791.6€ for artificially fed children vs. 86.9€ for breastfed children). Conclusions: Children artificially fed brought about more health care costs related to infectious diseases than those exclusively breastfed or mixed breastfed. Excess costs were caused in hospital admissions, primary care consultations, emergency room consultations and drug consumption.

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PIH10 SERVICE UTILIZATION AND HEALTH CARE COSTS OF THE ELDERLY POPULATION IN GERMANY

Value in Health ◽

10.1016/s1098-3015(10)63368-2 ◽

2006 ◽

Vol 9 (6) ◽

pp. A255

Author(s):

S Heinrich ◽

M Luppa ◽

MC Angermeyer ◽

SG Riedel-Heller ◽

HH Koenig

Keyword(s):

Health Care ◽

Service Utilization ◽

Health Care Costs ◽

Elderly Population ◽

The Elderly ◽

Care Costs

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Direct health care costs of hospital admissions due to adverse events in the Netherlands

European Journal of Public Health ◽

10.1093/eurpub/cku037 ◽

2014 ◽

Vol 24 (6) ◽

pp. 1028-1033 ◽

Cited By ~ 10

Author(s):

Fabienne J. H. Magdelijns ◽

Patricia M. Stassen ◽

Coen D. A. Stehouwer ◽

Evelien Pijpers

Keyword(s):

Health Care ◽

The Netherlands ◽

Adverse Events ◽

Health Care Costs ◽

Hospital Admissions ◽

Care Costs

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Healthcare utilisation after discharge in patients admitted with gout in Western Australia

10.21203/rs.3.rs-934183/v1 ◽

2021 ◽

Author(s):

Erin Kelty ◽

Philip Robinson ◽

Catherine Hill ◽

Johannes Nossent ◽

Warren Raymond ◽

...

Keyword(s):

Health Care ◽

Health Service ◽

Health Care Costs ◽

Linear Models ◽

Hospital Admissions ◽

Healthcare Utilisation ◽

Health Service Utilisation ◽

Service Utilisation ◽

Median Cost ◽

Care Costs

Abstract Objectives Evidence suggests that gout is associated with high health care costs and that many inpatient admissions are preventable. Understanding the drivers of health care costs in patients with gout will allow more targeted intervention. The objective was to examine factors associated with high health service utilisation and costs in patients admitted to hospital with gout. Methods Hospital and emergency department data was obtained for patients who had been admitted to hospital with a diagnosis of gout for the first time between 2002 and 2009. The total number, cost and potentially preventable events for the follow-up period was calculated for up to five years post the initial gout hospitalisation. The association between patient characteristics with health service utilisation and health care costs was examined using generalised linear models. Results The cohort included 4,379 individuals, that had 22,222 ED attendances (median cost: $1,826 per patient, IQR: $433 - $4,414), and 58,920 hospital admissions (median cost: $25,009 per patient, IQR: $6,844 - $60,535). Gout was not a primary driver of ED attendances or hospitalisations. A history of smoking and comorbidities including cardiovascular disease, diabetes and mental health disorders were associated with an increase health service utilisation and costs. Conclusion The presence of comorbidities play an important role the risk of health service utilization in people with gout and represents an opportunity to both improve the health-related outcomes for these patients and reduce re-presentations and associated health care costs for the health care system.

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Health Care Costs attributable to Hospital-diagnosed Back Pain: A Longitudinal Register-based Study of the Danish Population

Journal of Health Economics and Outcomes Research ◽

10.36469/9872 ◽

2014 ◽

Vol 1 (3) ◽

pp. 266-275 ◽

Cited By ~ 1

Author(s):

Rikke Søgaard ◽

Jan Sørensen

Keyword(s):

Health Care ◽

Back Pain ◽

Health Care Costs ◽

Reference Values ◽

Service Use ◽

Hospital Admissions ◽

Chronic Back Pain ◽

Disease Stage ◽

Absolute Difference ◽

Care Costs

Background: Back pain is one of most frequent musculoskeletal conditions with enormous impact to health care systems and society. Analytical studies that guide the management of this disease are strongly needed, but there is a lack of cost estimates for the attributable cost of severe or chronic back pain in particular. Objective: The objective of this study was to estimate the health care costs attributable to hospitaldiagnosed back pain across strata of age-, gender- and diagnostic entity. Methods: All adult Danes (N=4.3 million) were included in this longitudinal, controlled register-based study. One-year prevalence was defined according to a previously published and validated algorithm, which was applied to the Danish national patient registry. Data from other relevant health service use registries was appended along with data from the national cause of death registry in order to calculate cost rates per life year (2011 price year). The attributable health care cost was defined as the absolute difference in cost rates between individuals with versus individuals without hospital-diagnosed back pain, whereas the ratio between the two groups was used for the reporting of reference values. Results: The health care costs attributable to hospital-diagnosed back pain were estimated at Danish Crowns (DKK) 22,700 per year for the youngest age strata (16-24 years) and increased up to DKK 72,700 per year for the oldest age strata of males (>85 years). Hospital admissions and outpatient visits accounted for the majority of these costs. The ratio of health care costs for individuals with versus individuals without the condition ranged from less than 1 to almost 6, depending on the type of service use, age and gender. Conclusion: At the disease stage where back pain leads to contact with specialised health care, diseased individuals appear to use on average three times more health care than non-diseased individuals. This study provides detailed reference values, which can be used to inform health economic models.

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A new population-based risk stratification tool was developed and validated for predicting mortality, hospital admissions, and health care costs

Journal of Clinical Epidemiology ◽

10.1016/j.jclinepi.2019.08.009 ◽

2019 ◽

Vol 116 ◽

pp. 62-71 ◽

Cited By ~ 4

Author(s):

Federico Rea ◽

Giovanni Corrao ◽

Monica Ludergnani ◽

Luigi Cajazzo ◽

Luca Merlino

Keyword(s):

Health Care ◽

Risk Stratification ◽

Health Care Costs ◽

Hospital Admissions ◽

Population Based ◽

Risk Stratification Tool ◽

Care Costs

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Health Care Costs, Hospital Admissions, and Glycemic Control Using a Standalone, Real-Time, Continuous Glucose Monitoring System in Commercially Insured Patients With Type 1 Diabetes

Journal of Diabetes Science and Technology ◽

10.1177/1932296818777265 ◽

2018 ◽

Vol 12 (4) ◽

pp. 800-807 ◽

Cited By ~ 6

Author(s):

Max Gill ◽

Cyrus Zhu ◽

Mona Shah ◽

Harmeet Chhabra

Keyword(s):

Health Care ◽

Type 1 Diabetes ◽

Glycemic Control ◽

Real Time ◽

Health Care Costs ◽

Continuous Glucose Monitoring ◽

Hospital Admissions ◽

Glucose Monitoring ◽

Care Costs

Background: Studies comparing standalone real-time continuous glucose monitoring (rtCGM) to self-monitoring of blood glucose (SMBG) in patients with type 1 diabetes mellitus (T1DM) have found that rtCGM is associated with lower glycated hemoglobin (A1C) levels, yet does not increase the risk of severe hypoglycemia. However, little is known about the relationship between rtCGM and health care costs and utilization. The objective of this study was to compare health care spending, hospital admissions, and A1C levels of patients using rtCGM to that of patients not using rtCGM. Methods: This retrospective, cross-sectional analysis used a large repository of health plan administrative data to compare average health care costs (excluding durable medical equipment), hospital admissions, and A1C levels of those using rtCGM (N = 1027) versus not using rtCGM (N = 32 583). To control for potentially confounding variables, a propensity score method was used to match patients using rtCGM to those not using rtCGM, based on characteristics such as age, gender, and comorbidities. Results: Patients using rtCGM spent an average of approximately $4200 less in total health care costs, when compared to patients not using rtCGM ( P < .05). They also experienced fewer hospital admissions ( P < .05) and lower A1C ( P < .05) during the postindex year. Conclusions: Use of rtCGM by patients with T1DM is associated with lower health care costs, fewer hospital admissions, and better glycemic control.

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English hospital episode data analysis (1998–2018) reveal that the rise in dog bite hospital admissions is driven by adult cases

Scientific Reports ◽

10.1038/s41598-021-81527-7 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

John S. P. Tulloch ◽

Sara C. Owczarczak-Garstecka ◽

Kate M. Fleming ◽

Roberto Vivancos ◽

Carri Westgarth

Keyword(s):

Health Care ◽

Health Care Costs ◽

Hospital Admissions ◽

Health Care Cost ◽

Temporal Trends ◽

Dog Bite ◽

Hospital Episode ◽

Dog Bites ◽

Risk Reduction Intervention ◽

Care Costs

AbstractDog bites are a global health issue that can lead to severe health outcomes. This study aims to describe the incidence and sociodemographics of patients admitted to English National Health Service (NHS) hospitals for dog bites (1998–2018), and to estimate their annual direct health care costs. An analysis of patient level data utilising hospital episode statistics for NHS England, including: temporal trends in annual incidence of admission, Poisson models of the sociodemographic characteristics of admitted patients, and direct health care cost estimates. The incidence of dog bite admissions rose from 6.34 (95%CI 6.12–6.56) in 1998 to 14.99 (95%CI 14.67–15.31) admissions per 100,000 population in 2018, with large geographic variation. The increase was driven by a tripling of incidence in adults. Males had the highest rates of admission in childhood. Females had two peaks in admission, childhood and 35–64 years old. Two percent (2.05%, 95%CI 0.93–3.17) of emergency department attendances resulted in admission. Direct health care costs increased and peaked in the financial year 2017/2018 (admission costs: £25.1 million, emergency attendance costs: £45.7million). Dog bite related hospital admissions have increased solely in adults. Further work exploring human–dog interactions, stratified by demographic factors, is urgently needed to enable the development of appropriate risk reduction intervention strategies.

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