scholarly journals Paradoxical health care utilization patterns among children in Korea who did not receive mandatory pneumococcal vaccination

Vaccine ◽  
2021 ◽  
Vol 39 (7) ◽  
pp. 1096-1100
Author(s):  
Sangho Sohn ◽  
Kwan Hong ◽  
Hari Hwang ◽  
Byung Chul Chun
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Pneumococcal Vaccination ◽  
Care Utilization ◽  
Utilization Patterns

scholarly journals Health Status, Health Insurance, and Health Care Utilization Patterns of Immigrant Black Men

2003 ◽  
Vol 93 (10) ◽  
pp. 1740-1747 ◽  
Author(s):  
Jacqueline W. Lucas ◽  
Daheia J. Barr-Anderson ◽  
Raynard S. Kington
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Status ◽  
Health Care Utilization ◽  
Black Men ◽  
Care Utilization ◽  
Utilization Patterns

scholarly journals Health-Care Utilization Patterns of Maltreated Youth

2018 ◽  
Vol 43 (6) ◽  
pp. 654-665 ◽  
Author(s):  
Canan Karatekin ◽  
Brandon Almy ◽  
Susan Marshall Mason ◽  
Iris Borowsky ◽  
Andrew Barnes
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Utilization Patterns

scholarly journals 3247 Implementing an Interdisciplinary, Student-Run Consult Service for Homeless Patients: The Critical Role of Community Partnerships

2019 ◽  
Vol 3 (s1) ◽  
pp. 91-91
Author(s):  
Frances Loretta Gill
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Hospital Admissions ◽  
Community Partnerships ◽  
Care Utilization ◽  
Consult Service ◽  
Utilization Patterns ◽  
Ed Visits ◽  
Hospital Days ◽  
The Impact

OBJECTIVES/SPECIFIC AIMS: Elucidate the unique challenges associated with hospital discharge planning for patients experiencing homelessness. Assess the impact of robust community partnerships and strong referral pathways on participating patients’ health care utilization patterns in an interdisciplinary, student-run hospital consult service for patients experiencing homelessness. Identify factors (both patient-level and intervention-level) that are associated with successful warm hand-offs to outside social agencies at discharge. METHODS/STUDY POPULATION: To assess the impact of participation in HHL on patients’ health care utilization, we conducted a medical records review using the hospital’s electronic medical record system comparing patients’ health care utilization patterns during the nine months pre- and post- HHL intervention. Utilization metrics included number of ED visits and hospital admissions, number of hospital days, 30-day hospital readmissions, total hospital costs, and follow-up appointment attendance rates, as well as percentage of warm hand-offs to community-based organizations upon discharge. Additionally, we collected data regarding patient demographics, duration of homelessness, and characteristics of homelessness (primarily sheltered versus primarily unsheltered, street homeless versus couch surfing, etc) and intervention outcome data (i.e. percentage of warm hand-offs). This study was reviewed and approved by the Tulane University Institutional Review Board and the University Medical Center Research Review Committee. RESULTS/ANTICIPATED RESULTS: For the first 41 patients who have been enrolled in HHL, participation in HHL is associated with a statistically significant decrease in hospital admissions by 49.4% (p < 0.01) and hospital days by 47.7% (p < 0.01). However, the intervention is associated with a slight, although not statistically significant, increase in emergency department visits. Additionally, we have successfully accomplished warm hand-offs at discharge for 71% percent of these patients. Over the next year, many more patients will be enrolled in HHL, which will permit a more finely grained assessment to determine which aspects of the HHL intervention are most successful in facilitating warm hand-offs and decreased health care utilization amongst patients experiencing homelessness. DISCUSSION/SIGNIFICANCE OF IMPACT: Providing care to patients experiencing homelessness involves working within complex social problems that cannot be adequately addressed in a hospital setting. This is best accomplished with an interdisciplinary team that extends the care continuum beyond hospital walls. The HHL program coordinators believe that ED visits amongst HHL patients and percentage of warm hand-offs are closely related outcomes. If we are able to facilitate a higher percentage of warm hand-offs to supportive social service agencies, we may be able to decrease patient reliance on the emergency department as a source of health care, meals, and warmth. Identifying the factors associated with successful warm hand-offs upon discharge from the hospital may assist us in building on the HHL program’s initial successes to further decrease health care utilization while offering increased interdisciplinary educational opportunities for medical students.

Health-Care Utilization After Hospice Enrollment in Patients With Heart Failure and Cancer

2017 ◽  
Vol 35 (2) ◽  
pp. 229-235 ◽  
Author(s):  
Meredith A. MacKenzie ◽  
Alexandra Hanlon
Keyword(s):  
Heart Failure ◽  
Health Care ◽  
Health Care Utilization ◽  
Emergency Service ◽  
Service Use ◽  
Emergency Services ◽  
Hospice Care ◽  
Care Utilization ◽  
Patients With Heart Failure ◽  
Utilization Patterns

This study aimed to examine the role of diagnosis in health-care utilization patterns after hospice enrollment. Using 2007 National Home and Hospice Care Survey data from hospice patients with heart failure (n = 311) and cancer (n = 946), we analyzed emergency service use and discharge to hospital via logistic regression pre- and postpropensity score matching. Prematching, patients with heart failure had twice the odds of emergency services use than patients with cancer ( P < .001) and twice the odds of discharge to hospital ( P = .02). Differences were reduced postmatching for emergency service use (odds ratio [OR]: 1.6, P = .05) and eliminated for discharge to hospital (OR: 1.32, P = .45). Health-care utilization correlates included diagnosis, place of care, and advance directives. Attention to the unique needs of patients with heart failure is needed, along with improved advanced care planning.

scholarly journals THE EFFECT OF DECENTRALIZATION ON THE HEALTH STATUS AND HEALTH CARE UTILIZATION PATTERNS ININDONESIA

2014 ◽  
Vol 29 (2) ◽  
Author(s):  
Robert Tilden ◽  
Ascobat Gani ◽  
Nur Nasry Noor ◽  
RM. Widjajanto ◽  
James Sonnemann
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Utilization Patterns
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