scholarly journals 1664. The Utilization of Hospital Inpatient Care due to Tuberculosis, Republic of Ireland, 2015-2018

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S819-S819
Author(s):  
James A O’Connell ◽  
Eoghan de barra ◽  
Samuel McConkey
Keyword(s):  
Inpatient Care ◽  
Public Hospitals ◽  
Hospital Inpatient ◽  
Outpatient Basis ◽  
Hospital Discharges ◽  
Republic Of Ireland ◽  
Episode Of Care ◽  
Episodes Of Care ◽  
The Republic ◽  
Hospital Inpatient Care

Abstract Background The Republic of Ireland (ROI) is a low incidence TB country. The last reform of TB services in the ROI in 2003 recommended that most TB management should be delivered on an outpatient basis with 3 hospitals being designated as TB centres. Our aim was to describe the utilization of hospital inpatient care by patients with TB in the Republic of Ireland. Methods Hospital coding data were searched to identify TB hospital discharges between 01/01/2015-31/12/18. The projected cost of TB episodes of care was calculated using payment rules for public hospitals in Ireland. Results 1185 admissions with TB as the principal diagnosis were identified. 801/1185 (68%) episodes of care were emergencies and 384/1185 (32%) were elective We estimate that 65.1% (818/1257) patients with TB notified in the Republic of Ireland from 2015-2018 had an episode of care in a public hospital and (50.8%) 639/818 had an emergency episode of care. We estimate that mean annual cost of TB inpatient care per year in the ROI from 2015-2018 was €2,638,828 - 2,955,047, with emergency episodes of care costing an average of €2,250,926 - 2,557,397 per year. Conclusion The burden of TB on hospital inpatient care in the Republic of Ireland is significant. The national TB policy should change in recognition of this. Disclosures All Authors: No reported disclosures

Impact Evaluation of National Health Insurance toward Access Hospital Inpatient Care in Indonesia

2018 ◽  
Vol 9 (2) ◽  
pp. 196
Author(s):  
Wahyu P Nugraheni ◽  
Budi Hidayat ◽  
Mardiati Nadjib ◽  
Eko Setyo Pambudi ◽  
Soewarta Kosen ◽  
...  
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Impact Evaluation ◽  
Inpatient Care ◽  
Hospital Inpatient ◽  
Hospital Inpatient Care

Estimates of Charges Associated With Emergency Department and Hospital Inpatient Care for Opioid Abuse-Related Events

2013 ◽  
Vol 27 (3) ◽  
pp. 206-213 ◽  
Author(s):  
Hitesh S. Chandwani ◽  
Scott A. Strassels ◽  
Karen L. Rascati ◽  
Kenneth A. Lawson ◽  
James P. Wilson
Keyword(s):  
Emergency Department ◽  
Inpatient Care ◽  
Opioid Abuse ◽  
Hospital Inpatient ◽  
Hospital Inpatient Care

scholarly journals Healthcare Utilization of Below Poverty Line Population under Government-Funded Health Protection Scheme in one sub-district in Bangladesh: A Cross-Sectional Study

2021 ◽  
Author(s):  
Md. Zahid Hasan ◽  
Mohammad Wahid Ahmed ◽  
Gazi Golam Mehdi ◽  
Jahangir AM Khan ◽  
Ziaul Islam ◽  
...  
Keyword(s):  
Healthcare Utilization ◽  
Inpatient Care ◽  
Household Survey ◽  
Poverty Line ◽  
Cross Sectional Study ◽  
Hospital Inpatient ◽  
Cross Sectional ◽  
Protection Scheme ◽  
The Government ◽  
Hospital Inpatient Care

Abstract BackgroundThe below poverty line (BPL) population in rural Bangladesh have low access to hospital inpatient-care (IPC) services. The Government of Bangladesh (GoB) launched pilot Shasthyo Suroksha Karmasuchi (SSK) at Kalihati Upazila of Tangail district in 2016 aiming to improve IPC access of the BPL population and financial protection for healthcare. The GoB funded scheme provides IPC for 78 diseases and outpatient consultation through an existing health facility. In this study, we aimed to assess the level of healthcare utilization among the scheme beneficiaries and identify the associated factors with utilization.MethodsThis was an exploratory study with a cross-sectional household survey conducted from July to September 2018 among 806 sampled households using a structured questionnaire. Data on illness and healthcare utilization was collected from the selected households for the last 90 days of the interview date. A logistic regression model was applied to determine the factors associated with healthcare utilization from SSK facility.ResultsOverall, 8% of the ill patients in the last 90 days prior to survey sought healthcare from SSK facilities (n=639; total patients who sought care), 28% from medically trained providers (MTPs), and 64% from non-MTPs. Of the 23 (3.6%) patients who sought inpatient care (IPC), less than half (10 patients) of them utilized IPC under SSK. Individuals with accident/injury, unemployed, having knowledge about SSK, non-BPL status, were more likely to utilize healthcare from SSK facility. Individuals reside more than 15 km away from facility, had 4-5 family members, and above secondary level education were less likely to utilize care from SSK facility.Conclusions It is evident that healthcare utilization of beneficiaries from the SSK scheme was very low. Effective strategies for enhancing knowledge on SSK benefits and precise BPL households targeting can be instrumental in increasing utilization of the scheme. The scheme also has a potential to bring the individuals under its coverage who utilize healthcare from other MTP and non-MTP.

Emergency Department Observation Unit Versus Hospital Inpatient Care for a Chronic Asthmatic Population

Medical Care ◽  
1998 ◽  
Vol 36 (4) ◽  
pp. 599-609 ◽  
Author(s):  
Robert J. Rydman ◽  
Miriam L. Isola ◽  
Rebecca R. Roberts ◽  
Robert J. Zalenski ◽  
Michael F. McDermott ◽  
...  
Keyword(s):  
Emergency Department ◽  
Inpatient Care ◽  
Hospital Inpatient ◽  
Observation Unit ◽  
Hospital Inpatient Care
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