Medical Care, Medical Costs

1988 ◽  
Vol 81 (4) ◽  
pp. 637
Author(s):  
George D. Zuidema
Keyword(s):  
Medical Care ◽  
Medical Costs

Clinical features associated with costs in early AD

Neurology ◽  
2006 ◽  
Vol 66 (7) ◽  
pp. 1021-1028 ◽  
Author(s):  
C. W. Zhu ◽  
N. Scarmeas ◽  
R. Torgan ◽  
M. Albert ◽  
J. Brandt ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Medical Care ◽  
Clinical Characteristics ◽  
Medical Costs ◽  
Psychotic Symptoms ◽  
Direct Medical Costs ◽  
Medical Care Costs ◽  
Extrapyramidal Signs ◽  
Disease Costs ◽  
Care Costs

Background: Few studies on cost of caring for patients with Alzheimer disease (AD) have simultaneously considered multiple dimensions of disease costs and detailed clinical characteristics.Objective: To estimate empirically the incremental effects of patients' clinical characteristics on disease costs.Methods: Data are derived from the baseline visit of 180 patients in the Predictors Study, a large, multicenter cohort of patients with probable AD followed from early stages of the disease. All patients initially lived at home, in retirement homes, or in assisted living facilities. Costs of direct medical care included hospitalizations, outpatient treatment and procedures, assistive devices, and medications. Costs of direct nonmedical care included home health aides, respite care, and adult day care. Indirect costs were measured by caregiving time. Patients' clinical characteristics included cognitive status, functional capacity, psychotic symptoms, behavioral problems, depressive symptoms, extrapyramidal signs, comorbidities, and duration of illness.Results: A 1-point increase in the Blessed Dementia Rating Scale score was associated with a $1,411 increase in direct medical costs and a $2,718 increase in unpaid caregiving costs. Direct medical costs also were $3,777 higher among subjects with depressive symptoms than among those who were not depressed.Conclusions: Medical care costs and unpaid caregiving costs relate differently to patients' clinical characteristics. Poorer functional status is associated with higher medical care costs and unpaid caregiving costs. Interventions may be particularly useful if targeted in the areas of basic and instrumental activities of daily living.

Comparing Medical Costs by Analyzing High-Cost Cases

1992 ◽  
Vol 6 (3) ◽  
pp. 206-213 ◽  
Author(s):  
Wendy D. Lynch ◽  
Howard S. Teitelbaum ◽  
Deborah S. Main
Keyword(s):  
Health Risk ◽  
Medical Care ◽  
Risk Groups ◽  
Medical Costs ◽  
Health Claims

Most of the medical care expenses paid by an entire company are generated by a small percentage of employees. The most expensive employee may have costs 100 to 500 times as much as the typical employee. Instead of comparing average costs, it makes sense to investigate whether employees with unhealthy behaviors are more prone to extreme costs. This article describes methods of comparing the costs of health risk groups by examining the proportion of high-cost employees in each group. The article illustrates the methods using a health claims dataset that compares male smokers, ex-smokers, and nonsmokers.

scholarly journals The Association between Charlson Comorbidity Index and the Medical Care Cost of Cancer: A Retrospective Study

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Seok-Jun Yoon ◽  
Eun-Jung Kim ◽  
Hyun-Ju Seo ◽  
In-Hwan Oh
Keyword(s):  
Colon Cancer ◽  
Medical Care ◽  
Cancer Patients ◽  
Charlson Comorbidity Index ◽  
Social Impact ◽  
Medical Costs ◽  
Medical Care Cost ◽  
Chronic Obstructive ◽  
Logistic Regression Models ◽  
Comorbidity Index

Background. This study compared comorbidity-related medical care cost associated with different types of cancer, by examining breast (N=287), colon (N=272), stomach (N=614), and lung (N=391) cancer patients undergoing surgery.Methods. Using medical benefits claims data, we calculated Charlson Comorbidity Index (CCI) and total medical cost. The effect of comorbidity on the medical care cost was investigated using multiple regression and logistic regression models and controlling for demographic characteristics and cancer stage.Results. The treatment costs incurred by stomach and colon cancer patients were 1.05- and 1.01-fold higher, respectively, in patients with higher CCI determined. For breast cancer, the highest costs were seen in those with chronic obstructive pulmonary disease (COPD), but the increase in cost reduced as CCI increased. Colon cancer patients with diabetes mellitus and a CCI = 1 score had the highest medical costs. The lowest medical costs were incurred by lung cancer patients with COPD and a CCI = 2 score.Conclusion. The comorbidities had a major impact on the use of medical resources, with chronic comorbidities incurring the highest medical costs. The results indicate that comorbidities affect cancer outcomes and that they must be considered strategies mitigating cancer’s economic and social impact.

scholarly journals Cost of Care and Pattern of Medical Care Use in the Last Year of Life among Long-Term Care Insurance Beneficiaries in South Korea: Using National Claims Data

2020 ◽  
Vol 17 (23) ◽  
pp. 9078
Author(s):  
Sunjoo Boo ◽  
Jungah Lee ◽  
Hyunjin Oh
Keyword(s):  
Medical Care ◽  
Long Term Care ◽  
Claims Data ◽  
Medical Costs ◽  
Time Of Death ◽  
Term Care ◽  
Medical Care Use ◽  
Long Term Care Insurance ◽  
At Home

In Korea, a substantial proportion of long-term care insurance (LTCI) beneficiaries die within 1 year of seeking the benefit. This study was conducted to evaluate the pattern of medical care use and care cost during the last year of life among Korean LTCI beneficiaries between 2009 and 2013 using the national claims data. The National Health Insurance’s Senior (NHIS-Senior) cohort was used for this retrospective study. The participants were LTCI beneficiaries aged 65 or over as of 2008 who died between 2009 and 2013 (N = 30,433). Medical costs during the last year of life were highest for those who used both medical care services and long-term care (LTC) services and increased as death approached. About half of the participants were hospitalized at the time of death. The use of LTC services at the time of death increased from 13.0 to 22.8%, while those who died at home decreased from 34 to 20%. This study suggests that the use of LTC services did not reduce medical costs by substituting unnecessary inpatient hospitalization. Quality of dying should be considered one of the goals of older adult care, and provisions should be made for palliative care at home or LTC facilities.

scholarly journals Posthospital Discharge Medical Care Costs and Family Burden Associated with Osteoporotic Fracture Patients in China from 2011 to 2013

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Zhao Xie ◽  
Russel Burge ◽  
Yicheng Yang ◽  
Fen Du ◽  
Tie Lu ◽  
...  
Keyword(s):  
Medical Care ◽  
Osteoporotic Fracture ◽  
Medical Costs ◽  
Work Time ◽  
Ambulatory Status ◽  
Medical Care Costs ◽  
Lost Work ◽  
Osteoporosis Related Fracture ◽  
Lost Work Time ◽  
Care Costs

Objectives. This study collected and evaluated data on the costs of outpatient medical care and family burden associated with osteoporosis-related fracture rehabilitation following hospital discharge in China.Materials and Methods. Data were collected using a patient questionnaire from osteoporosis-related fracture patients (N= 123) who aged 50 years and older who were discharged between January 2011 and January 2013 from 3 large hospitals in China. The survey captured posthospital discharge direct medical costs, indirect medical costs, lost work time for caregivers, and patient ambulatory status.Results. Hip fracture was the most frequent fracture site (62.6%), followed by vertebral fracture (34.2%). The mean direct medical care costs per patient totaled 3,910¥, while mean indirect medical costs totaled 743¥. Lost work time for unpaid family caregivers was 16.4 days, resulting in an average lost income of 3,233¥. The average posthospital direct medical cost, indirect medical cost, and caregiver lost income associated with a fracture patient totaled 7,886¥. Patients’ ambulatory status was negatively impacted following fracture.Conclusions. Significant time and cost of care are placed on patients and caregivers during rehabilitation after discharge for osteoporotic fracture. It is important to evaluate the role and responsibility for creating the growing and inequitable burden placed on patients and caregivers following osteoporotic fracture.

When Does Regionalization of Expensive Medical Care save Money?

2001 ◽  
Vol 14 (2) ◽  
pp. 116-124 ◽  
Author(s):  
Terri J. Menke ◽  
Nelda P. Wray
Keyword(s):  
Medical Care ◽  
Resource Sharing ◽  
High Technology ◽  
Medical Costs ◽  
Accurate Assessment ◽  
Empirical Estimates ◽  
Unused Capacity ◽  
Cost Implications ◽  
The Cost

Regionalization of expensive, high-technology medical care is often proposed as a way to reduce medical costs. Most empirical estimates of the cost implications of regionalization suffer from methodological shortcomings. Here, we discuss all the factors that must be taken into account to produce an accurate assessment of how regionalization changes costs. These factors include the following: (1) The extent of resource sharing among different services; (2) The extent of unused capacity; (3) Whether regionalized facilities have high, low or average costs; (4) Costs of a regionalized system, including transporting patients to the regionalized facilities, coordinating care between the referring and regionalized providers, and out-of network care; (5) The effect of regionalization on the volume of care; and (6) whether a short- or long-term view is taken.

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