scholarly journals Assessing Healthcare Utilization for Influenza-like Illness at an Emergency Department and a Student Health Service during the 2009–2010 H1N1 Pandemic

2013 ◽  
Vol 6 ◽  
pp. IDRT.S11315
Author(s):  
Ruchi Bhandari ◽  
Tara A. Hartley ◽  
William G. Lindsley ◽  
Melanie A. Fisher ◽  
Jan E. Palmer
Keyword(s):  
Emergency Department ◽  
Health Service ◽  
Healthcare Utilization ◽  
Influenza Pandemic ◽  
Student Health ◽  
H1n1 Pandemic ◽  
Cross Sectional ◽  
Influenza Like Illness ◽  
Sectional Analysis ◽  
Body Ache

Estimates of healthcare utilization during an influenza pandemic are needed in order to plan for the allocation of staff and resources. The aim of this study was to assess the number, age, and arrival time of patients with influenza-like-illness (ILI), and associations between their symptoms during the 2009–2010 H1N1 pandemic. We conducted a cross-sectional analysis of electronic health records from the student health service (SHS) and an emergency department (ED) in Morgantown, West Virginia, between January 2009 and December 2010. During the 2009–2010 H1N1 pandemic, patient arrivals at SHS and ED varied over the week. SHS patients arrived early in the week and primarily in the afternoon. ED patient arrivals were more evenly distributed, with busier evenings and weekends. Those with fever were more likely to experience cough, sore throat, vomiting/nausea, chills, congestion, headache, and body-ache. These results can assist health professionals in preparing for an influenza pandemic.

scholarly journals Comparison of healthcare resource utilization and medical costs between patients with seropositive and seronegative rheumatoid arthritis

2021 ◽  
Vol 13 ◽  
pp. 1759720X2110248
Author(s):  
Hyoungyoung Kim ◽  
Soo-Kyung Cho ◽  
Seongmi Choi ◽  
Seul Gi Im ◽  
Sun-Young Jung ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Quantile Regression ◽  
Healthcare Utilization ◽  
Medical Costs ◽  
Healthcare Resource Utilization ◽  
Medical Utilization ◽  
Cross Sectional ◽  
Direct Medical Costs ◽  
Using Data ◽  
Sectional Analysis

Objectives: To compare healthcare utilization and medical costs between patients with seronegative (SN) and seropositive (SP) rheumatoid arthritis (RA). Methods: We conducted a nationwide population study using the Korean health insurance claims database in 2016. We divided patients with RA into SN and SP groups and compared healthcare utilization including medications, medical utilization, and direct medical costs for 1 year between the groups in a cross-sectional analysis. Differences in costs between patients with SPRA and SNRA were assessed using the quantile regression model. We performed longitudinal analysis using data from 2012 and 2016 to examine changes over time. Results: A total of 103,815 SPRA and 75,809 SNRA patients were included in the analyses. The SPRA group used significantly more methotrexate (73.2% versus 30.3%) and biologic agents (7.9% versus 2.9%) than the SNRA group. The number of RA-related outpatient visits [6.0 ± 3.7 versus 4.4 ± 4.0 times/year, standardized difference (SD) = 0.41] and annual medical costs per patient ($1027 versus $450/year, SD = 0.25) were higher in the SPRA group than the SNRA group. Quantile regression results indicated that the incremental cost of seropositivity on total medical costs of RA patients gradually increased as medical costs approached the upper quantile. The annual direct medical costs for each patient between 2012 and 2016 increased in both groups: by 25.1% in the SPRA group and 37.6% in the SNRA group. Conclusion: Annual RA-related direct medical costs and RA-related healthcare utilization per patient are higher in patients with SPRA than those with SNRA.

Polypharmacy and Potentially Inappropriate Medication Use in Older Blacks with Diabetes Mellitus Presenting to the Emergency Department

2021 ◽  
pp. 089826432110455
Author(s):  
Ginah Nightingale ◽  
Emily M. Scopelliti ◽  
Robin Casten ◽  
Monica Woloshin ◽  
Shu Xiao ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Emergency Department ◽  
Controlled Trial ◽  
Inappropriate Medication ◽  
Medication Use ◽  
Potentially Inappropriate Medication ◽  
Cross Sectional ◽  
Randomized Controlled ◽  
Inappropriate Medication Use ◽  
Sectional Analysis

Background: Medication-related problems in older Blacks with diabetes mellitus (DM) are not well established. Objectives: To describe the frequency of medication-related problems in older Blacks with DM presenting to the emergency department (ED). Methods: The study was a cross-sectional analysis of baseline data from a randomized controlled trial evaluating Blacks aged ≥60 years of age presenting to the ED. Polypharmacy, potentially inappropriate medication (PIM) use, and anticholinergic score were evaluated. Results: Of 168 patients (median age = 68, range 60–92), most ( n = 164, 98%) were taking ≥5 medications, and 67 (39.9%) were taking a PIM. A majority ( n = 124, 74%) were taking a medication with an anticholinergic score ≥1. Number of medications was correlated with number of PIMs ( r = .22, p = .004) and anticholinergic score ( r = .50, p < .001). Conclusion: Polypharmacy and PIM use was common in older Blacks with DM.

scholarly journals Health service use by patients with heart failure living in a community setting: a cross-sectional analysis in North West London

2020 ◽  
Vol 70 (697) ◽  
pp. e563-e572
Author(s):  
Dani Kim ◽  
Benedict Hayhoe ◽  
Paul Aylin ◽  
Martin R Cowie ◽  
Alex Bottle
Keyword(s):  
Heart Failure ◽  
Health Service ◽  
Secondary Care ◽  
Service Use ◽  
Community Setting ◽  
Health Service Use ◽  
Cross Sectional ◽  
North West ◽  
Usage Patterns ◽  
Sectional Analysis

BackgroundThe complex nature of heart failure (HF) management, often involving multidimensional care, is widely recognised, but overall health service utilisation by patients with HF has not previously been described.AimTo describe overall health service use by adults with HF living in a community setting.Design and settingCross-sectional analysis of prevalent HF cases from January 2015 to December 2018 using an administrative dataset covering primary and secondary care, and ‘other’ (community, mental health, social care) services in North West London.MethodHealthcare use of each service was described overall and by individual components of secondary care (such as, outpatient appointments), and ‘other’ services (such as, nursing contacts). Usage patterns were identified using k-means cluster analysis, using all distinct contacts for the whole study period, and visualised with a heatmap.ResultsA total of 39 301 patients with a prevalent diagnosis of HF between 1 January 2015 and 31 December 2018 were found. Of those, approximately 90% used health services during the study period, most commonly outpatient services, GP consultations, unplanned accident and emergency visits, and community services. Use of cardiology-specific services ranged from around 3% (cardiology-related community care) to around 20% (outpatient cardiology visits). GP consultations decreased by 11% over the study period. Five clusters of patients were identified, each with statistically significantly different care usage patterns and patient characteristics.ConclusionPatients with HF make heavy but heterogeneous use of services. Relatively low and falling use of GP consultations, and the apparently low uptake of community rehabilitation services by patients with HF, is concerning and suggests challenges in primary care access and integration of care.

scholarly journals Tracking socio-economic inequalities in healthcare utilization in Iran: a repeated cross-sectional analysis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sajad Vahedi ◽  
Vahid Yazdi-Feyzabadi ◽  
Mostafa Amini-Rarani ◽  
Abolfazl Mohammadbeigi ◽  
Ardeshir Khosravi ◽  
...  
Keyword(s):  
Healthcare Utilization ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Sectional Analysis ◽  
Economic Inequalities
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