Costly Hospital Readmissions and Complex Chronic Illness
Bibliographic Data
| ID | 13776301 |
|---|---|
| Authors | Bernard Friedman (Agency for Healthcare Research and Quality, corresponding author), H Joanna Jiang, Hui Jiang (0000-0001-8393-8368), Anne Elixhauser |
| Year | 2008 |
| Volume | 45 |
| Issue | 4 |
| Pages | 408-421 |
| Publication date | 2008-11-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | INQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL) |
| Journal identifiers | ISSN: 0046-9580 • E-ISSN: 1945-7243 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.5034/inquiryjrnl_45.04.408 |
| PMID | 19209836 |
| OpenAlex | W2157530570 |
| Language | EN |
| Citations received | 7 |
| References cited | 11 |
People with multiple chronic conditions account for a large and disproportionate share of total health care costs. One aspect of the high cost for such patients is a relatively high number of hospital admissions per year. This study aims to clarify how the rate of hospital readmissions and hospital cost per person in a year depend on a patient's number of different chronic conditions ("complexity"), severity of illness, principal diagnosis at discharge, payer group, and other variables. We use a database of all hospital discharges for adults in six states. The number of different chronic conditions has a smoothly increasing effect on readmissions and cost per year, and there are notable differences by payer group. We offer illustrations of the potential savings from reducing total inpatient cost and readmissions in narrowly targeted populations with the most complex problems. The study's methods and descriptive data potentially could be useful for health plans and their sponsors (employers, government) when they design strategies to address the high cost of complex chronic illness
Intensive care medicine · Chronic Disease Management Strategies · Health Systems, Economic Evaluations, Quality of Life · Medicine · Primary Care and Health Outcomes
Defining and Measuring Chronic Conditions
Racial/Ethnic Disparities in Readmissions in US Hospitals
Likelihood of Hospital Readmission after First Discharge
The Effect of Usual Source of Care on the Association of Annual Healthcare Expenditure with Patients’ Age and Chronic Disease Duration
Factors Contributing to All-cause 30-day Readmissions
Local Health Departments’ Promotion of Mental Health Care and Reductions in 30-Day All-Cause Readmission Rates in Maryland
The costs of acute readmissions to a different hospital - Does the effect vary across provider types
Improving Chronic Illness Care
Rehospitalization and Survival for Stroke Patients in Managed Care and Traditional Medicare Plans
The Association Between the Quality of Inpatient Care and Early Readmission
Evidence Suggesting That a Chronic Disease Self-Management Program Can Improve Health Status While Reducing Hospitalization
| Unique citing works | 7 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2012 - 2018 (7) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 7 |