Characterizing Potentially Preventable Hospitalizations of High-Cost Patients in Rural China
Bibliographic Data
| ID | 22073064 |
|---|---|
| Authors | Shan Lu (0000-0003-4740-0610, Huazhong University of Science and Technology), Yan Zhang (0000-0001-8460-2671, Huazhong University of Science and Technology, corresponding author), Liang Zhang (0000-0001-9041-1150, Wuhan University), Niek Klazinga (0000-0002-3937-8014, Amsterdam University Medical Centers), Niek S Klazinga, Dionne Kringos (0000-0003-2711-4713, Amsterdam University Medical Centers), Dionne S Kringos |
| Year | 2022 |
| Volume | 10 |
| Pages | 804734-804734 |
| Publication date | 2022-02-08 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2022.804734 |
| PMID | 35211444 |
| OpenAlex | W4210915628 |
| Language | EN |
| Citations received | 4 |
| References cited | 33 |
INTRODUCTION: High-cost patients are characterized by repeated hospitalizations, and inpatient cost accounts for a large proportion of their total health care spending. This study aimed to assess the occurrence and costs of potentially preventable hospitalizations and explore contributing factors among high-cost patients in rural China. METHODS: We examined a population-based sample of patients using the 2016 New Rural Cooperative Medical Scheme in Dangyang city, China. Eighteen thousand forty-three high-cost patients were identified. A validated tool and logistic regression analysis were used to determine preventable hospitalizations and their patient-level and supply-side factors. RESULTS: High-cost patients were older (average age of 54 years) than non-high-cost patients (50 years) and more likely to come from poverty-stricken families. The occurrence of preventable hospitalization was 21.65% among high-cost patients. The proportion of preventable inpatient cost in total inpatient and outpatient expenditure among high-cost patients (5.81%) was lower than that of non-high-cost patients (7.88%) but accounted for 75.87% of the overall preventable inpatient cost. High-cost patients with more hospitalizations were more likely to experience preventable hospitalization, and those with heart failure, COPD, diabetes and mixed conditions were at a higher risk of preventable hospitalization, while those with more outpatient visits were less likely to show preventable hospitalization. CONCLUSIONS: The occurrence of preventable hospitalization among high-cost patients in rural China was sizeable. The preventable inpatient cost of the overall population was concentrated among high-cost patients. Interventions such as improving preventive care and disease management targeting high-cost patients within counties may improve patients' health outcomes and quality of life and reduce overall preventable inpatient cost
Average cost · Environmental health · Health care · Healthcare Cost and Utilization Project · Inpatient care · Logistic regression · Medical emergency · Population · Psychological intervention · Total cost · Chronic Disease Management Strategies · Healthcare Systems and Reforms · Medicine · Primary Care and Health Outcomes · Emergency Medicine · Internal Medicine
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Recent Findings On Preventable Hospitalizations
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Sociodemographic and Health Characteristics, Rather Than Primary Care Supply, are Major Drivers of Geographic Variation in Preventable Hospitalizations in Australia
The Effect of Spatial Access to Primary Care on Potentially Avoidable Hospitalizations of the Elderly
| Unique citing works | 4 |
|---|---|
| Citations per year | 1 |
| Citation span | 2022 - 2026 (5) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 4 |