A randomized trial of primary intensive care to reduce hospital admissions in patients with high utilization of inpatient services

Disease Management

Volumn 9, Issue 6, 2006, Pages 328-338

  Sledge, William H ^a,d   Brown, Karen E ^a   Levine, Jeffrey M ^b   Fiellin, David A ^a   Chawarski, Marek ^a   White, William D ^c   O'Connor, Patrick G ^a  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b BRONX LEBANON HOSPITAL CENTER   (United States)

^c Department of Obstetrics Gynecology   (United States)

^d Yale New Haven Psychiatric Hospital   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; AMBULATORY CARE; ARTICLE; CASE MANAGEMENT; CASE MANAGER; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DRUG UTILIZATION; EMERGENCY WARD; FEMALE; FOLLOW UP; FUNCTIONAL STATUS; HEALTH CARE UTILIZATION; HEALTH SERVICE; HOSPITAL ADMISSION; HOSPITAL COST; HOSPITAL PATIENT; HOSPITAL UTILIZATION; HUMAN; MALE; MEDICAL ASSESSMENT; MEDICAL SERVICE; MENTAL HEALTH CARE; NURSE PRACTITIONER; OUTCOME ASSESSMENT; PRIMARY MEDICAL CARE; RANDOMIZED CONTROLLED TRIAL; STATISTICAL SIGNIFICANCE; URBAN AREA;

ADULT; AGED; AGED, 80 AND OVER; DELIVERY OF HEALTH CARE; FEMALE; FOLLOW-UP STUDIES; HOSPITALIZATION; HUMANS; INTENSIVE CARE; MALE; MIDDLE AGED; PRIMARY HEALTH CARE;

EID: 33845466965     PISSN: 1093507X     EISSN: None     Source Type: Journal    
DOI: 10.1089/dis.2006.9.328     Document Type: Article

References (42)

1. VonKorff M, Marshall J. High-cost HMO enrollees. Analysis of one physician's panel. HMO Pract 1992;6:20-25.
2. Anderson G, Knickman JR. Patterns of expenditures among high utilizers of medical care services. The experience of Medicare beneficiaries from 1974 to 1977. Med Care 1984;22:143-149.
3. Wray NP, DeBehnke RD, Ashton CM, Dunn JK. Characteristics of the recurrently hospitalized adult. An information synthesis. Med Care 1988;26:1046-1056.
4. Zook C, Moore F. High-cost users of medical care. N Engl J Med 1980;302:996-1002.
5. Nighswander TS. High utilizers of ambulatory care services: 6-year followup at Alaska Native Medical Center. Public Health Rep 1984;99:400-404.
6. Berk ML, Monheit AC. The concentration of health expenditures: an update. Health Aff (Millwood) 1992;11:145-149.
7. Berk ML, Monheit AC. The concentration of health care expenditures, revisited. Health Aff (Millwood) 2001;20:9-18.
8. Forman S, Kelliher M. Status one: breakthroughs in high-risk population health management. San Francisco: Jossey-Bass Publishers, 1999.
9. Saravay SM, Pollack S, Steinberg MD, Weinschel B, Habert M. Four-year follow-up of the influence of psychological comorbidity on medical rehospitalization. Am J Psychiatry 1996;153:397-403.
10. Scheier MF, Matthews KA, Owens JF, et al. Optimism and rehospitalization after coronary artery bypass surgery. Arch Intern Med 1999;159:829-835.
11. Krumholz HM, Butler J, Miller J, et al. Prognostic importance of emotional support for elderly patients hospitalized with heart failure. Circulation 1998;97:958-964.
12. Nighswander TS. High utilizers of ambulatory care services: 6-year followup at Alaska Native Medical Center. Public Health Rep 1984;99:400-404.
13. Hahn S, Kroenke K, Spitzer RL, et al. The difficult patient: prevalence, psychopathology, and functional impairment. J Gen Intern Med 1996;11:1-8. [Erratum in: J Gen Intern Med 1996;11:191.
14. Sledge WH, Astrachan B, Thompson K, Rakfeldt J, Leaf P. Case management in psychiatry: an analysis of tasks. Am J Psychiatry 1995;152:1259-1265.
15. Siebens H. Applying the domain management model in treating patients with chronic diseases. Jt Comm J Qual Improv 2001;27:302-314.
16. Waszynski CM, Murakami W, Lewis M. Community care management. Advanced practice nurses as care managers. Care Manag J 2000;2:148-152.
17. Bailey ML. Care coordination in managed care. Creating a quality continuum for high-risk elderly patients. Nurs Case Manag 1998;3:172-180.
18. Rahkonen T, Eloniemi-Sulkava U, Paanila S, Halonen P, Sivenius J, Sulkava R. Systematic intervention for supporting community care of elderly people after a delirium episode. Int Psychogeriatr 2001;13:37-49.
19. Poole PJ, Chase B, Frankel A, Black PN. Case management may reduce length of hospital stay in patients with recurrent admissions for chronic obstructive pulmonary disease. Respirology 2001;6:37-42.
20. Lagoe RJ, Noetscher CM, Murphy ME. Hospital readmissions at the communitywide level: implications for case management. J Nurs Care Qual 2000;14:1-15.
21. Belcher JV, Alexy B. High-resource hospital users in an integrated delivery system. J Nurs Adm 1999;29:30-36.
22. Gagnon AJ, Schein C, McVey L, Bergman H. Randomized controlled trial of nurse case management of frail older people. J Am Geriatr Soc 1999;47:1118-1124.
23. Anonymous. Hospital's case management program pays off with dramatic drop in utilization. Healthc Demand Dis Manag 1999;5:74-76.
24. Cunningham LG, Koen MJ. Improving patient care delivery with integrated case management. Healthc Financ Manage 1996;50:34-35.
25. Einstadter D, Cebul RD, Franta PR. Effect of a nurse case manager on post discharge follow up. J Gen Intern Med 1996;11:684-688.
26. DeBusk RF, West JA, Miller NH, Taylor CB. Chronic disease management: treating the patient with disease(s) vs. treating disease(s) in the patient. Arch Intern Med 1999;159:2739-2742.
27. Aubert RE, Herman WH, Waters J, et al. Nurse case management to improve glycemic control in diabetic patients in a health maintenance organization. A randomized, controlled trial. Ann Intern Med 1998;129:605-612.
28. Forman SA, Kelliher M, Wood G. Clinical improvement with bottom-line impact: custom care planning for patients with acute and chronic illnesses in a managed care setting. Am J Manag Care 1997;3:1039-1048.
29. Lynch JP, Forman SA, Graff S, Gunby MC. High-risk population health management - achieving improved patient outcomes and near-term financial results. Am J Manag Care 2000;6:781-791.
30. Brown KE, Levine JM, Fiellin DA, O'Connor P, Sledge WH. Primary intensive care: pilot study of a primary care-based intervention for high-utilizing patients. Dis Manag 2005;8:169-177.
31. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987;40:373-383.
32. McHorney C, Ware J, Raczek A. The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care 1993;31:247-263.
33. Spitzer RL, Williams JB, Kroenke K, et al. Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. JAMA 1994;272:1749-1756.
34. Bremner JD, Vermetten E, Mazure CM. Development and preliminary psychometric properties of an instrument for the measurement of childhood trauma: the Early Trauma Inventory. Depress Anxiety 2000;12:1-12.
35. Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care 1986;24:67-74.
36. Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M. Development of the Alcohol Use Disorders Screening Test (AUDIT). WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption - II. Addiction 1993;88:791-804.
37. Davis TC, Long SW, Jackson RH, et al. Rapid estimate of adult literacy in medicine: a shortened screening instrument. Fam Med 1993;25:391-395.
38. Kraemer H, Thiemann S. How many subjects? Newbury Park, CA: Sage Publications, 1987.
39. Wagner E, Bennett S, Austin B, Greene S, Schaefer J, vonKorff M. Finding common ground: patient-centeredness and evidence-based chronic illness care. J Altern Complement Med 2005;11:S7-S15.
40. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, part 2. JAMA 2002;288:1909-1914.
41. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. JAMA 2002;288:1775-1779.
42. Fitzgerald JF, Smith DM, Martin DK, Freedman JA, Katz BP. A case manager intervention to reduce readmissions. Arch Intern Med 1994;154:1721-1729.