Association of hospitalist care with medical utilization after discharge: Evidence of cost shift from a cohort study

Annals of Internal Medicine

Volumn 155, Issue 3, 2011, Pages 152-157

  Kuo, Yong Fang ^a   Goodwin, James S ^a  

^a UNIVERSITY OF TEXAS MEDICAL BRANCH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; COHORT ANALYSIS; CONSULTATION; CORRELATION ANALYSIS; EMERGENCY WARD; FEMALE; GENERAL PRACTITIONER; HEALTH CARE COST; HEALTH CARE UTILIZATION; HOSPITAL CARE; HOSPITAL COST; HOSPITAL DISCHARGE; HOSPITAL PATIENT; HOSPITAL READMISSION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL STAFF; MEDICARE; OUTPATIENT CARE; PATIENT CARE; PRIORITY JOURNAL; PROPENSITY SCORE;

EID: 79961084438     PISSN: 00034819     EISSN: 15393704     Source Type: Journal    
DOI: 10.7326/0003-4819-155-3-201108020-00005     Document Type: Article

References (37)

1. Kuo YF, Sharma G, Freeman JL, Goodwin JS. Growth in the care of older patients by hospitalists in the United States. N Engl J Med. 2009;360:1102-12. [PMID: 19279342]
2. Society of Hospital Medicine releases results of the 2007-2008 survey on the state of hospital medicine movement [News release]. Philadelphia: Society of Hospital Medicine; 4 April 2008. Accessed at www.hospitalmedicine.org/AM/Template.cfm?Section_Press_Releases&Template_/CM/HTMLDisplay.cfm&ContentID_17477 on 26 May 2011.
3. Wachter RM, Katz P, Showstack J, Bindman AB, Goldman L. Reorganizing an academic medical service: impact on cost, quality, patient satisfaction, and education. JAMA. 1998;279:1560-5. [PMID: 9605901]
4. Palmer HC, Armistead NS, Elnicki DM, Halperin AK, Ogershok PR, Manivannan S, et al. The effect of a hospitalist service with nurse discharge planner on patient care in an academic teaching hospital. Am J Med. 2001;111: 627-32. [PMID: 11755506]
5. Kearns PJ, Wang CC, Morris WJ, Low DG, Deacon AS, Chan SY, et al. Hospital care by hospital-based and clinic-based faculty: a prospective, controlled trial. Arch Intern Med. 2001;161:235-41. [PMID: 11176737]
6. Meltzer D, Manning WG, Morrison J, Shah MN, Jin L, Guth T, et al. Effects of physician experience on costs and outcomes on an academic general medicine service: results of a trial of hospitalists. Ann Intern Med. 2002;137:866-74.[PMID: 12458986]
7. Pham HH, Grossman JM, Cohen G, Bodenheimer T. Hospitalists and care transitions: the divorce of inpatient and outpatient care. Health Aff (Millwood). 2008;27:1315-27. [PMID: 18780917]
8. Sharma G, Fletcher KE, Zhang D, Kuo YF, Freeman JL, Goodwin JS. Continuity of outpatient and inpatient care by primary care physicians for hospitalized older adults. JAMA. 2009;301:1671-80. [PMID: 19383958]
9. Roy CL, Poon EG, Karson AS, Ladak-Merchant Z, Johnson RE, Maviglia SM, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;143:121-8. [PMID: 16027454]
10. Hinami K, Farnan JM, Meltzer DO, Arora VM. Understanding communication during hospitalist service changes: a mixed methods study. J Hosp Med. 2009;4:535-40. [PMID: 20013853]
11. Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW. Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. JAMA. 2007;297:831-41. [PMID: 17327525]
12. Sharma G, Kuo YF, Freeman JL, Zhang DD, Goodwin JS. Outpatient follow-up visit and 30-day emergency department visit and readmission in patients hospitalized for chronic obstructive pulmonary disease. Arch Intern Med. 2010;170:1664-70. [PMID: 20937926]
13. Moore C, Wisnivesky J, Williams S, McGinn T. Medical errors related to discontinuity of care from an inpatient to an outpatient setting. J Gen Intern Med. 2003;18:646-51.[PMID: 12911647]
14. Coleman EA, Min SJ, Chomiak A, Kramer AM. Posthospital care transitions: patterns, complications, and risk identification. Health Serv Res. 2004;39: 1449-65. [PMID: 15333117]
15. Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW. Adverse drug events occurring following hospital discharge. J Gen Intern Med. 2005;20:317-23. [PMID: 15857487]
16. Sharma G, Freeman J, Zhang D, Goodwin JS. Continuity of care and intensive care unit use at the end of life. Arch Intern Med. 2009;169:81-6.[PMID: 19139328]
17. Fried TR, Bradley EH, Towle VR, Allore H. Understanding the treatment preferences of seriously ill patients. N Engl J Med. 2002;346:1061-6. [PMID: 11932474]
18. Kuo YF, Goodwin JS. Effect of hospitalists on length of stay in the medicare population: variation according to hospital and patient characteristics. J Am Geriatr Soc. 2010;58:1649-57. [PMID: 20863324]
19. Shah BR, Hux JE, Laupacis A, Zinman B, Cauch-Dudek K, Booth GL. Administrative data algorithms can describe ambulatory physician utilization. Health Serv Res. 2007;42:1783-96. [PMID: 17610448]
20. Koroukian SM, Xu F, Murray P. Ability of Medicare claims data to identify nursing home patients: a validation study. Med Care. 2008;46:1184-7. [PMID: 18953230]
21. Elixhauser A, Steiner C, Harris DR, Coffey RM. Comorbidity measures for use with administrative data. Med Care. 1998;36:8-27. [PMID: 9431328]
22. Donini-Lenhoff F, ed. Guidebook for GME Program Directors. Chicago: American Med Assoc; 2005:59.
23. ZIP code crosswalk files: HRR boundaries. In: The Dartmouth Atlas of Health Care. Accessed at www.dartmouthatlas.org/Downloads.aspx on 5 May 2010.
24. McWilliams JM, Meara E, Zaslavsky AM, Ayanian JZ. Medicare spending for previously uninsured adults. Ann Intern Med. 2009;151:757-66. [PMID: 19949141]
25. Yabroff KR, Lamont EB, Mariotto A, Warren JL, Topor M, Meekins A, et al. Cost of care for elderly cancer patients in the United States. J Natl Cancer Inst. 2008;100:630-41. [PMID: 18445825]
26. D'Agostino RB Jr. Propensity score methods for bias reduction in the comparison of a treatment to a non-randomized control group. Stat Med. 1998;17: 2265-81. [PMID: 9802183]
27. Griswold ME, Localio AR, Mulrow C. Propensity score adjustment with multilevel data: setting your sites on decreasing selection bias [Editorial]. Ann Intern Med. 2010;152:393-5. PMID: 20231571]
28. Rabe-Hesketh S, Skrondal A. Multilevel and Longitudinal Modeling Using STATA. College Station, TX: StataCorp; 2005.
29. Finkelstein EA, Trogdon JG, Cohen JW, Dietz W. Annual medical spending attributable to obesity: payer-and service-specific estimates. Health Aff (Millwood). 2009;28:w822-31. [PMID: 19635784]
30. Mullahy J. Much ado about two: reconsidering retransformation and the two-part model in health econometrics. J Health Econ. 1998;17:247-81. [PMID: 10180918]
31. Lin DY, Psaty BM, Kronmal RA. Assessing the sensitivity of regression results to unmeasured confounders in observational studies. Biometrics. 1998;54: 948-63. [PMID: 9750244]
32. Lindenauer PK, Rothberg MB, Pekow PS, Kenwood C, Benjamin EM, Auerbach AD. Outcomes of care by hospitalists, general internists, and family physicians. N Engl J Med. 2007;357:2589-600. [PMID: 18094379]
33. Centers for Medicare & Medicaid Services. 100% MEDPAR inpatient hospital fiscal year 2008. Short stay inpatient by state. Assessed at www.cms.gov/MedicareFeeforSvcPartsAB/Downloads/DRGState08.pdf on 12 May 2010.
34. Go JT, Vaughan-Sarrazin M, Auerbach A, Schnipper J, Wetterneck TB, patients with acute upper gastrointestinal hemorrhage (UGIH)? J Hosp Med. 2010;5:133-9. [PMID: 20235292]
35. Howrey B, Kuo YF, Goodwin JS. Association of care by hospitalists on discharge destination and 30 day outcomes following acute ischemic stroke. Med Care. [Forthcoming].
36. Anderson GF, Weller WE. Methods of reducing the financial risk of physicians under capitation. Arch Fam Med. 1999;8:149-55. [PMID: 10101986]
37. Frakt AB, Pizer SD, Schmitz RJ, Mattke S. Voluntary partial capitation: the Community Nursing Organization Medicare demonstration. Health Care Financ Rev. 2005;26:21-37. [PMID: 17288066]