Spending more, doing more, or both? An alternative method for quantifying utilization during hospitalizations

Journal of Hospital Medicine

Volumn 8, Issue 7, 2013, Pages 373-379

  Lagu, Tara ^a,b   Krumholz, Harlan M ^c,d,e   Dharmarajan, Kumar ^c,f   Partovian, Chohreh ^c,d   Kim, Nancy ^c,d   Mody, Purav S ^g   Li, Shu Xia ^c,d   Strait, Kelly M ^c   Lindenauer, Peter K ^a,b  

^a BAYSTATE MEDICAL CENTER   (United States)

^b TUFTS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c YALE NEW HAVEN HOSPITAL   (United States)

^d YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^e YALE UNIVERSITY   (United States)

^f NewYork Presbyterian Hospital   (United States)

^g UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COHORT ANALYSIS; CROSS-SECTIONAL STUDY; HEALTH CARE COST; HEART FAILURE; HOSPITAL BILLING; HOSPITAL UTILIZATION; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; PRIORITY JOURNAL; RETROSPECTIVE STUDY;

COHORT STUDIES; CROSS-SECTIONAL STUDIES; HEART FAILURE; HOSPITAL COSTS; HOSPITALIZATION; HUMANS; RELATIVE VALUE SCALES; RETROSPECTIVE STUDIES;

EID: 84880513264     PISSN: 15535592     EISSN: 15535606     Source Type: Journal    
DOI: 10.1002/jhm.2046     Document Type: Article

References (21)

1. Health care costs-a primer. Kaiser Family Foundation Web site. Available at: http://www.kff.org/insurance/7670.cfm. Accessed July 20, 2012.
2. Squires D. Explaining high health care spending in the United States: an international comparison of supply, utilization, prices, and quality. The Commonwealth Fund. 2012. Available at: http://www.commonwealthfund.org/Publications/Issue-Briefs/2012/May/High-Health-Care-Spending.aspx. Accessed on July 20, 2012.
3. Lagu T, Rothberg MB, Nathanson BH, Pekow PS, Steingrub JS, Lindenauer PK. The relationship between hospital spending and mortality in patients with sepsis. Arch Intern Med. 2011;171(4):292-299.
4. Skinner J, Chandra A, Goodman D, Fisher ES. The elusive connection between health care spending and quality. Health Aff (Millwood). 2009;28(1):w119-w123.
5. Yasaitis L, Fisher ES, Skinner JS, Chandra A. Hospital quality and intensity of spending: is there an association? Health Aff (Millwood). 2009;28(4):w566-w572.
6. Jha AK, Orav EJ, Dobson A, Book RA, Epstein AM. Measuring efficiency: the association of hospital costs and quality of care. Health Aff (Millwood). 2009;28(3):897-906.
7. Fishman PA, Hornbrook MC. Assigning resources to health care use for health services research: options and consequences. Med Care. 2009;47(7 suppl 1):S70-S75.
8. Lipscomb J, Yabroff KR, Brown ML, Lawrence W, Barnett PG. Health care costing: data, methods, current applications. Med Care. 2009;47(7 suppl 1):S1-S6.
9. Barnett PG. Determination of VA health care costs. Med Care Res Rev. 2003;60(3 suppl):124S-141S.
10. Barnett PG. An improved set of standards for finding cost for cost-effectiveness analysis. Med Care. 2009;47(7 suppl 1):S82-S88.
11. Yabroff KR, Warren JL, Banthin J, et al. Comparison of approaches for estimating prevalence costs of care for cancer patients: what is the impact of data source? Med Care. 2009;47(7 suppl 1):S64-S69.
12. Evans DB. Principles involved in costing. Med J Aust. 1990;153Suppl:S10-S12.
13. Reinhardt UE. Spending more through "cost control:" our obsessive quest to gut the hospital. Health Aff (Millwood). 1996;15(2):145-154.
14. Roberts RR, Frutos PW, Ciavarella GG, et al. Distribution of variable vs. fixed costs of hospital care. JAMA. 1999;281(7):644-649.
15. Riley GF. Administrative and claims records as sources of health care cost data. Med Care. 2009;47(7 suppl 1):S51-S55.
16. Lindenauer PK, Pekow P, Wang K, Mamidi DK, Gutierrez B, Benjamin EM. Perioperative beta-blocker therapy and mortality after major noncardiac surgery. N Engl J Med. 2005;353(4):349-361.
17. Lindenauer PK, Remus D, Roman S, et al. Public reporting and pay for performance in hospital quality improvement. N Engl J Med. 2007;356(5):486-496.
18. Chen SI, Dharmarajan K, Kim N, et al. Procedure intensity and the cost of care. Circ Cardiovasc Qual Outcomes. 2012;5(3):308-313.
19. Conover W, Johnson M, Johnson M. A comparative study of tests for homogeneity of variances, with applications to the outer continental shelf bidding data. Technometrics. 1981;23:351-361.
20. Greene RA, Beckman HB, Mahoney T. Beyond the efficiency index: finding a better way to reduce overuse and increase efficiency in physician care. Health Aff (Millwood). 2008;27(4):w250-w259.
21. Joynt KE, Orav EJ, Jha AK. The association between hospital volume and processes, outcomes, and costs of care for congestive heart failure. Ann Intern Med. 2011;154(2):94-102.