دورية أكاديمية
Temporal trends in healthcare resource utilization and costs following acute myocardial infarction
| العنوان: | Temporal trends in healthcare resource utilization and costs following acute myocardial infarction |
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| المؤلفون: | Arthur Shiyovich, Harel Gilutz, Jonathan Eli Arbelle, Dan Greenberg, Ygal Plakht |
| المصدر: | Israel Journal of Health Policy Research, Vol 9, Iss 1, Pp 1-10 (2020) |
| بيانات النشر: | BMC, 2020. |
| سنة النشر: | 2020 |
| المجموعة: | LCC:Medicine (General) LCC:Public aspects of medicine |
| مصطلحات موضوعية: | Acute myocardial infarction, healthcare resource utilization, Costs, Temporal trends, Medicine (General), R5-920, Public aspects of medicine, RA1-1270 |
| الوصف: | Abstract Background Acute myocardial infarction (AMI) is associated with greater utilization of healthcare resources and financial expenditure. Objectives To evaluate temporal trends in healthcare resource utilization and costs following AMI throughout 2003–2015. Methods AMI patients who survived the first year following hospitalization in a tertiary medical center (Soroka University Medical Center) throughout 2002–2012 were included and followed until 2015. Length of the in-hospital stay (LOS), emergency department (ED), primary care, outpatient consulting clinic visits and other ambulatory services, and their costs, were evaluated and compared annually over time. Results Overall 8047 patients qualified for the current study; mean age 65.0 (SD = 13.6) years, 30.3% women. During follow-up, LOS and the number of primary care visits has decreased significantly. However, ED and consultant visits as well as ambulatory-services utilization has increased. Total costs have decreased throughout this period. Multivariate analysis, adjusted for potential confounders, showed as significant trend of decrease in LOS and ambulatory-services utilization, yet an increase in ED visits with no change in total costs. Conclusions Despite a decline in utilization of most healthcare services throughout the investigated decade, healthcare expenditure has not changed. Further evaluation of the cost-effectiveness of long-term resource allocation following AMI is warranted. Nevertheless, we believe more intense ambulatory follow-up focusing on secondary prevention and early detection, as well as high-quality outpatient chest pain unit are warranted. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2045-4015 61035815 |
| Relation: | https://doaj.org/toc/2045-4015 |
| DOI: | 10.1186/s13584-020-0364-y |
| URL الوصول: | https://doaj.org/article/61035815472848eeab5c34b5fd44f440 |
| رقم الأكسشن: | edsdoj.61035815472848eeab5c34b5fd44f440 |
| قاعدة البيانات: | Directory of Open Access Journals |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 20454015 61035815 |
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| DOI: | 10.1186/s13584-020-0364-y |