Diabetesm related utilization and costs for inpatient and outpatient services in the veterans administration
Diabetesm related utilization and costs for inpatient and outpatient services in the veterans administration
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DOI：
10.2337/diacare.27.suppl_2.b69
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发表时间：
2004-05-01
期刊：
影响因子：
16.2
通讯作者：
Maynard, C
中科院分区：
文献类型：
--
作者：
Maciejewski, ML;Maynard, C
目的-本研究的目的是计算总的住院人数，门诊就诊，和直接的卫生保健费用与糖尿病退伍军人接受护理的退伍军人管理局（VA）facility.Research设计和方法-住院人数被跟踪多年1994-1998，并对1997年和1998年的门诊病人进行了跟踪。不同年龄和种族群体的利用趋势，以及直接住院和门诊费用总额为1998年，presented.RESULTS -1.994和1998年之间，住院率从1.68下降到1.61。1997年和1998年的门诊病人平均数分别为4.5和4.6人。VA发生了2.148亿美元的门诊费用和14.5亿美元的住院费用的退伍军人糖尿病接受VA care.CONCLUSIONS -医疗保健提供系统和付款人跟踪特定患者群体的服务成本和利用率，以支持疾病管理，质量改进，外部报告和成本控制。跟踪糖尿病护理的利用和成本对于了解糖尿病对卫生保健系统的财务影响以及糖尿病对个人的总体负担是必要的。
OBJECTIVE - The purpose of this study was to calculate the total number of inpatient hospitalizations, outpatient clinic visits, and total direct health care costs associated with veterans with diabetes receiving care in Veterans Administration (VA) facilities.RESEARCH DESIGN AND METHODS - The number of inpatient hospitalizations is tracked for years 1994-1998, and outpatient clime visits are tracked for years 1997 and 1998. Trends in utilization across different age and racial groups, as well as total direct inpatient and outpatient costs for 1998, are presented.RESULTS - Between 1.994 and 1998, hospitalization rates decreased from 1.68 to 1.61. The average number of outpatient visits was 4.5 in 1997 and 4.6 in 1998. VA incurred $214.8 million in outpatient expenditures and $1.45 billion in inpatient expenditures for veterans with diabetes receiving VA care.CONCLUSIONS - Health care delivery systems and payers track the cost and utilization of services by specific patient groups to Support disease management, quality improvement, external reporting, and cost containment. Tracking the utilization and cost of diabetes care is necessary to understand the financial impact of diabetes on health care systems and the overall burden of diabetes on individuals.