Hospital resource consumption among older adults: a prospective analysis of episodes, length of stay, and charges over a seven-year period.
Hospital resource consumption among older adults: a prospective analysis of episodes, length of stay, and charges over a seven-year period.
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老年人的医院资源消耗：对七年期间的发作、住院时间和费用的前瞻性分析。
DOI：
10.1093/geronj/49.5.s240
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Johnson,RJ
中科院分区：
文献类型：
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作者：
Wolinsky,FD;Culler,SD;Callahan,CM;Johnson,RJ
在将他们的行政记录和访谈数据联系起来之后，使用两部分设计对7,527名LSOA受访者在1984年至1990年期间医疗保险报销医院资源的消耗进行了前瞻性评估。首先，使用逻辑回归来模拟医院事件是否发生。其次，在有过住院发作的患者中，使用OLS回归对发作次数以及总住院时间和总费用的自然对数进行建模。住院风险主要与男性、既往住院和医师使用情况以及下肢受限有关。在住院患者中：(a)较多的发作次数主要与先前的住院和医生使用有关，并且认为健康状况较差；(b)住院时间较长主要与先前的医院和医生使用情况以及较差的健康状况有关；而且(c)较高的收费主要与人口密度、较差的健康状况以及以前的医生和医院使用率有关。死者消耗的医院资源一直比幸存者多得多
After linking their administrative records and interview data, the consumption of Medicare-reimbursed hospital resources during 1984 through 1990 by the 7,527 LSOA respondents was prospectively assessed using a two-part design. First, logistic regression was used to model whether a hospital episode occurred. Second, among those having had hospital episodes, OLS regression was used to model the number of episodes, as well as the natural logarithms of the total length of stay and the total charges. The risk of hospitalization was mostly associated with being male, prior hospital and physician utilization, and lower body limitations. Among those hospitalized: (a) greater numbers of episodes were mostly associated with prior hospital and physician utilization, and poorer perceived health; (b) longer lengths of stay were mostly associated with prior hospital and physician utilization, and poorer perceived health; and, (c) higher charges were mostly associated with population density, poorer perceived health, and prior physician and hospital utilization. Decedents consistently consumed substantially more hospital resources than survivors