The cost of inappropriate admissions: a study of health benefits and resource utilization in a department of internal medicine
Abstract. Eriksen BO, Kristiansen IS, Nord E, Pape JF , Almdahl SM, Hensrud A, Jæger S (University Hospital of Tromsø and University of Tromsø, Tromsø; National Institute of Public Health, Oslo; Kommunelegekontoret i Bardu, Bardu; and Nordland Central Hospital, Bodø, Norway). The cost of inappropria...
Published in: | Journal of Internal Medicine |
---|---|
Main Authors: | , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Wiley
1999
|
Subjects: | |
Online Access: | http://dx.doi.org/10.1046/j.1365-2796.1999.00526.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1046%2Fj.1365-2796.1999.00526.x https://onlinelibrary.wiley.com/doi/pdf/10.1046/j.1365-2796.1999.00526.x |
id |
crwiley:10.1046/j.1365-2796.1999.00526.x |
---|---|
record_format |
openpolar |
spelling |
crwiley:10.1046/j.1365-2796.1999.00526.x 2024-06-02T08:04:05+00:00 The cost of inappropriate admissions: a study of health benefits and resource utilization in a department of internal medicine Eriksen, B. O. Kristiansen, I. S. Nord, E. Pape, J. F. Almdahl, S. M. Hensrud, A. Jæger, S. 1999 http://dx.doi.org/10.1046/j.1365-2796.1999.00526.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1046%2Fj.1365-2796.1999.00526.x https://onlinelibrary.wiley.com/doi/pdf/10.1046/j.1365-2796.1999.00526.x en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Journal of Internal Medicine volume 246, issue 4, page 379-387 ISSN 0954-6820 1365-2796 journal-article 1999 crwiley https://doi.org/10.1046/j.1365-2796.1999.00526.x 2024-05-03T11:19:28Z Abstract. Eriksen BO, Kristiansen IS, Nord E, Pape JF , Almdahl SM, Hensrud A, Jæger S (University Hospital of Tromsø and University of Tromsø, Tromsø; National Institute of Public Health, Oslo; Kommunelegekontoret i Bardu, Bardu; and Nordland Central Hospital, Bodø, Norway). The cost of inappropriate admissions: a study of health benefits and resource utilization in a department of internal medicine. J Intern Med 1999; 246: 379–387. Objectives. High rates of inappropriate hospital admissions have been found in numerous studies, suggesting that a high percentage of hospital resources are, in effect, wasted. The degree to which this is true depends on how costly inappropriate admissions are compared to other admissions. This study aimed to estimate both the percentage and cost of inappropriate admissions. Setting. Department of internal medicine at a teaching hospital. Subjects. Consecutively admitted patients during a six‐week study period. Main outcome measures. Assessments of inappropriateness were based on estimates of health benefit and necessary care level. These estimates were made by expert panels using a structured consensus method. Health benefit was estimated as gain in quality‐adjusted life years, or degree of short‐term improvement in quality of life during or shortly after the hospital stay. The direct costs to the hospital of each stay were estimated by allocating the costs of labour, ‘hotel’ and overhead according to length of stay and adding to this the cost of ancillary resources used by each individual patient. Results. A total of 422 admissions were included. The 102 (24%) judged to be inappropriate had a lower mean cost (US$ 2532) than the other 320 (US$ 5800) (difference 3268; 95% confidence interval 1025–5511). The inappropriate admissions accounted for 12% of the total costs. Conclusions. Denying care for inappropriate admissions does not generate cost reductions of the same magnitude. Policy makers should be cautious in projecting the cost savings potential of excluding inappropriate ... Article in Journal/Newspaper Bardu Bodø Bodø Nordland Nordland Nordland University of Tromsø Wiley Online Library Bardu ENVELOPE(18.347,18.347,68.859,68.859) Bodø ENVELOPE(14.405,14.405,67.280,67.280) Norway Tromsø Journal of Internal Medicine 246 4 379 387 |
institution |
Open Polar |
collection |
Wiley Online Library |
op_collection_id |
crwiley |
language |
English |
description |
Abstract. Eriksen BO, Kristiansen IS, Nord E, Pape JF , Almdahl SM, Hensrud A, Jæger S (University Hospital of Tromsø and University of Tromsø, Tromsø; National Institute of Public Health, Oslo; Kommunelegekontoret i Bardu, Bardu; and Nordland Central Hospital, Bodø, Norway). The cost of inappropriate admissions: a study of health benefits and resource utilization in a department of internal medicine. J Intern Med 1999; 246: 379–387. Objectives. High rates of inappropriate hospital admissions have been found in numerous studies, suggesting that a high percentage of hospital resources are, in effect, wasted. The degree to which this is true depends on how costly inappropriate admissions are compared to other admissions. This study aimed to estimate both the percentage and cost of inappropriate admissions. Setting. Department of internal medicine at a teaching hospital. Subjects. Consecutively admitted patients during a six‐week study period. Main outcome measures. Assessments of inappropriateness were based on estimates of health benefit and necessary care level. These estimates were made by expert panels using a structured consensus method. Health benefit was estimated as gain in quality‐adjusted life years, or degree of short‐term improvement in quality of life during or shortly after the hospital stay. The direct costs to the hospital of each stay were estimated by allocating the costs of labour, ‘hotel’ and overhead according to length of stay and adding to this the cost of ancillary resources used by each individual patient. Results. A total of 422 admissions were included. The 102 (24%) judged to be inappropriate had a lower mean cost (US$ 2532) than the other 320 (US$ 5800) (difference 3268; 95% confidence interval 1025–5511). The inappropriate admissions accounted for 12% of the total costs. Conclusions. Denying care for inappropriate admissions does not generate cost reductions of the same magnitude. Policy makers should be cautious in projecting the cost savings potential of excluding inappropriate ... |
format |
Article in Journal/Newspaper |
author |
Eriksen, B. O. Kristiansen, I. S. Nord, E. Pape, J. F. Almdahl, S. M. Hensrud, A. Jæger, S. |
spellingShingle |
Eriksen, B. O. Kristiansen, I. S. Nord, E. Pape, J. F. Almdahl, S. M. Hensrud, A. Jæger, S. The cost of inappropriate admissions: a study of health benefits and resource utilization in a department of internal medicine |
author_facet |
Eriksen, B. O. Kristiansen, I. S. Nord, E. Pape, J. F. Almdahl, S. M. Hensrud, A. Jæger, S. |
author_sort |
Eriksen, B. O. |
title |
The cost of inappropriate admissions: a study of health benefits and resource utilization in a department of internal medicine |
title_short |
The cost of inappropriate admissions: a study of health benefits and resource utilization in a department of internal medicine |
title_full |
The cost of inappropriate admissions: a study of health benefits and resource utilization in a department of internal medicine |
title_fullStr |
The cost of inappropriate admissions: a study of health benefits and resource utilization in a department of internal medicine |
title_full_unstemmed |
The cost of inappropriate admissions: a study of health benefits and resource utilization in a department of internal medicine |
title_sort |
cost of inappropriate admissions: a study of health benefits and resource utilization in a department of internal medicine |
publisher |
Wiley |
publishDate |
1999 |
url |
http://dx.doi.org/10.1046/j.1365-2796.1999.00526.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1046%2Fj.1365-2796.1999.00526.x https://onlinelibrary.wiley.com/doi/pdf/10.1046/j.1365-2796.1999.00526.x |
long_lat |
ENVELOPE(18.347,18.347,68.859,68.859) ENVELOPE(14.405,14.405,67.280,67.280) |
geographic |
Bardu Bodø Norway Tromsø |
geographic_facet |
Bardu Bodø Norway Tromsø |
genre |
Bardu Bodø Bodø Nordland Nordland Nordland University of Tromsø |
genre_facet |
Bardu Bodø Bodø Nordland Nordland Nordland University of Tromsø |
op_source |
Journal of Internal Medicine volume 246, issue 4, page 379-387 ISSN 0954-6820 1365-2796 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1046/j.1365-2796.1999.00526.x |
container_title |
Journal of Internal Medicine |
container_volume |
246 |
container_issue |
4 |
container_start_page |
379 |
op_container_end_page |
387 |
_version_ |
1800748707485843456 |