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Outcomes were defined in different terms or even different concepts, e.g., inappropriate, avoidable, or preventable admissions.
In this study of emergency department use in Texas Medicaid, we examined the variation in key dimensions associated with healthcare utilization including high-frequency use, sociodemographics, setting, cost concentration, chronic/comorbid conditions including mental illness and SUDs, inappropriate or avoidable visits, and persistence.
Studies using different terms (e.g. inappropriate, preventable, avoidable admissions) and operational definitions of appropriateness were considered for inclusion.
Variations may result from different study objectives, including different concepts such as inappropriate, preventable, avoidable, or unnecessary hospitalisation.
For these reasons, the ACE Study seeks to reopen the question of "inappropriate" or "avoidable" admissions close to the end of life.
Inadequate palliation of their dyspnoea has significant implications for the patient's functioning and quality of life, with resulting economic implications if potentially avoidable hospital admissions or inappropriate interventions take place.
We carried out a literature review using Medline using the following search string: "(avoidable OR unnecessary OR inappropriate OR unplanned OR unscheduled OR non-elective) AND (hospital OR accident and emergency OR emergency department) AND admission".
We have tested this association, since in previous studies performed in our area, high inappropriateness of hospital use was found and we believe that for chronic conditions in many cases this could happen also for avoidable hospitalizations and indeed inappropriate admissions have generally shorter length of stay [ 36].
It has been reported that a percentage of GP referrals are inappropriate, unnecessary and avoidable [ 12, 13].
The inappropriate prescription of antibiotics is an avoidable cause of the increasing problem of antibiotic resistance.
Many ADEs are avoidable if attention is directed towards identifying and preventing inappropriate drug use and undesirable drug combinations.
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