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Despite the association with low medical admissions, strong disease management programs were not invariably associated with low inpatient bed-days.
Disease and case management were associated with reduced medical admissions and readmissions, respectively, but were not sufficient for achieving low inpatient utilization.
Our decision to use fsQCA for this study was validated in that we identified a variety of equifinal sufficient configurations of PO care management capabilities associated with low inpatient utilization.
We studied the relationship between physician organization (PO) care management capabilities and inpatient utilization in order to identify PO characteristics or capabilities associated with low inpatient bed-days per thousand.
The central purpose of this study is to investigate which PO medical management practices are linked to effective inpatient utilization management, as manifested by low inpatient bed-days per thousand members per year (bed-days).
POs with low inpatient bed-days per thousand minimized length of stay and surgical admissions by actively engaging in concurrent review, discharge planning, and surgical prior authorization, and by contracting directly with hospitalists to provide UM-related services.
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Fibrinolytic treatment generates the lowest mean inpatient expenditure.
1 4 For low dependency inpatients, a long hospital stay may imply ineffective treatment, which increases healthcare expenditure.
Mathare North Health Center MNHCC) is a public hospital located in a western sub-village (population between 18,000 and 30,000) of the Mathare Valley and provides outpatient and low-risk inpatient maternal and child health services [ 18].
"And there's evidence from a number of studies that the better access to GPs is, the better you get in terms of low rates of inpatient admissions for things like strokes [and] lung infections.
Inpatient low- molecular-weight heparin treatment became cost saving when its pharmacy cost was reduced by 31% or more, when it reduced the yearly incidence of late complications by at least 7%, when as few as 8% of patients were treated entirely as outpatients, or when at least 13% of patients were eligible for early discharge.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com