Health Economic Impact of a Multicenter Quality-of-Care Initiative for Reducing Unplanned Healthcare Utilization Among Patients With Inflammatory Bowel Disease
| Autor: | Lawrence Kogan, Lia Kaufman, Welmoed K. van Deen, Ziad Younes, Arthur Ostrov, Frank I. Scott, Samir A. Shah, Carrie Mize, John Betteridge, Corey A. Siegel, Siddharth Singh, Donald Lum, Gil Y. Melmed, Caren Heller, Jason K. Hou, Mark E. Gerich, Humberto Aguilar, Mark Mattar, Ann D. Flynn, Christopher V. Almario, S Alandra Weaver |
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| Přispěvatelé: | Health Technology Assessment (HTA) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Quality Assurance Health Care MEDLINE Psychological intervention Inflammatory bowel disease Cost Savings Medicine Humans Economic impact analysis Intensive care medicine Baseline (configuration management) health care economics and organizations Hepatology business.industry Incidence Gastroenterology Emergency department Health Care Costs Patient Acceptance of Health Care medicine.disease Inflammatory Bowel Diseases United States Hospitalization Healthcare utilization Chronic Disease Female business Decision model Delivery of Health Care |
| Zdroj: | American Journal of Gastroenterology, 116(12), 2459-2464. Springer Nature |
| ISSN: | 1572-0241 0002-9270 |
| Popis: | Introduction A multicenter adult inflammatory bowel disease learning health system (IBD Qorus) implemented clinical care process changes for reducing unplanned emergency department visits and hospitalizations using a Breakthrough Series Collaborative approach. Methods Using Markov decision models, we determined the health economic impact of participating in the Collaborative from the third-party payer perspective. Results Across all 23 sites, participation in the Collaborative was associated with lower annual costs by an average of $2,528 ± $233 per patient when compared with the baseline period. Discussion Implementing clinical care process changes using a Collaborative approach was associated with overall cost savings. Future work should examine which specific interventions are most effective and whether such cost savings are sustainable. |
| Databáze: | OpenAIRE |
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