Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Fragmentation of Care for Frequently Hospitalized Urban Residents

Fragmentation of Care for Frequently Hospitalized Urban Residents ORIGINAL ARTICLE Fragmentation of Care for Frequently Hospitalized Urban Residents Deborah Schrag, MD, MPH,* Feng Xu, MS,* Morgan Hanger, BA,* Elena Elkin, PhD,* Nina A. Bickell, MD, MPH,† and Peter B. Bach, MD, MApp‡ Conclusions: In NYC, Medicaid enrollment is associated with Background: Fragmentation across sites of care may impede effi- greater fragmentation of hospital care, but this is largely attributable cient healthcare delivery. to the preponderance of Medicaid enrollees with diagnoses of psychosis Objectives: The objectives of this study were to evaluate fragmen- and substance abuse. Strategies to improve the efficiency of health- tation of hospital care for chronically ill New York City (NYC) care delivery should focus on patients with mental illness who are residents and its association with enrollment in the New York State frequently admitted to general hospitals. (NYS) Medicaid program. Key Words: fragmentation, frequent hospital users, chronic Research Design: We conducted a cross-sectional study using the illness, insurance, psychosis, substance abuse NYS Department of Health’s Statewide Planning and Research Cooperative System discharge database. We identified 53,031 NYC (Med Care 2006;44: 560 –567) residents admitted 3 or more times to acute care hospitals between 2000 and 2002 with the same principal diagnosis of a specific http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Medical Care Wolters Kluwer Health

Fragmentation of Care for Frequently Hospitalized Urban Residents

Medical Care , Volume 44 (6) – Jun 1, 2006

Loading next page...
 
/lp/wolters-kluwer-health/fragmentation-of-care-for-frequently-hospitalized-urban-residents-S11PfodDsY

References

References for this paper are not available at this time. We will be adding them shortly, thank you for your patience.

ISSN
0025-7079
eISSN
1537-1948
DOI
10.1097/01.mlr.0000215811.68308.ae
pmid
16708005
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE Fragmentation of Care for Frequently Hospitalized Urban Residents Deborah Schrag, MD, MPH,* Feng Xu, MS,* Morgan Hanger, BA,* Elena Elkin, PhD,* Nina A. Bickell, MD, MPH,† and Peter B. Bach, MD, MApp‡ Conclusions: In NYC, Medicaid enrollment is associated with Background: Fragmentation across sites of care may impede effi- greater fragmentation of hospital care, but this is largely attributable cient healthcare delivery. to the preponderance of Medicaid enrollees with diagnoses of psychosis Objectives: The objectives of this study were to evaluate fragmen- and substance abuse. Strategies to improve the efficiency of health- tation of hospital care for chronically ill New York City (NYC) care delivery should focus on patients with mental illness who are residents and its association with enrollment in the New York State frequently admitted to general hospitals. (NYS) Medicaid program. Key Words: fragmentation, frequent hospital users, chronic Research Design: We conducted a cross-sectional study using the illness, insurance, psychosis, substance abuse NYS Department of Health’s Statewide Planning and Research Cooperative System discharge database. We identified 53,031 NYC (Med Care 2006;44: 560 –567) residents admitted 3 or more times to acute care hospitals between 2000 and 2002 with the same principal diagnosis of a specific

Journal

Medical CareWolters Kluwer Health

Published: Jun 1, 2006

There are no references for this article.