Comparison Of Healthcare Resource Utilization Medication Use And Costs Among Heart Failure Patients With Reduced And Preserved Ejection Fraction

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Comparison of Healthcare Resource Utilization, Medication Use, and Costs Among Heart Failure Patients with Reduced and Preserved Ejection Fraction

Author : Melody Tran
Publisher :
ISBN 13 :
Total Pages : 114 pages
Book Rating : 4.:/5 (958 download)

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Book Synopsis Comparison of Healthcare Resource Utilization, Medication Use, and Costs Among Heart Failure Patients with Reduced and Preserved Ejection Fraction by : Melody Tran

Download or read book Comparison of Healthcare Resource Utilization, Medication Use, and Costs Among Heart Failure Patients with Reduced and Preserved Ejection Fraction written by Melody Tran and published by . This book was released on 2016 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectives: To compare health care resource utilization, medication use, and associated costs among heart failure (HF) patients with reduced versus preserved ejection fraction (EF). Methods: We included patients ≥ 18 years of age who had an inpatient admission with a primary discharge diagnosis of HF between October 1, 2011 and September 30, 2014 along with a recent EF measurement. Those with EF ≤ 40% were placed in the reduced EF group, and those with EF ≥ 50% were placed in the preserved EF group. Patients were excluded if they had an index length of stay (LOS) greater than 30 days, a prior heart transplant or LV atrial defibrillator. Baseline characteristics, healthcare utilization and associated costs, comorbidities, and medication use between the two groups were compared using inferential statistics and generalized linear models adjusted for clinical and demographic covariates were used to address the hypotheses, assessing the effect of EF group on utilization, costs, and medication use. Results: A total of 380 HF patients were identified (54% female; mean [SD] age: 78.1 [12.0]), of which 116 (30%) had a reduced EF and 264 (69%) had a preserved EF. Those with preserved EF had a significantly greater proportion of females (60% vs 39%, p

Association of Comorbidities with Healthcare Resource Utilization and Cost for Post-discharge Heart Failure Patients with Chronic Kidney Disease

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Author : Qixin Li
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (139 download)

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Book Synopsis Association of Comorbidities with Healthcare Resource Utilization and Cost for Post-discharge Heart Failure Patients with Chronic Kidney Disease by : Qixin Li

Download or read book Association of Comorbidities with Healthcare Resource Utilization and Cost for Post-discharge Heart Failure Patients with Chronic Kidney Disease written by Qixin Li and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Heart failure is a serious and incurable condition that often coexists with chronic kidney disease. Approximately 83% of patients were hospitalized after their HF diagnosis, accounting for the majority of their medical costs. Numerous studies have reported that comorbidities are associated with HF hospitalization and costs. However, no study has been found so far that investigates the incremental economic burden of commonly reported comorbidities, namely diabetes, hypertension and coronary heart disease of post-discharge HF patients with chronic kidney disease. To assess the incremental healthcare resource utilization and costs associated with additional comorbidities among post-discharge heart failure patients with chronic kidney disease, at 30-day and 1-year post discharge. This retrospective cohort analysis was conducted using the IBM® Watson MarketScan® Commercial Claims and Encounters and Medicare Supplemental databases. Our population of interest was adult patients discharged after a HF hospitalization from Jan 1, 2011 to Dec 31, 2018, with concurrent chronic kidney disease with and without additional comorbidities of diabetes and/or hypertension and/or coronary heart disease. Primary outcome measures were incremental differences in healthcare resource utilization and total costs between heart failure patients with chronic kidney disease and heart failure patients with chronic kidney disease plus one or more comorbidities of diabetes, hypertension and coronary heart disease. Healthcare resource utilization was defined as hospital all-cause readmission, emergency room visit days, outpatient service visit days and unique drug categories of outpatient prescription fills. We separately evaluated patient out-of-pocket costs and payer costs. Multivariable regressions were used to assess outcomes of interest at 30-day post-discharge and a regression-based Kaplan Meier sample average method was used to evaluate each outcome over 1-year post-discharge. RESULTS: A total 71,612 patients were identified and included in the study. The mean age of patients ranged from 71.4 to 79.2. Additional comorbidities of diabetes with/without hypertension and/or coronary heart disease were associated with higher healthcare resource utilization at both 30-days and 1-year post discharge. Incremental differences found between groups in patient out-of-pocket cost 30-day post discharge are marginal. We found that individuals with co-occurring diabetes with/without hypertension and/or coronary heart disease incurred more out-of-pocket costs and payer costs 1-year post discharge. Patients with co-occurring coronary heart disease have similar healthcare resource utilization and total costs. In contrast, patients with co-occurring hypertension with or without coronary heart disease had similar healthcare resource utilization, and similar out-of-pocket costs but lower payer total costs. The number, as well as the type of comorbidities, impact the association between comorbidities and healthcare resource utilization and costs for post-discharge heart failure patients with chronic kidney disease. Diabetes is the comorbidity with the biggest impact in this study, which contributes to higher healthcare resource utilization and medical costs. Payers should focus on managing patients with diabetes to reduce medical costs for these patients.

Acute Heart Failure

Author : Alexandre Mebazaa
Publisher : Springer Science & Business Media
ISBN 13 : 1846287820
Total Pages : 922 pages
Book Rating : 4.8/5 (462 download)

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Book Synopsis Acute Heart Failure by : Alexandre Mebazaa

Download or read book Acute Heart Failure written by Alexandre Mebazaa and published by Springer Science & Business Media. This book was released on 2009-12-24 with total page 922 pages. Available in PDF, EPUB and Kindle. Book excerpt: For many years, there has been a great deal of work done on chronic congestive heart failure while acute heart failure has been considered a difficult to handle and hopeless syndrome. However, in recent years acute heart failure has become a growing area of study and this is the first book to cover extensively the diagnosis and management of this complex condition. The book reflects the considerable amounts of new data reported and many new concepts which have been proposed in the last 3-4 years looking at the epidemiology, diagnostic and treatment of acute heart failure.

Health Promotion in Health Care – Vital Theories and Research

Author : Gørill Haugan
Publisher : Springer Nature
ISBN 13 : 3030631354
Total Pages : 382 pages
Book Rating : 4.0/5 (36 download)

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Book Synopsis Health Promotion in Health Care – Vital Theories and Research by : Gørill Haugan

Download or read book Health Promotion in Health Care – Vital Theories and Research written by Gørill Haugan and published by Springer Nature. This book was released on 2021-03-11 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access textbook represents a vital contribution to global health education, offering insights into health promotion as part of patient care for bachelor’s and master’s students in health care (nurses, occupational therapists, physiotherapists, radiotherapists, social care workers etc.) as well as health care professionals, and providing an overview of the field of health science and health promotion for PhD students and researchers. Written by leading experts from seven countries in Europe, America, Africa and Asia, it first discusses the theory of health promotion and vital concepts. It then presents updated evidence-based health promotion approaches in different populations (people with chronic diseases, cancer, heart failure, dementia, mental disorders, long-term ICU patients, elderly individuals, families with newborn babies, palliative care patients) and examines different health promotion approaches integrated into primary care services. This edited scientific anthology provides much-needed knowledge, translating research into guidelines for practice. Today’s medical approaches are highly developed; however, patients are human beings with a wholeness of body-mind-spirit. As such, providing high-quality and effective health care requires a holistic physical-psychological-social-spiritual model of health care is required. A great number of patients, both in hospitals and in primary health care, suffer from the lack of a holistic oriented health approach: Their condition is treated, but they feel scared, helpless and lonely. Health promotion focuses on improving people’s health in spite of illnesses. Accordingly, health care that supports/promotes patients’ health by identifying their health resources will result in better patient outcomes: shorter hospital stays, less re-hospitalization, being better able to cope at home and improved well-being, which in turn lead to lower health-care costs. This scientific anthology is the first of its kind, in that it connects health promotion with the salutogenic theory of health throughout the chapters. the authors here expand the understanding of health promotion beyond health protection and disease prevention. The book focuses on describing and explaining salutogenesis as an umbrella concept, not only as the key concept of sense of coherence.

The Breathless Heart

Author : Michele Emdin
Publisher : Springer
ISBN 13 : 3319263544
Total Pages : 288 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis The Breathless Heart by : Michele Emdin

Download or read book The Breathless Heart written by Michele Emdin and published by Springer. This book was released on 2016-11-25 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book systematically focuses on central sleep apneas, analyzing their relationship especially with heart failure and discussing recent research results and emerging treatment strategies based on feedback modulation. The opening chapters present historical background information on Cheyne-Stokes respiration (CSR), clarify terminology, and explain the mechanics and chemistry of respiration. Following a description of the physiology of respiration, the pathophysiology underlying central apneas in different disorders and particularly in heart failure is discussed. The similarities and differences of obstructive and central apneas are then considered. The book looks beyond the concept of sleep apnea to daytime CSR and periodic breathing during effort and contrasts the opposing views of CSR as a compensatory phenomenon or as detrimental to the failing heart. The diagnostic tools currently in use for the detection of CSR are thoroughly reviewed, with guidance on interpretation of findings. The book concludes by describing the various forms of treatment that are available for CSR and by explaining how to select patients for treatment.

Rewarding Provider Performance

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309102162
Total Pages : 273 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Rewarding Provider Performance by : Institute of Medicine

Download or read book Rewarding Provider Performance written by Institute of Medicine and published by National Academies Press. This book was released on 2007-02-17 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third installment in the Pathways to Quality Health Care series, Rewarding Provider Performance: Aligning Incentives in Medicare, continues to address the timely topic of the quality of health care in America. Each volume in the series effectively evaluates specific policy approaches within the context of improving the current operational framework of the health care system. The theme of this particular book is the staged introduction of pay for performance into Medicare. Pay for performance is a strategy that financially rewards health care providers for delivering high-quality care. Building on the findings and recommendations described in the two companion editions, Performance Measurement and Medicare's Quality Improvement Organization Program, this book offers options for implementing payment incentives to provide better value for America's health care investments. This book features conclusions and recommendations that will be useful to all stakeholders concerned with improving the quality and performance of the nation's health care system in both the public and private sectors.

Methods for the Economic Evaluation of Health Care Programmes

Author : M. F. Drummond
Publisher : Oxford [Oxfordshire] ; Toronto : Oxford University Press
ISBN 13 : 9780192616012
Total Pages : 182 pages
Book Rating : 4.6/5 (16 download)

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Book Synopsis Methods for the Economic Evaluation of Health Care Programmes by : M. F. Drummond

Download or read book Methods for the Economic Evaluation of Health Care Programmes written by M. F. Drummond and published by Oxford [Oxfordshire] ; Toronto : Oxford University Press. This book was released on 1987-01 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: As concern over costs grows in the health care sector, those involved in health economics require a clear understanding of methods used in cost-effectiveness, cost benefit, and cost-utility studies. This book provides the reader with the necessary methodological tools for undertaking the task of economic evaluation and includes discussions of many case studies, helpful illustrations, and simple exercises.

Decision Making in Health and Medicine

Author : M. G. Myriam Hunink
Publisher : Cambridge University Press
ISBN 13 : 1107690471
Total Pages : 447 pages
Book Rating : 4.1/5 (76 download)

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Book Synopsis Decision Making in Health and Medicine by : M. G. Myriam Hunink

Download or read book Decision Making in Health and Medicine written by M. G. Myriam Hunink and published by Cambridge University Press. This book was released on 2014-10-16 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: A guide for everyone involved in medical decision making to plot a clear course through complex and conflicting benefits and risks.

Cost-Effectiveness in Health and Medicine

Author : Marthe R. Gold
Publisher : Oxford University Press
ISBN 13 : 9780195108248
Total Pages : 462 pages
Book Rating : 4.1/5 (82 download)

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Book Synopsis Cost-Effectiveness in Health and Medicine by : Marthe R. Gold

Download or read book Cost-Effectiveness in Health and Medicine written by Marthe R. Gold and published by Oxford University Press. This book was released on 1996-07-18 with total page 462 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cost-effectiveness in health and medicine presents a consensus of experts on appropriate methods for standardizing the conduct of CEAs for use in policy arenas. Standardization is of particular importance for CEA, because it allows comparisons of the costs and health outcomes of alternative methods of improving health, such as public health programs and medical technologies. The book provides a detailed discussion of the theoretical background underlying areas of controversy, and uses theory to guide explicit recommendations for study conduct.

Management of Acute Decompensated Heart Failure

Author : Christopher O'Connor
Publisher : CRC Press
ISBN 13 : 0203421345
Total Pages : 644 pages
Book Rating : 4.2/5 (34 download)

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Book Synopsis Management of Acute Decompensated Heart Failure by : Christopher O'Connor

Download or read book Management of Acute Decompensated Heart Failure written by Christopher O'Connor and published by CRC Press. This book was released on 2005-11-29 with total page 644 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although the majority of heart failure represents the exacerbation of chronic disease, about 20% will present as a first time diagnosis. And although there are a number of intravenous agents that can be used for acute decompensated heart failure, there are no national guidelines currently available. Edited by a well-known expert and his team of con

A Framework for Educating Health Professionals to Address the Social Determinants of Health

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309392659
Total Pages : 173 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis A Framework for Educating Health Professionals to Address the Social Determinants of Health by : National Academies of Sciences, Engineering, and Medicine

Download or read book A Framework for Educating Health Professionals to Address the Social Determinants of Health written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-10-14 with total page 173 pages. Available in PDF, EPUB and Kindle. Book excerpt: The World Health Organization defines the social determinants of health as "the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life." These forces and systems include economic policies, development agendas, cultural and social norms, social policies, and political systems. In an era of pronounced human migration, changing demographics, and growing financial gaps between rich and poor, a fundamental understanding of how the conditions and circumstances in which individuals and populations exist affect mental and physical health is imperative. Educating health professionals about the social determinants of health generates awareness among those professionals about the potential root causes of ill health and the importance of addressing them in and with communities, contributing to more effective strategies for improving health and health care for underserved individuals, communities, and populations. Recently, the National Academies of Sciences, Engineering, and Medicine convened a workshop to develop a high-level framework for such health professional education. A Framework for Educating Health Professionals to Address the Social Determinants of Health also puts forth a conceptual model for the framework's use with the goal of helping stakeholder groups envision ways in which organizations, education, and communities can come together to address health inequalities.

Systematic Reviews

Author :
Publisher :
ISBN 13 : 9781900640473
Total Pages : 281 pages
Book Rating : 4.6/5 (44 download)

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Book Synopsis Systematic Reviews by :

Download or read book Systematic Reviews written by and published by . This book was released on 2009 with total page 281 pages. Available in PDF, EPUB and Kindle. Book excerpt: For adults. There is a pressing need for methodologically sound RCTs to confirm whether such interventions are helpful and, if so, for whom.

Capturing Social and Behavioral Domains and Measures in Electronic Health Records

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309312450
Total Pages : 287 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Capturing Social and Behavioral Domains and Measures in Electronic Health Records by : Institute of Medicine

Download or read book Capturing Social and Behavioral Domains and Measures in Electronic Health Records written by Institute of Medicine and published by National Academies Press. This book was released on 2015-01-08 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: Determinants of health - like physical activity levels and living conditions - have traditionally been the concern of public health and have not been linked closely to clinical practice. However, if standardized social and behavioral data can be incorporated into patient electronic health records (EHRs), those data can provide crucial information about factors that influence health and the effectiveness of treatment. Such information is useful for diagnosis, treatment choices, policy, health care system design, and innovations to improve health outcomes and reduce health care costs. Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 identifies domains and measures that capture the social determinants of health to inform the development of recommendations for the meaningful use of EHRs. This report is the second part of a two-part study. The Phase 1 report identified 17 domains for inclusion in EHRs. This report pinpoints 12 measures related to 11 of the initial domains and considers the implications of incorporating them into all EHRs. This book includes three chapters from the Phase 1 report in addition to the new Phase 2 material. Standardized use of EHRs that include social and behavioral domains could provide better patient care, improve population health, and enable more informative research. The recommendations of Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 will provide valuable information on which to base problem identification, clinical diagnoses, patient treatment, outcomes assessment, and population health measurement.

Global Status Report on Alcohol and Health 2018

Author : World Health Organization
Publisher : World Health Organization
ISBN 13 : 9241565632
Total Pages : 472 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Global Status Report on Alcohol and Health 2018 by : World Health Organization

Download or read book Global Status Report on Alcohol and Health 2018 written by World Health Organization and published by World Health Organization. This book was released on 2019-02-14 with total page 472 pages. Available in PDF, EPUB and Kindle. Book excerpt: The report provides an overview of alcohol consumption and harms in relation to the UN Sustainable Development Goals (Chapter 1) presents global strategies action plans and monitoring frameworks (Chapter 2) gives detailed information on: the consumption of alcohol in populations (Chapter 3); the health consequences of alcohol consumption (Chapter 4); and policy responses at national level (Chapter 5). In its final chapter 6 the imperative for reducing harmful use of alcohol in a public health perspective is presented. In addition the report contains country profiles for WHO Member States and appendices with statistical annexes a description of the data sources and methods used to produce the estimates and references.

Acute Rheumatic Fever and Rheumatic Heart Disease

Author : Dr. Scott Dougherty
Publisher : Elsevier Health Sciences
ISBN 13 : 0323754600
Total Pages : 364 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Acute Rheumatic Fever and Rheumatic Heart Disease by : Dr. Scott Dougherty

Download or read book Acute Rheumatic Fever and Rheumatic Heart Disease written by Dr. Scott Dougherty and published by Elsevier Health Sciences. This book was released on 2020-02-22 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt: Acute Rheumatic Fever and Rheumatic Heart Disease is a concise, yet comprehensive, clinical resource highlighting must-know information on rheumatic heart disease and acute rheumatic fever from a global perspective. Covering the major issues dominating the field, this practical resource presents sufficient detail for a deep and thorough understanding of the latest treatment options, potential complications, and disease management strategies to improve patient outcomes. Divided into four distinct sections for ease of navigation: Acute Rheumatic Fever, Rheumatic Heart Disease, Population-Based Strategies for Disease Control, and Acute and Emergency Presentations. International editors and chapter authors ensure a truly global perspective. Covers all clinical aspects, including epidemiology, pathophysiology, clinical features, diagnosis, management, and treatment. Includes key topics on population-based measures for disease control for effective primary, secondary, and tertiary prevention. Consolidates today’s available information and guidance into a single, convenient resource.

Clinical Case Studies for the Family Nurse Practitioner

Author : Leslie Neal-Boylan
Publisher : John Wiley & Sons
ISBN 13 : 1118277856
Total Pages : 432 pages
Book Rating : 4.1/5 (182 download)

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Book Synopsis Clinical Case Studies for the Family Nurse Practitioner by : Leslie Neal-Boylan

Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.

Redirecting Innovation in U.S. Health Care

Author : Steven Garber
Publisher : Rand Corporation
ISBN 13 : 0833085468
Total Pages : 135 pages
Book Rating : 4.8/5 (33 download)

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Book Synopsis Redirecting Innovation in U.S. Health Care by : Steven Garber

Download or read book Redirecting Innovation in U.S. Health Care written by Steven Garber and published by Rand Corporation. This book was released on 2014-03-31 with total page 135 pages. Available in PDF, EPUB and Kindle. Book excerpt: New medical technologies are a leading driver of U.S. health care spending. This report identifies promising policy options to change which medical technologies are created, with two related policy goals: (1) Reduce total health care spending with the smallest possible loss of health benefits, and (2) ensure that new medical products that increase spending are accompanied by health benefits that are worth the spending increases.