Hospital Care and Medical Utilization After Discharge
Authors: Jean-Sebastien Rachoin
Journal: Annals of Internal Medicine (2011)

Letters15 November 2011Hospital Care and Medical Utilization After DischargeJean-Sebastien Rachoin, MDJean-Sebastien Rachoin, MDFrom Cooper University Hospital, Camden, NJ 08002.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-155-10-201111150-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Kuo and Goodwin (1) conducted an interesting study describing outcomes in patients cared for by hospitalists or by PCPs. Certain points in the complex equation that is the U.S. health care system need to be mentioned.The higher rate of readmissions or higher cost for patients cared for by a hospitalist could be substantially influenced by the underlying characteristics of this patient population, including more comorbid conditions and more admissions from nursing homes than other patients. The current bed-hold policy by Medicaid allows skilled nursing facilities and nursing homes to continue to receive patients' Medicaid payments for ...References1. Kuo YF, Goodwin JS. Association of hospitalist care with medical utilization after discharge: evidence of cost shift from a cohort study. Ann Intern Med. 2011;155:152-9. [PMID: 21810708] LinkGoogle Scholar2. Grabowski DC, Feng Z, Intrator O, Mor V. Medicaid bed-hold policy and Medicare skilled nursing facility rehospitalizations. Health Serv Res. 2010;45:1963-80. [PMID: 20403059] CrossrefMedlineGoogle Scholar3. Mor V, Intrator O, Feng Z, Grabowski DC. The revolving door of rehospitalization from skilled nursing facilities. Health Aff (Millwood). 2010;29:57-64. [PMID: 20048361] CrossrefMedlineGoogle Scholar4. Schull MJ, Lazier K, Vermeulen M, Mawhinney S, Morrison LJ. Emergency department contributors to ambulance diversion: a quantitative analysis. Ann Emerg Med. 2003;41:467-76. [PMID: 12658245] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Cooper University Hospital, Camden, NJ 08002.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAssociation of Hospitalist Care With Medical Utilization After Discharge: Evidence of Cost Shift From a Cohort Study Yong-Fang Kuo and James S. Goodwin Hospital Care and Medical Utilization After Discharge Daniel J. Brotman , Romsai T. Boonyasai , and Amy Deutschendorf Hospital Care and Medical Utilization After Discharge Arun K. Raman Hospital Care and Medical Utilization After Discharge Dimitriy Levin and Jeffrey J. Glasheen Hospital Care and Medical Utilization After Discharge Joshua Freeman Hospital Care and Medical Utilization After Discharge Yong-Fang Kuo and James S. Goodwin Hospital Care and Medical Utilization After Discharge David M. Mitchell Hospital Care and Medical Utilization After Discharge David O. Meltzer and Jeanette W. Chung Metrics 15 November 2011Volume 155, Issue 10Page: 720KeywordsConflicts of interestHealth careHealth care qualityHealth care utilizationHospitalistsHospitalsMotivationNursing homes ePublished: 15 November 2011 Issue Published: 15 November 2011 CopyrightCopyright © 2011 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...