Hospital Care and Medical Utilization After Discharge
Authors: Yong-Fang Kuo, James S. Goodwin
Journal: Annals of Internal Medicine (2011)

Letters15 November 2011Hospital Care and Medical Utilization After DischargeYong-Fang Kuo, PhD and James S. Goodwin, MDYong-Fang Kuo, PhDFrom University of Texas Medical Branch, Galveston, TX 77555.Search for more papers by this author and James S. Goodwin, MDFrom University of Texas Medical Branch, Galveston, TX 77555.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-155-10-201111150-00023 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We thank the correspondents for their interest in our paper. Dr. Mitchell and Drs. Meltzer and Chung note potential issues with internal and external validity in our observational study. We agree that assessing long-term outcomes could be a way to indirectly examine the presence of selection bias, and we have used that method in other studies (1). In this study, we controlled for medical utilization and costs in the year before the index hospitalization. We also included instrumental variable analyses in earlier versions of the paper but deleted them in favor of conditional models with the nonpooling approach ...References1. Howrey BT, Kuo YF, Goodwin JS. Association of care by hospitalists on discharge destination and 30-day outcomes after acute ischemic stroke. Med Care. 2011;49:701-7. [PMID: 21765377] CrossrefMedlineGoogle Scholar2. Greer AL. The state of the art versus the state of the science. The diffusion of new medical technologies into practice. Int J Technol Assess Health Care. 1988;4:5-26. [PMID: 10287114] CrossrefMedlineGoogle Scholar3. Goodwin JS, Howrey B, Zhang DD, Kuo YF. Risk of continued institutionalization after hospitalization in older adults. J Gerontol A Biol Sci Med Sci. 2011;:. [PMID: 21968285] CrossrefMedlineGoogle Scholar4. Sharma G, Fletcher KE, Zhang D, Kuo YF, Freeman JL, Goodwin JS. Continuity of outpatient and inpatient care by primary care physicians for hospitalized older adults. JAMA. 2009;301:1671-80. [PMID: 19383958] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Yong-Fang Kuo, PhD; James S. Goodwin, MDAffiliations: From University of Texas Medical Branch, Galveston, TX 77555.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M11-0086. 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 David M. Mitchell Hospital Care and Medical Utilization After Discharge David O. Meltzer and Jeanette W. Chung Hospital Care and Medical Utilization After Discharge Jean-Sebastien Rachoin 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 Metrics 15 November 2011Volume 155, Issue 10Page: 722KeywordsConflicts of interestDiagnosis related groupsDisclosureHospitalistsHospitalizationsInstrumental variable analysisMedicareObservational studiesPatientsStroke ePublished: 15 November 2011 Issue Published: 15 November 2011 Copyright & PermissionsCopyright © 2011 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...