Do Reduced Hospital Mortality Rates Lead to Increased Utilization of Inpatient Emergency Care? A Population-Based Cohort Study.

ABSTRACT:

Objectives

To measure the impact of the improvement in hospital survival rates on patients' subsequent utilization of unplanned (emergency) admissions.

Data sources/study setting

Unplanned admissions occurring in all acute hospitals of the National Health Service in England between 2000 and 2009, including 286,027 hip fractures, 375,880 AMI, 387,761 strokes, and 9,966,246 any cause admissions.

Study design

Population-based retrospective cohort study. Unplanned admissions experienced by patients within 28 days, 1 year, and 2 years of discharge from the index admission are modeled as a function of hospital risk-adjusted survival rates using patient-level probit and negative binomial models. Identification is also supported by an instrumental variable approach and placeb

SUBMITTER: Laudicella M 

PROVIDER: S-EPMC6051967 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature