Super fragmented: a nationally representative cross-sectional study exploring the fragmentation of inpatient care among super-utilizers.

ABSTRACT:

Background

Super-utilizers with 4 or more admissions per year frequently receive low-quality care and disproportionately contribute to healthcare costs. Inpatient care fragmentation (admission to multiple different hospitals) in this population has not been well described.

Objective

To determine the prevalence of super-utilizers who receive fragmented care across different hospitals and to describe associated risks, costs, and health outcomes.

Research design

We analyzed inpatient data from the Health Care Utilization Project's State Inpatient and Emergency Department database from 6 states from 2013. After identifying hospital super-utilizers, we stratified by the number of different hospitals visited in a 1-year period. We determined how patient demographics, costs,

SUBMITTER: Kaltenborn Z 

PROVIDER: S-EPMC8045386 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature