Predictive Model-Driven Hotspotting to Decrease Emergency Department Visits: a Randomized Controlled Trial.

ABSTRACT:

Background

Emergency department (ED) visits contribute substantially to health care expenditures. Case management has been proposed as a strategy to address the medical and social needs of complex patients. However, strong research designs to evaluate the effectiveness of such interventions are limited.

Objectives

To evaluate whether a community-based case management program was associated with reduced ED utilization among complex patients.

Design

Patients whose risk exceeded a threshold were randomly assigned to a group offered case management or to the control group. Assignment occurred at five intervals between November 2017 and January 2019. Program effectiveness for all assigned patients was assessed using an intention-to-treat effect. Program effectiveness among

SUBMITTER: Post B 

PROVIDER: S-EPMC8390593 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature