Research Catalog

Title

Patient, provider, and hospital characteristics associated with inappropriate hospitalization / Albert L. Siu, Willard G. Manning, Bernadette Benjamin.

Author

Siu, Albert L. (Albert Louis), 1954-

Publication

Santa Monica, CA : Rand, [1990]

Items in the Library & Off-site

Holdings

Details

Additional Authors

• Benjamin, B. (Bernadette), 1956-
• Manning, Willard G., Jr. (Willard Graham), 1946-2014.
• National Center for Health Services Research.
• Rand Corporation.

Description

xi, 27 p.; 23 cm.

Summary

Studies conducted over the last 25 years have suggested that a substantial fraction of hospital use is inappropriate. This report examines the relationship between patient and provider (e.g., physician and hospital) characteristics and inappropriate hospital use, in terms of both admissions and days. The study examines adult nonpregnancy hospitalizations from a randomized trial of health insurance, the RAND Health Insurance Experiment. The data include evaluations of the appropriateness of inpatient treatment based on medical record review, patient characteristics (sociodemographic, economic, and health status), and provider characteristics (specialty and practice patterns for physicians, accreditations and facilities for hospitals). The findings indicate that women and patients of older physicians are more likely to have been inappropriately admitted to the hospitals. The authors conclude that patient and provider characteristics influence the likelihood that an admission is inappropriate; however, differences in provider and patient characteristics do not account for geographic differences in inappropriate hospitalization.

Subjects

• Patient Admission
• Health Services Misuse
• Hospitals > utilization
• Practice Patterns, Physicians'
• United States

Note

• "August 1990."
• "R-3741-NCHSR."
• "Supported by the National Center for Health Services Research."

Bibliography (note)

• Includes bibliographical references (p. 25-27).

Processing Action (note)

• committed to retain

ISBN

0833009680

LCCN

^^^89010165^

OCLC

• 19740987
• SCSB-14235534

Owning Institutions

Harvard Library