Article
Health Care Sciences & Services
Yang Wang, Gerard Anderson
Summary: The study found that higher private sector prices led primarily to greater surplus and administrative costs for nonprofit hospitals, with smaller increases in spending on services that directly benefit patients.
HEALTH SERVICES RESEARCH
(2022)
Article
Multidisciplinary Sciences
Amal Alzahmi, Irena Cenzer, Ulrich Mansmann, Helmut Ostermann, Sebastian Theurich, Tobias Schleinkofer, Karin Berger
Summary: This study aimed to evaluate the usability of German hospital administrative claims data (GHACD) for analyzing inpatient management patterns, healthcare resource utilization, and quality-of-care in patients with multiple myeloma (PwMM). The study analyzed the claims data of PwMM from a German tertiary hospital between 2015 and 2017. The results showed the prevalence of hypertension and infections among PwMM and the use of innovative drugs. The study also provided insights into stem cell transplantation patients.
Article
Surgery
Nicole E. Brooks, Jay J. Idrees, Emily Steinhagen, Matthew Giglia, Sharon L. Stein
Summary: This study characterizes the incidence, clinical associations, and admission characteristics of patients with enteric fistula, highlighting the significant financial impact and mortality rate. It serves as a foundation for future research on the impact of enteric fistula.
AMERICAN JOURNAL OF SURGERY
(2021)
Article
Health Care Sciences & Services
Michael Anne Kyle, Austin B. Frakt
Summary: Based on the March 2019 Health Reform Monitoring Survey, 73% of respondents reported performing at least one patient administrative task in the past year, with about one in three experiencing delayed or foregone care due to these tasks. Factors influencing administrative tasks and burdens include disability status, gender, education background, and income level.
HEALTH SERVICES RESEARCH
(2021)
Article
Health Care Sciences & Services
David Scheinker, Barak D. Richman, Arnold Milstein, Kevin A. Schulman
Summary: Excessive administrative costs in the US healthcare system have been identified as a rationale for comprehensive reform, but little is known about the origins of these costs. This study developed a simulation model to estimate how policy reforms could reduce billing and insurance-related costs at a national level. The findings suggest that while transitioning to a single-payer system can lower administrative costs, reforms to payer-provider contracts may also generate significant savings without completely overhauling the health care system.
HEALTH SERVICES RESEARCH
(2021)
Article
Medicine, General & Internal
Luke E. Barry, Grainne E. Crealey, Nga T. Q. Nguyen, Thomas G. Weiser, Sarabeth A. Spitzer, Ciaran O'Neill
Summary: Estimating the association of firearm assaults with US hospital costs and deaths compared with other assault types can be useful for policy-making aimed at reducing the costs of firearm violence. However, it is necessary to consider violence more broadly to understand the extent to which such costs can be avoided.
Article
Endocrinology & Metabolism
Jonathan Pearson-Stuttard, Tania Banerji, Silvia Capucci, Elisabeth de Laguiche, Mads D. Faurby, Christiane Lundegaard Haase, Kasper Sommer Matthiessen, Aimee M. Near, Jenny Tse, Xiaohui Zhao, Marc Evans
Summary: This study assessed the relationship between comorbidity burden and healthcare costs in people with obesity. The results showed that individuals with more obesity-related complications had higher healthcare costs, which continued to increase over 8 years.
INTERNATIONAL JOURNAL OF OBESITY
(2023)
Article
Critical Care Medicine
Bill J. Wright, Samuel Tideman, George A. Diaz, Thomas French, Guilford T. Parsons, Ari Robicsek
Summary: Research suggests that the protection offered by COVID-19 vaccines may decline after 200 days, especially for older patients or those with specific comorbidities. Therefore, booster vaccinations may be necessary for everyone, but especially for these populations.
LANCET RESPIRATORY MEDICINE
(2022)
Article
Multidisciplinary Sciences
Kirsten N. Morehouse, Keith Maddox, Mahzarin R. Banaji
Summary: Although all human groups are considered equal, there is a dissociation between implicit and explicit measures regarding racial/ethnic bias. White participants, despite affirming the equality of all racial/ethnic groups, consistently associated "Human" more with White than other groups. On the other hand, non-White participants showed no bias in associating "Human" with their own group. However, when faced with multiple outgroups, non-White participants displayed biases towards associating "Human" with White. This implicit bias was largely invariant across demographic variations but varied by political ideology and gender, with conservatives and men exhibiting stronger associations between "Human" and White.
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA
(2023)
Article
Clinical Neurology
Phoebe M. M. Tran, Joshua L. L. Warren, Erica C. C. Leifheit, Larry B. B. Goldstein, Judith H. H. Lichtman
Summary: Long-term exposure to air pollutants is associated with increased risk of hospital readmission within 30 days after stroke, regardless of hospital performance category. The study assessed the relationship between exposure to carbon monoxide, nitrogen dioxide, ozone, particulate matter 2.5, and sulfur dioxide and 30-day all-cause hospital readmission in elderly stroke patients. Despite being below national limits, long-term exposure to air pollutants still increased the risk of readmission.
Article
Obstetrics & Gynecology
Brian C. King, Joseph Hagan, Troy Richardson, Jay Berry, Jonathan L. Slaughter
Summary: This retrospective cohort study aimed to estimate hospital variation in echocardiography use among very preterm infants in US children's hospitals. The study found that there was significant variation in the use of echocardiography, particularly in the first few days of life, and this variation was associated with the use of nitric oxide and vasoactive medications.
JOURNAL OF PERINATOLOGY
(2023)
Article
Economics
George A. Krause, Matthew Zarit
Summary: This study examines US federal cooperative agreements with third-party organizations, finding that investments in collaboration are positively related to agency heads' policy-specific expertise, especially when collaborating with nonprofits and private firms.
JOURNAL OF LAW ECONOMICS & ORGANIZATION
(2022)
Article
Cardiac & Cardiovascular Systems
Makoto Mori, Khurram Nasir, Haikun Bao, Andreina Jimenez, Shani S. Legore, Yongfei Wang, Jacqueline Grady, Sonam D. Lama, Nina Brandi, Zhenqiu Lin, Paul Kurlansky, Arnar Geirsson, Susannah M. Bernheim, Harlan M. Krumholz, Lisa G. Suter
Summary: The study aimed to develop a risk-adjusted hospital-level 90-day all-cause mortality measure for assessing hospital performance in coronary artery bypass graft (CABG) surgery. Using Medicare claims data, a model with 27 variables was developed and validated, with C statistics used to evaluate its performance. The study found a strong positive correlation between 30- and 90-day risk-standardized mortality rates, and identified a stepwise trend of lower 90-day mortality with higher Society of Thoracic Surgeons composite star ratings.
CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES
(2021)
Article
Health Care Sciences & Services
Neeru Gupta, Zihao Sheng
Summary: Obesity was not independently associated with higher hospitalization costs for cardiometabolic diseases in this study, suggesting that addressing disease progression may be more beneficial than solely focusing on weight loss. Gender and urbanization were identified as important factors to consider when promoting healthy lifestyles to reduce the impacts of obesogenic environments on the healthcare system.
BMC HEALTH SERVICES RESEARCH
(2021)
Article
Clinical Neurology
Azeem Tariq Malik, Jack J. Xie, Joseph P. Drain, Elizabeth Yu, Safdar N. Khan, Jeffery Kim
Summary: This study evaluated outcomes and costs for elective anterior cervical fusions (ACFs) at USNWR ranked and unranked hospitals, finding no significant differences in complications or readmissions between the two groups, but higher charges and costs at ranked hospitals.
Article
Orthopedics
C. Pabinger, H. Lothaller, A. Geissler
OSTEOARTHRITIS AND CARTILAGE
(2015)
Article
Health Care Sciences & Services
Wilm Quentin, Alexander Geissler, Friedrich Wittenbecher, Geoff Ballinger, Robert Berenson, Karen Bloor, Dana A. Forgione, Peer Koepf, Madelon Kroneman, Lisbeth Serden, Raul Suarez, Johan W. van Manen, Reinhard Busse
Article
Oncology
David Scheller-Kreinsen, Wilm Quentin, Alexander Geissler, Reinhard Busse
Article
Public, Environmental & Occupational Health
Siok Swan Tan, Alexander Geissler, Lisbeth Serden, Mona Heurgren, B. Martin van Ineveld, W. Ken Redekop, Leona Hakkaart-van Roijen
EUROPEAN JOURNAL OF PUBLIC HEALTH
(2014)
Article
Health Care Sciences & Services
Wilm Quentin, David Scheller-Kreinsen, Miriam Bluemel, Alexander Geissler, Reinhard Busse
Article
Health Care Sciences & Services
Unto Hakkinen, Gunnar Rosenqvist, Mikko Peltola, Satu Kapiainen, Hanna Ratto, Francesc Cots, Alexander Geissler, Zeynep Or, Lisbeth Serden, Reijo Sund
Article
Orthopedics
C. Pabinger, A. Geissler
OSTEOARTHRITIS AND CARTILAGE
(2014)
Article
Multidisciplinary Sciences
Christoph Pross, Christoph Strumann, Alexander Geissler, Helmut Herwartz, Nadja Klein
Editorial Material
Medicine, General & Internal
Reinhard Busse, Alexander Geissler, Ain Aaviksoo, Francesc Cots, Unto Hakkinen, Conrad Kobel, Ceu Mateus, Zeynep Or, Jacqueline O'Reilly, Lisbeth Serden, Andrew Street, Siok Swan Tan, Wilm Quentin
BMJ-BRITISH MEDICAL JOURNAL
(2013)
Article
Health Care Sciences & Services
Christoph Pross, Elke Berger, Martin Siegel, Alexander Geissler, Reinhard Busse
BMC HEALTH SERVICES RESEARCH
(2018)
Article
Health Care Sciences & Services
Elena Bleibtreu, Christine von Ahlen, Alexander Geissler
Summary: Most developed countries allocate a significant portion of their health budget to hospital capacities and inpatient services, but the planning for these capacities and services often lacks comprehensiveness. In Switzerland, Canton of Zurich has reformed its planning procedure and created a hospital list, which allows hospitals to provide inpatient treatments based on specific service groups and predefined requirements.
Article
Obstetrics & Gynecology
Anja Y. Bischof, Alexander Geissler
Summary: This study used Swiss Federal Statistics data to identify that about 8% of caesarean sections in Switzerland have no medical indication. The study found that higher age, supplemental insurance, higher income, and living in urban areas are associated with non-medically indicated caesarean sections, while a higher density of midwives decreases the likelihood of caesarean sections without medical indication.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Article
Orthopedics
Anja Y. Bischof, Viktoria Steinbeck, David Kuklinski, Carlos J. Marques, Karina Bohlen, Karl C. Westphal, Frank Lampe, Alexander Geissler
Summary: Patients undergoing total hip and knee arthroplasty (THA and TKA) experience improved self-perceived health status post-surgery. However, the different associations of gender with EQ-5D-5L dimensions suggest that the index score may not accurately reflect gender differences.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Public, Environmental & Occupational Health
A. Geissler, W. Quentin, R. Busse