Andrew P Reimer, Nicholas Schiltz, Siran M Koroukian, Elizabeth A Madigan
{"title":"NATIONAL INCIDENCE OF MEDICAL TRANSFER: PATIENT CHARACTERISTICS AND REGIONAL VARIATION.","authors":"Andrew P Reimer, Nicholas Schiltz, Siran M Koroukian, Elizabeth A Madigan","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>The aim of this descriptive study was to establish and describe the national incidence, cost, and outcomes of patients that undergo medical transfer. Using discharge data from the Nationwide Inpatient Sample 2011, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality, the dataset was analyzed using weighted frequency distribution. Approximately 1.6 million patients are transferred yearly. Transferred patients experience a mean length of stay of 9.3 days (std dv 13.5) versus 4.3 days for patients not transferred (std dv 6.0), and cost more than twice as much (mean $19,234) versus those not transferred (mean $9,469). Additionally, patients who undergo inter-facility transfer cost an additional $15.8 billion annually. Interhospital patient transfers require closer scrutiny regarding appropriateness and future policy implications.</p>","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"38 4","pages":"509-28"},"PeriodicalIF":0.0000,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of health and human services administration","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
The aim of this descriptive study was to establish and describe the national incidence, cost, and outcomes of patients that undergo medical transfer. Using discharge data from the Nationwide Inpatient Sample 2011, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality, the dataset was analyzed using weighted frequency distribution. Approximately 1.6 million patients are transferred yearly. Transferred patients experience a mean length of stay of 9.3 days (std dv 13.5) versus 4.3 days for patients not transferred (std dv 6.0), and cost more than twice as much (mean $19,234) versus those not transferred (mean $9,469). Additionally, patients who undergo inter-facility transfer cost an additional $15.8 billion annually. Interhospital patient transfers require closer scrutiny regarding appropriateness and future policy implications.
本描述性研究的目的是建立和描述接受医疗转移的患者的全国发病率、成本和结果。利用2011年全国住院病人样本的出院数据，医疗保健成本与利用项目，卫生保健研究与质量机构，使用加权频率分布对数据集进行分析。每年大约有160万患者转院。转院患者的平均住院时间为9.3天(std dv 13.5)，而未转院患者的平均住院时间为4.3天(std dv 6.0)，费用(平均19,234美元)是未转院患者的两倍多(平均9,469美元)。此外，接受机构间转移的患者每年额外花费158亿美元。医院间病人转院需要更仔细地审查其适当性和未来的政策影响。
期刊介绍：
The Journal of Health and Human Services Administration (JHHSA) began publication in 1978 as the Journal of Health and Human Resources Administration. It is a blind-refereed journal dedicated to publishing articles, symposia and book reviews in all areas of health, hospital and welfare administration and management.
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