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Unique patterns of healthcare utilization following the opening of the Samson Assuta Ashdod University Hospital
Our aim was to examine the influence of the market entry of Samson Assuta Ashdod University Hospital on community and hospital-based healthcare utilization (HCU). A retrospective study was conducted among Maccabi Health Services enrollees in the regions of Ashdod (n = 94,575) and Netanya (control gr...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10497607/ https://www.ncbi.nlm.nih.gov/pubmed/37699902 http://dx.doi.org/10.1038/s41598-023-41758-2 |
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author | Dror Lavy, Noa Barnea, Royi Rotlevi, Erela Simon-Tuval, Tzahit |
author_facet | Dror Lavy, Noa Barnea, Royi Rotlevi, Erela Simon-Tuval, Tzahit |
author_sort | Dror Lavy, Noa |
collection | PubMed |
description | Our aim was to examine the influence of the market entry of Samson Assuta Ashdod University Hospital on community and hospital-based healthcare utilization (HCU). A retrospective study was conducted among Maccabi Health Services enrollees in the regions of Ashdod (n = 94,575) and Netanya (control group, n = 80,200) before and after this market entry. Based on difference-in-differences framework, we examined the change in HCU of Ashdod region’s enrollees compared to the control group and following the market entry using multivariable generalized estimating equations models. Our results revealed that, as hypothesized, after the market entry and compared to the control group, there was a 4% increase in specialists visits not requiring referral (RR = 1.04, 95% CI 1.03–1.06, p < 0.001), a 4% increase in MRI and CT scans (RR = 1.04, 95% CI 1.01–1.08, p = 0.022), and a 33% increase in emergency room visits (RR = 1.33, 95% CI 1.29–1.38, p < 0.001). Unexpectedly, no changes were observed in the number of hospital admissions (RR = 1.05, 95% CI 0.97–1.14, p = 0.250), and hospitalization days (RR = 0.99, 95% CI 0.94–1.04, p = 0.668). Moreover, and unexpectedly, there was a 1% decrease in primary care physician visits (RR = 0.99, 95% CI 0.98–1.00, p = 0.002), a 11% decrease in specialists visits requiring a referral (RR = 0.89, 95% CI 0.86–0.91, p < 0.001), and a 42% decrease in elective surgeries (RR = 0.58, 95% CI 0.55–0.60, p < 0.001). We conclude that this market entry was not translated to an increase in utilization of all services. The unique model of maintaining the continuity of care that was adopted by the hospital and patients’ loyalty may led to the unique inter-relationship between the hospital and community care. |
format | Online Article Text |
id | pubmed-10497607 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-104976072023-09-14 Unique patterns of healthcare utilization following the opening of the Samson Assuta Ashdod University Hospital Dror Lavy, Noa Barnea, Royi Rotlevi, Erela Simon-Tuval, Tzahit Sci Rep Article Our aim was to examine the influence of the market entry of Samson Assuta Ashdod University Hospital on community and hospital-based healthcare utilization (HCU). A retrospective study was conducted among Maccabi Health Services enrollees in the regions of Ashdod (n = 94,575) and Netanya (control group, n = 80,200) before and after this market entry. Based on difference-in-differences framework, we examined the change in HCU of Ashdod region’s enrollees compared to the control group and following the market entry using multivariable generalized estimating equations models. Our results revealed that, as hypothesized, after the market entry and compared to the control group, there was a 4% increase in specialists visits not requiring referral (RR = 1.04, 95% CI 1.03–1.06, p < 0.001), a 4% increase in MRI and CT scans (RR = 1.04, 95% CI 1.01–1.08, p = 0.022), and a 33% increase in emergency room visits (RR = 1.33, 95% CI 1.29–1.38, p < 0.001). Unexpectedly, no changes were observed in the number of hospital admissions (RR = 1.05, 95% CI 0.97–1.14, p = 0.250), and hospitalization days (RR = 0.99, 95% CI 0.94–1.04, p = 0.668). Moreover, and unexpectedly, there was a 1% decrease in primary care physician visits (RR = 0.99, 95% CI 0.98–1.00, p = 0.002), a 11% decrease in specialists visits requiring a referral (RR = 0.89, 95% CI 0.86–0.91, p < 0.001), and a 42% decrease in elective surgeries (RR = 0.58, 95% CI 0.55–0.60, p < 0.001). We conclude that this market entry was not translated to an increase in utilization of all services. The unique model of maintaining the continuity of care that was adopted by the hospital and patients’ loyalty may led to the unique inter-relationship between the hospital and community care. Nature Publishing Group UK 2023-09-12 /pmc/articles/PMC10497607/ /pubmed/37699902 http://dx.doi.org/10.1038/s41598-023-41758-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Dror Lavy, Noa Barnea, Royi Rotlevi, Erela Simon-Tuval, Tzahit Unique patterns of healthcare utilization following the opening of the Samson Assuta Ashdod University Hospital |
title | Unique patterns of healthcare utilization following the opening of the Samson Assuta Ashdod University Hospital |
title_full | Unique patterns of healthcare utilization following the opening of the Samson Assuta Ashdod University Hospital |
title_fullStr | Unique patterns of healthcare utilization following the opening of the Samson Assuta Ashdod University Hospital |
title_full_unstemmed | Unique patterns of healthcare utilization following the opening of the Samson Assuta Ashdod University Hospital |
title_short | Unique patterns of healthcare utilization following the opening of the Samson Assuta Ashdod University Hospital |
title_sort | unique patterns of healthcare utilization following the opening of the samson assuta ashdod university hospital |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10497607/ https://www.ncbi.nlm.nih.gov/pubmed/37699902 http://dx.doi.org/10.1038/s41598-023-41758-2 |
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