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Temporal trends in healthcare resource utilization and costs following acute myocardial infarction
BACKGROUND: Acute myocardial infarction (AMI) is associated with greater utilization of healthcare resources and financial expenditure. OBJECTIVES: To evaluate temporal trends in healthcare resource utilization and costs following AMI throughout 2003–2015. METHODS: AMI patients who survived the firs...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7017462/ https://www.ncbi.nlm.nih.gov/pubmed/32051030 http://dx.doi.org/10.1186/s13584-020-0364-y |
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author | Shiyovich, Arthur Gilutz, Harel Arbelle, Jonathan Eli Greenberg, Dan Plakht, Ygal |
author_facet | Shiyovich, Arthur Gilutz, Harel Arbelle, Jonathan Eli Greenberg, Dan Plakht, Ygal |
author_sort | Shiyovich, Arthur |
collection | PubMed |
description | BACKGROUND: Acute myocardial infarction (AMI) is associated with greater utilization of healthcare resources and financial expenditure. OBJECTIVES: To evaluate temporal trends in healthcare resource utilization and costs following AMI throughout 2003–2015. METHODS: AMI patients who survived the first year following hospitalization in a tertiary medical center (Soroka University Medical Center) throughout 2002–2012 were included and followed until 2015. Length of the in-hospital stay (LOS), emergency department (ED), primary care, outpatient consulting clinic visits and other ambulatory services, and their costs, were evaluated and compared annually over time. RESULTS: Overall 8047 patients qualified for the current study; mean age 65.0 (SD = 13.6) years, 30.3% women. During follow-up, LOS and the number of primary care visits has decreased significantly. However, ED and consultant visits as well as ambulatory-services utilization has increased. Total costs have decreased throughout this period. Multivariate analysis, adjusted for potential confounders, showed as significant trend of decrease in LOS and ambulatory-services utilization, yet an increase in ED visits with no change in total costs. CONCLUSIONS: Despite a decline in utilization of most healthcare services throughout the investigated decade, healthcare expenditure has not changed. Further evaluation of the cost-effectiveness of long-term resource allocation following AMI is warranted. Nevertheless, we believe more intense ambulatory follow-up focusing on secondary prevention and early detection, as well as high-quality outpatient chest pain unit are warranted. |
format | Online Article Text |
id | pubmed-7017462 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-70174622020-02-20 Temporal trends in healthcare resource utilization and costs following acute myocardial infarction Shiyovich, Arthur Gilutz, Harel Arbelle, Jonathan Eli Greenberg, Dan Plakht, Ygal Isr J Health Policy Res Original Research Article BACKGROUND: Acute myocardial infarction (AMI) is associated with greater utilization of healthcare resources and financial expenditure. OBJECTIVES: To evaluate temporal trends in healthcare resource utilization and costs following AMI throughout 2003–2015. METHODS: AMI patients who survived the first year following hospitalization in a tertiary medical center (Soroka University Medical Center) throughout 2002–2012 were included and followed until 2015. Length of the in-hospital stay (LOS), emergency department (ED), primary care, outpatient consulting clinic visits and other ambulatory services, and their costs, were evaluated and compared annually over time. RESULTS: Overall 8047 patients qualified for the current study; mean age 65.0 (SD = 13.6) years, 30.3% women. During follow-up, LOS and the number of primary care visits has decreased significantly. However, ED and consultant visits as well as ambulatory-services utilization has increased. Total costs have decreased throughout this period. Multivariate analysis, adjusted for potential confounders, showed as significant trend of decrease in LOS and ambulatory-services utilization, yet an increase in ED visits with no change in total costs. CONCLUSIONS: Despite a decline in utilization of most healthcare services throughout the investigated decade, healthcare expenditure has not changed. Further evaluation of the cost-effectiveness of long-term resource allocation following AMI is warranted. Nevertheless, we believe more intense ambulatory follow-up focusing on secondary prevention and early detection, as well as high-quality outpatient chest pain unit are warranted. BioMed Central 2020-02-12 /pmc/articles/PMC7017462/ /pubmed/32051030 http://dx.doi.org/10.1186/s13584-020-0364-y Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Original Research Article Shiyovich, Arthur Gilutz, Harel Arbelle, Jonathan Eli Greenberg, Dan Plakht, Ygal Temporal trends in healthcare resource utilization and costs following acute myocardial infarction |
title | Temporal trends in healthcare resource utilization and costs following acute myocardial infarction |
title_full | Temporal trends in healthcare resource utilization and costs following acute myocardial infarction |
title_fullStr | Temporal trends in healthcare resource utilization and costs following acute myocardial infarction |
title_full_unstemmed | Temporal trends in healthcare resource utilization and costs following acute myocardial infarction |
title_short | Temporal trends in healthcare resource utilization and costs following acute myocardial infarction |
title_sort | temporal trends in healthcare resource utilization and costs following acute myocardial infarction |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7017462/ https://www.ncbi.nlm.nih.gov/pubmed/32051030 http://dx.doi.org/10.1186/s13584-020-0364-y |
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