The Experts below are selected from a list of 282 Experts worldwide ranked by ideXlab platform

Geoffrey M. Anderson - One of the best experts on this subject based on the ideXlab platform.

  • Hospital Restructuring and the Epidemiology of Hospital Utilization
    Medical Care, 1997
    Co-Authors: Geoffrey M. Anderson
    Abstract:

    Objectives.The author highlights changes in Hospital Utilization that have occurred in association with restructuring of Ontario Hospitals. The basic features of the epidemiology of Hospital Utilization described link the analysis of the organizational and structural components of Hospitals with a m

  • Hospital restructuring and the epidemiology of Hospital Utilization: recent experience in Ontario.
    Medical Care, 1997
    Co-Authors: Geoffrey M. Anderson
    Abstract:

    OBJECTIVES. The author highlights changes in Hospital Utilization that have occurred in association with restructuring of Ontario Hospitals. The basic features of the epidemiology of Hospital Utilization described link the analysis of the organizational and structural components of Hospitals with a more comprehensive evaluation of the impacts of their restructuring and have implications for international comparative studies. METHODS. Data from the Canadian Institute for Health Information and the Canadian census were analyzed to provide a population-based description of Hospital Utilization and care. These Hospital data provided information on changes in the patterns of care that occurred during restructuring, based on Hospital separations for the fiscal years 1991-1992 through 19951996. RESULTS. Analysis of Hospital Utilization patterns revealed a 30% decrease in the days of care provided per 1,000 population during the period, the result of declines in both the age-adjusted inpatient separation rates and average length of Hospital stay. The shift of surgical treatment to outpatient settings contributed to the reduction in inpatient days of care. The decline in Utilization was experienced unevenly across age groups, with the elderly experiencing less of the decline than did younger age groups. Individuals living in the poorest areas used more inpatient care than did those living in the richest areas, although the gap in Utilization narrowed over the period. CONCLUSIONS. International comparisons of the epidemiology of Hospital Utilization and the impact of Hospital restructuring will require the use of multiple data sources and the development of shared evaluative frameworks. Health data systems in Canada support the assessment of the broader impacts of Hospital restructuring and offer a framework for developing research projects that can provide useful information on these important changes in health-care policy.

  • Hospital restructuring and the epidemiology of Hospital Utilization: recent experience in Ontario.
    Medical care, 1997
    Co-Authors: Geoffrey M. Anderson
    Abstract:

    The author highlights changes in Hospital Utilization that have occurred in association with restructuring of Ontario Hospitals. The basic features of the epidemiology of Hospital Utilization described link the analysis of the organizational and structural components of Hospitals with a more comprehensive evaluation of the impacts of their restructuring and have implications for international comparative studies. Data from the Canadian Institute for Health Information and the Canadian census were analyzed to provide a population-based description of Hospital Utilization and care. These Hospital data provided information on changes in the patterns of care that occurred during restructuring, based on Hospital separations for the fiscal years 1991-1992 through 1995-1996. Analysis of Hospital Utilization patterns revealed a 30% decrease in the days of care provided per 1,000 population during the period, the result of declines in both the age-adjusted inpatient separation rates and average length of Hospital stay. The shift of surgical treatment to outpatient settings contributed to the reduction in inpatient days of care. The decline in Utilization was experienced unevenly across age groups, with the elderly experiencing less of the decline than did younger age groups. Individuals living in the poorest areas used more inpatient care than did those living in the richest areas, although the gap in Utilization narrowed over the period. International comparisons of the epidemiology of Hospital Utilization and the impact of Hospital restructuring will require the use of multiple data sources and the development of shared evaluative frameworks. Health data systems in Canada support the assessment of the broader impacts of Hospital restructuring and offer a framework for developing research projects that can provide useful information on these important changes in health-care policy.

Olivier Steichen - One of the best experts on this subject based on the ideXlab platform.

  • Psychosocial risk factors for increased emergency Hospital Utilization by sickle cell disease patients: a systematic review protocol
    JBI Evidence Synthesis, 2021
    Co-Authors: Jean-simon Rech, Prunelle Getten, Nathalie Dzierzynski, François Lionnet, Pierre-yves Boëlle, Brigitte Ranque, Olivier Steichen
    Abstract:

    To assess psychosocial risk factors for increased emergency Hospital Utilization by sickle cell patients. Introduction: Emergency Hospital Utilization by sickle cell disease patients is high but heterogeneous between patients and in a given patient over time. Psychosocial factors affect emergency Hospital Utilization and are a possible target to improve the management of sickle cell disease. Inclusion criteria: This review will include all original quantitative studies evaluating the impact of psychosocial risk factors on emergency Hospital Utilization by sickle cell disease patients. There will be no language restriction. Methods: PubMed, Embase, CINAHL, PubPsych, LiSSa, and Web of Science will be searched using a peer-reviewed search strategy. Study selection and extraction of data will be performed independently by two authors. Discrepancies will be solved by consensus or, if needed, by a third author. The authors will assess study quality, as well as perform a narrative synthesis of included studies, and where possible, meta-analyses with evaluation of heterogeneity and publication bias.

  • Psychosocial risk factors for increased emergency Hospital Utilization by sickle cell disease patients: a systematic review protocol.
    JBI evidence synthesis, 2021
    Co-Authors: Jean-simon Rech, Prunelle Getten, Nathalie Dzierzynski, François Lionnet, Pierre-yves Boëlle, Brigitte Ranque, Olivier Steichen
    Abstract:

    OBJECTIVE To assess psychosocial risk factors for increased emergency Hospital Utilization by sickle cell patients. INTRODUCTION Emergency Hospital Utilization by sickle cell disease patients is high but heterogeneous between patients and in a given patient over time. Psychosocial factors affect emergency Hospital Utilization and are a possible target to improve the management of sickle cell disease. INCLUSION CRITERIA This review will include all original quantitative studies evaluating the impact of psychosocial risk factors on emergency Hospital Utilization by sickle cell disease patients. There will be no language restriction. METHODS PubMed, Embase, CINAHL, PubPsych, LiSSa, and Web of Science will be searched using a peer-reviewed search strategy. Study selection and extraction of data will be performed independently by two authors. Discrepancies will be solved by consensus or, if needed, by a third author. The authors will assess study quality, as well as perform a narrative synthesis of included studies, and where possible, meta-analyses with evaluation of heterogeneity and publication bias. SYSTEMATIC REVIEW REGISTRATION NUMBER PROSPERO CRD42019140435.

Joseph D. Restuccia - One of the best experts on this subject based on the ideXlab platform.

  • Factors Affecting Appropriateness of Hospital Utilization in Two Hospitals in Turkey
    Journal of medical systems, 2001
    Co-Authors: Sidika Kaya, Kafiye Eroğlu, Gülşen Vural, Michael Shwartz, Joseph D. Restuccia
    Abstract:

    To determine the extent of inappropriate Hospital use, to investigate factors related to variations in appropriateness, and to identify reasons for inappropriateness, the Appropriateness Evaluation Protocol (AEP) was applied to 2067 patient days in two Hospitals between March 1997 and 1998 in Ankara, Turkey. A substantial amount of inappropriate Utilization was found in both Hospitals (34.2%, 24.6%). Factors affecting the appropriateness of Hospital Utilization and reasons for inappropriateness were varied and presented by internal medicine, general surgery, and gynecology services. In general, results of the logistic regression analysis indicated that inappropriateness was significantly associated with admission number (first admission/readmission), admission route (emergent/non-emergent), and day of the week. The most common reason for inappropriateness was diagnostic procedures and/or treatments that could have been carried out on an ambulatory basis. This study demonstrates that the AEP can be used as a tool to improve the efficiency of the Turkish Hospitals.

  • The Evolution of Hospital Utilization Review Methods in the United States
    International journal for quality in health care : journal of the International Society for Quality in Health Care, 1995
    Co-Authors: Joseph D. Restuccia
    Abstract:

    The purpose of this paper is to provide a description of Utilization review (UR) methods that have been used in the United States and the direction UR is likely to take in the future. In contrast to the European studies reported in this issue, which consist primarily of empirical studies quantifying the magnitude of inappropriate Hospital Utilization, the focus of this paper is on the methods used to perform UR operationally. Particular attention will be paid to the predominant form of UR employed in the United States, concurrent review of the need for a Hospital level of care, and on the criteria used to assess appropriateness of Hospital admissions and days.

Jean-simon Rech - One of the best experts on this subject based on the ideXlab platform.

  • Psychosocial risk factors for increased emergency Hospital Utilization by sickle cell disease patients: a systematic review protocol
    JBI Evidence Synthesis, 2021
    Co-Authors: Jean-simon Rech, Prunelle Getten, Nathalie Dzierzynski, François Lionnet, Pierre-yves Boëlle, Brigitte Ranque, Olivier Steichen
    Abstract:

    To assess psychosocial risk factors for increased emergency Hospital Utilization by sickle cell patients. Introduction: Emergency Hospital Utilization by sickle cell disease patients is high but heterogeneous between patients and in a given patient over time. Psychosocial factors affect emergency Hospital Utilization and are a possible target to improve the management of sickle cell disease. Inclusion criteria: This review will include all original quantitative studies evaluating the impact of psychosocial risk factors on emergency Hospital Utilization by sickle cell disease patients. There will be no language restriction. Methods: PubMed, Embase, CINAHL, PubPsych, LiSSa, and Web of Science will be searched using a peer-reviewed search strategy. Study selection and extraction of data will be performed independently by two authors. Discrepancies will be solved by consensus or, if needed, by a third author. The authors will assess study quality, as well as perform a narrative synthesis of included studies, and where possible, meta-analyses with evaluation of heterogeneity and publication bias.

  • Psychosocial risk factors for increased emergency Hospital Utilization by sickle cell disease patients: a systematic review protocol.
    JBI evidence synthesis, 2021
    Co-Authors: Jean-simon Rech, Prunelle Getten, Nathalie Dzierzynski, François Lionnet, Pierre-yves Boëlle, Brigitte Ranque, Olivier Steichen
    Abstract:

    OBJECTIVE To assess psychosocial risk factors for increased emergency Hospital Utilization by sickle cell patients. INTRODUCTION Emergency Hospital Utilization by sickle cell disease patients is high but heterogeneous between patients and in a given patient over time. Psychosocial factors affect emergency Hospital Utilization and are a possible target to improve the management of sickle cell disease. INCLUSION CRITERIA This review will include all original quantitative studies evaluating the impact of psychosocial risk factors on emergency Hospital Utilization by sickle cell disease patients. There will be no language restriction. METHODS PubMed, Embase, CINAHL, PubPsych, LiSSa, and Web of Science will be searched using a peer-reviewed search strategy. Study selection and extraction of data will be performed independently by two authors. Discrepancies will be solved by consensus or, if needed, by a third author. The authors will assess study quality, as well as perform a narrative synthesis of included studies, and where possible, meta-analyses with evaluation of heterogeneity and publication bias. SYSTEMATIC REVIEW REGISTRATION NUMBER PROSPERO CRD42019140435.

H. Christian Schumacher - One of the best experts on this subject based on the ideXlab platform.