Serious Mental Illness and Risk for Hospitalizations and Rehospitalizations for Ambulatory Care-sensitive Conditions in Denmark: A Nationwide Population-based Cohort Study.


BACKGROUND:Hospitalizations for ambulatory care-sensitive conditions (ACSCs) and early rehospitalizations increase health care costs. OBJECTIVES:To determine if individuals with serious mental illnesses (SMIs) (eg, schizophrenia or bipolar disorder) are at increased risk for hospitalizations for ACSCs, and rehospitalization for the same or another ACSC, within 30 days. RESEARCH DESIGN:Population-based cohort study. PARTICIPANTS:A total of 5.9 million Danish persons aged 18 years and older between January 1, 1999 and December 31, 2013. MEASURES:The Danish Psychiatric Central Register provided information on SMI diagnoses and the Danish National Patient Register on hospitalizations for ACSCs and 30-day rehospitalizations. RESULTS:SMI was associated with increased risk for having any ACSC-related hospitalization after adjusting for demographics, socioeconomic factors, comorbidities, and prior primary care utilization [incidence rate ratio (IRR): 1.41; 95% confidence interval (95% CI), 1.37-1.45]. Among individual ACSCs, SMI was associated with increased risk for hospitalizations for angina (IRR: 1.14, 95% CI, 1.04-1.25), chronic obstructive pulmonary disease/asthma exacerbation (IRR: 1.87; 95% CI, 1.74-2.00), congestive heart failure exacerbation (IRR: 1.25; 95% CI, 1.16-1.35), and diabetes (IRR: 1.43; 95% CI, 1.31-1.57), appendiceal perforation (IRR: 1.49; 95% CI, 1.30-1.71), pneumonia (IRR: 1.72; 95% CI, 1.66-1.79), and urinary tract infection (IRR: 1.70; 95% CI, 1.62-1.78). SMI was also associated with increased risk for rehospitalization within 30 days for the same (IRR: 1.28; 95% CI, 1.18-1.40) or for another ACSC (IRR: 1.62; 95% CI, 1.49-1.76). CONCLUSION:Persons with SMI are at increased risk for hospitalizations for ACSCs, and after discharge, are at increased risk for rehospitalizations for ACSCs within 30 days.


Med Care


Medical care


Davydow DS,Ribe AR,Pedersen HS,Fenger-Grøn M,Cerimele JM,Vedsted P,Vestergaard M




Has Abstract


2016-01-01 00:00:00












  • Persistent medication affordability problems among disabled Medicare beneficiaries after Part D, 2006-2011.

    abstract:BACKGROUND:Disabled Americans who qualify for Medicare coverage typically have multiple chronic conditions, are highly dependent on effective drug therapy, and have limited financial resources, putting them at risk for cost-related medication nonadherence (CRN). Since 2006, the Part D benefit has helped Medicare benefi...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Naci H,Soumerai SB,Ross-Degnan D,Zhang F,Briesacher BA,Gurwitz JH,Madden JM

    更新日期:2014-11-01 00:00:00

  • Measuring adequacy of physician performance. A preliminary comparison of four methods in ambulatory care of chronic obstructive pulmonary disease.

    abstract::Issues that arise in the development of methods for measuring adequacy of physician performance (MAPP) are discussed. The comparative content validity, scorability, cost, and acceptability of four MAPP strategies are assessed using a sample of clinic-based physicians treating 30 patients with chronic obstructive pulmo...

    journal_title:Medical care

    pub_type: 临床试验,杂志文章


    authors: Kemeny ME,Hargreaves WA,Gerbert B,Stone GC,Gullion DS

    更新日期:1984-07-01 00:00:00

  • Predictors of older adults' longitudinal dental care use. Ten-year results.

    abstract::Our purpose was to identify factors predictive of reported dental care use by elders (65+) over a ten-year period in Massachusetts. The Massachusetts Health Care Panel Study began in 1974-75 (wave 1) as a statewide survey of 1625 noninstitutionalized elders. Wave 2 occurred in 1976, wave 3 in 1980, and wave 4 in 1985....

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Gilbert GH,Branch LG,Orav EJ

    更新日期:1990-12-01 00:00:00

  • Association of Federal Mental Health Parity Legislation With Health Care Use and Spending Among High Utilizers of Services.

    abstract:BACKGROUND:Decades-long efforts to require parity between behavioral and physical health insurance coverage culminated in the comprehensive federal Mental Health Parity and Addiction Equity Act. OBJECTIVES:To determine the association between federal parity and changes in mental health care utilization and spending, p...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Haffajee RL,Mello MM,Zhang F,Busch AB,Zaslavsky AM,Wharam JF

    更新日期:2019-04-01 00:00:00

  • Differentiation and specialization in the California hospital industry 1983 to 1988.

    abstract::This article examines changes in the service mix of California hospitals as part of their response to shifts in the system of reimbursement between 1983 and 1988. The Hospital Discharge Data Set and the Annual Hospital Disclosure Report produced by California Office of Statewide Health Planning and Development were us...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Zwanziger J,Melnick GA,Simonson L

    更新日期:1996-04-01 00:00:00

  • Organizational predictors of adherence to ambulatory care screening guidelines.

    abstract:OBJECTIVE:The purpose of this study was to identify hospital organizational characteristics consistently associated with adherence to multiple clinical practice guidelines (CPGs). We examined the relationship between organizational and patient population characteristics and adherence to three screening CPGs implemented...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Vaughn TE,McCoy KD,BootsMiller BJ,Woolson RF,Sorofman B,Tripp-Reimer T,Perlin J,Doebbeling BN

    更新日期:2002-12-01 00:00:00

  • Satisfaction With Quality of Health Care Among Medicare Beneficiaries With Functional Hearing Loss.

    abstract:BACKGROUND/OBJECTIVES:Nearly 38 million Americans have hearing loss. Understanding how sensory deficits such as hearing loss, which limit communication, impact satisfaction has implications for Medicare value-based reimbursement mechanisms. The aim of this study was to characterize the association of functional hearing...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Reed NS,Boss EF,Lin FR,Oh ES,Willink A

    更新日期:2021-01-01 00:00:00

  • Lifetime earnings for physicians across specialties.

    abstract:BACKGROUND:Earlier studies estimated annual income differences across specialties, but lifetime income may be more relevant given physicians' long-term commitments to specialties. METHODS:Annual income and work hours data were collected from 6381 physicians in the nationally representative 2004-2005 Community Tracking...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Leigh JP,Tancredi D,Jerant A,Romano PS,Kravitz RL

    更新日期:2012-12-01 00:00:00

  • US pharmacists' effect as team members on patient care: systematic review and meta-analyses.

    abstract:BACKGROUND:One approach postulated to improve the provision of health care is effective utilization of team-based care including pharmacists. OBJECTIVE:The objective of this study was to conduct a comprehensive systematic review with focused meta-analyses to examine the effects of pharmacist-provided direct patient ca...

    journal_title:Medical care

    pub_type: 杂志文章,meta分析,评审


    authors: Chisholm-Burns MA,Kim Lee J,Spivey CA,Slack M,Herrier RN,Hall-Lipsy E,Graff Zivin J,Abraham I,Palmer J,Martin JR,Kramer SS,Wunz T

    更新日期:2010-10-01 00:00:00

  • The Parent Report Form of the CHIP-Child Edition: reliability and validity.

    abstract:BACKGROUND:Valid, comprehensive instruments to describe, monitor, and evaluate health from childhood through adolescence are almost nonexistent, but are critical for health resource planning, evaluation of policy, preventive, and clinical interventions, and understanding trajectories of health during this important per...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Riley AW,Forrest CB,Starfield B,Rebok GW,Robertson JA,Green BF

    更新日期:2004-03-01 00:00:00

  • Activating patients for smoking cessation through physician autonomy support.

    abstract:OBJECTIVE:Test whether physicians' counseling patients for smoking cessation with an autonomy supportive rather than controlling style would increase patients' active involvement in the counseling session and increase maintained abstinence. DESIGN:Randomized trial of 27 community-based physicians using two interview s...

    journal_title:Medical care

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Williams GC,Deci EL

    更新日期:2001-08-01 00:00:00

  • Common response patterns of medical students in interviews of hospitalized patients.

    abstract::Sixty-eight interviews of hospitalized patients by freshmen medical students were examined for common response patterns. Response profiles were constructed for each medical student and subjected to cluster analysis. Four common response patterns were identified: Questioning Facilitators, Declaring Facilitators, Elabor...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Brent EE,Beckett DE

    更新日期:1986-11-01 00:00:00

  • Consumer Use of Provider Quality Report Cards: The Role of Dissemination and Media Coverage.

    abstract:OBJECTIVE:The objective of this study was to measure the dissemination of comparative provider quality information (CPQI) and evaluate its impact on consumers' awareness and use of CPQI. DATA SOURCES:Two-period, random-digit-dial panel survey of chronically ill consumers residing in 14 regions of the United States; su...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Bhandari N,Scanlon DP,Shi Y,Smith RA

    更新日期:2020-04-01 00:00:00

  • Physician practice revenues and use of information technology in patient care.

    abstract:OBJECTIVES:Although information technology (IT) may improve efficiency and quality of patient care, the adoption of clinical IT by physicians has been limited. This study investigates the relationships between physician practice revenue and use of clinical IT. RESEARCH DESIGN:We undertook a cross-sectional analysis of...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Furukawa MF,Ketcham JD,Rimsza ME

    更新日期:2007-02-01 00:00:00

  • The future of kidney transplantation. The effect of improvements in survival rate on the shortage of donated kidneys.

    abstract::New drugs and other medical advances in organ transplantation are expected to increase the rate of retention of transplanted kidneys, or grafts, and therefore also raise patient survival rates. In particular, the immunosuppressive drug cyclosporine has been found to reduce the likelihood of rejection of a transplanted...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Ruth RJ,Wyszewianski L,Campbell DA

    更新日期:1987-03-01 00:00:00

  • Is there an association between quality of in-hospital cardiac care and proportion of low-income patients?

    abstract:BACKGROUND:Process measures have been developed and implemented to evaluate the quality of care patients receive in the hospital. This study examines whether there is an association between the quality of in-hospital cardiac care and a hospital's proportion of low-income patients. METHODS AND RESULTS:A retrospective a...

    journal_title:Medical care

    pub_type: 杂志文章,多中心研究


    authors: Culler SD,Schieb L,Casper M,Nwaise I,Yoon PW

    更新日期:2010-03-01 00:00:00

  • A multivariate approach for classifying hospitals and computing blended payment rates.

    abstract::Prospective payment for inpatient hospital care is based on the ideal that hospitals that produce similar outputs, as measured by the types of cases the hospital treats, should be paid similar prices. However, similar output is a multidimensional concept. Thus operationalization of this ideal will ultimately require a...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Vertrees JC,Manton KG

    更新日期:1986-04-01 00:00:00

  • Validation of Algorithms to Identify Invasive Electrophysiology Procedures Using Administrative Data in Ontario, Canada.

    abstract:BACKGROUND:Administrative database research can provide insight into the real-world effectiveness of invasive electrophysiology procedures. However, no validated algorithm to identify these procedures within administrative data currently exists. OBJECTIVE:To develop and validate algorithms to identify atrial fibrillat...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Singh SM,Webster L,Calzavara A,Wijeysundera HC

    更新日期:2017-06-01 00:00:00

  • A New Data Resource to Examine Meals on Wheels Clients' Health Care Utilization and Costs.

    abstract:BACKGROUND:Access to social services (eg, nutrition) can impact older adults' health care utilization and health outcomes. However, data documenting the relationship between receiving services and objective measures of health care utilization remain limited. OBJECTIVES:To link Meals on Wheels (MOW) program data to Med...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Shan M,Gutman R,Dosa D,Gozalo PL,Ogarek JA,Kler S,Thomas KS

    更新日期:2019-03-01 00:00:00

  • Variation in receipt of radiation therapy after breast-conserving surgery: assessing the impact of physicians and geographic regions.

    abstract:BACKGROUND:Among older women with early-stage breast cancer, patients with a short life expectancy (LE) are much less likely to benefit from adjuvant radiation therapy (RT). Little is known about the impact of physicians and regional factors on the use of RT across LE groups. OBJECTIVE:To determine the relative contri...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Feinstein AJ,Soulos PR,Long JB,Herrin J,Roberts KB,Yu JB,Gross CP

    更新日期:2013-04-01 00:00:00

  • Unpacking Care Coordination Through a Multiteam System Lens: A Conceptual Framework and Systematic Review.

    abstract:BACKGROUND:The 2016 President's Cancer Panel Connected Health report calls for thoroughly characterizing the team structures and processes involved in coordinating care for people with chronic conditions. We developed a multilevel care coordination framework by integrating existing frameworks from the teams and care co...

    journal_title:Medical care

    pub_type: 杂志文章,评审


    authors: Weaver SJ,Che XX,Petersen LA,Hysong SJ

    更新日期:2018-03-01 00:00:00

  • 15. Canadian experience with patient care classification.

    abstract::Patient care classification in Canada in the past has been largely dictated by insurance coverage and the fiscal policies of the individual provinces. In recent years, however, the Canadian Department of Health and Welfare has been promoting the development of a standard patient care classification based on assessment...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: MacDonell JA

    更新日期:1976-05-01 00:00:00

  • Changing provider behavior: an overview of systematic reviews of interventions.

    abstract:BACKGROUND:Increasing recognition of the failure to translate research findings into practice has led to greater awareness of the importance of using active dissemination and implementation strategies. Although there is a growing body of research evidence about the effectiveness of different strategies, this is not eas...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Grimshaw JM,Shirran L,Thomas R,Mowatt G,Fraser C,Bero L,Grilli R,Harvey E,Oxman A,O'Brien MA

    更新日期:2001-08-01 00:00:00

  • Impact of an Advanced Imaging Utilization Review Program on Downstream Health Care Utilization and Costs for Low Back Pain.

    abstract:BACKGROUND:Early magnetic resonance imaging (MRI) for acute low back pain (LBP) has been associated with increased costs, greater health care utilization, and longer disability duration in workers' compensation claimants. OBJECTIVES:To assess the impact of a state policy implemented in June 2010 that required prospect...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Graves JM,Fulton-Kehoe D,Jarvik JG,Franklin GM

    更新日期:2018-06-01 00:00:00

  • SF-36 health survey: tests of data quality, scaling assumptions, and reliability in a community sample of Chinese Americans.

    abstract:BACKGROUND:Chinese Americans are one of the fastest growing ethnic groups in the United States; however, language and cultural obstacles have challenged health workers and policy makers seeking to understand the health status and needs of this population. OBJECTIVES:This study is the first to use a large-scale probabi...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Chang DF,Chun CA,Takeuchi DT,Shen H

    更新日期:2000-05-01 00:00:00

  • Travel time and attrition from VHA care among women veterans: how far is too far?

    abstract:BACKGROUND:Travel time, an access barrier, may contribute to attrition of women veterans from Veterans Health Administration (VHA) care. OBJECTIVE:We examined whether travel time influences attrition: (a) among women veterans overall, (b) among new versus established patients, and (c) among rural versus urban patients...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Friedman SA,Frayne SM,Berg E,Hamilton AB,Washington DL,Saechao F,Maisel NC,Lin JY,Hoggatt KJ,Phibbs CS

    更新日期:2015-04-01 00:00:00

  • Improving risk adjustment for Medicare capitated reimbursement using nonlinear models.

    abstract:OBJECTIVES:This article compares a linear risk-adjusted model of medical expenditures for Medicare patients with a model that explicitly account for skewness in distribution of expenditures. METHODS:A model of expenditures and a model of the square root of expenditures, each expressed as linear combinations of risk ad...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Veazie PJ,Manning WG,Kane RL

    更新日期:2003-06-01 00:00:00

  • Patients Negatively Impacted by Discontinuity of Nursing Care During Acute Hospitalization.

    abstract:BACKGROUND:Continuity of nursing care in hospitals remains poor and not prioritized, and we do not know whether discontinuous nursing care is negatively impacting patient outcomes. OBJECTIVES:This study aims to examine nursing care discontinuity and its effect on patient clinical condition over the course of acute hos...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Yakusheva O,Costa DK,Weiss M

    更新日期:2017-04-01 00:00:00

  • Management, cost, and quality of acute inpatient psychiatric services.

    abstract::A common objective of health services is to provide high quality care at the least cost, yet some services achieve these objectives better than others. Moreover, there are questions about relationships between cost and quality: do higher expenditures usually result in higher quality, or, conversely, is it possible to ...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Schulz RI,Greenley JR,Peterson RW

    更新日期:1983-09-01 00:00:00

  • Getting care to nursing-home patients: a problem and a proposal.

    abstract::Data abstracted from transportation company records showed that nursing home patients made an average of 3.6 trips per year for care out of the nursing home. The bulk of this care (55 per cent) was provided at University Hospital with over a quarter provided at private physicians' offices and community health centers....

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Kane RL,Hammer D,Byrnes N

    更新日期:1977-02-01 00:00:00