Abstract:
INTRODUCTION:Unmet social and economic needs are associated with poor health outcomes, but little is known about how these needs are predictive of future healthcare utilization. This study examined the association of social and economic needs identified during medical visits with future hospitalizations and emergency department visits. METHODS:Individuals with electronic health record-coded social and economic needs during a primary care, emergency department, or urgent care visit at Kaiser Permanente Northwest from October 1, 2016 to November 31, 2017 (case patients) were identified, as well as individuals who had visits during that time period but had no electronic health record-coded needs (control patients). The 2 groups were compared on sociodemographic characteristics, comorbidities, and healthcare utilization in the prior year. Finally, logistic regression assessed the relationship between documented needs and hospitalizations and emergency department visits in the 12 months following the index visit, controlling for sociodemographic characteristics, comorbidities, and prior healthcare utilization. Statistical analysis was completed in April 2019. RESULTS:Case patients differed significantly from control patients on sociodemographic characteristics and had higher rates of comorbidities and prior healthcare utilization. Social and economic needs documented during the index visit were associated with significantly higher rates of hospitalization and emergency department visits in the 12 months following the visit, controlling for sociodemographic characteristics, comorbidities, and prior utilization. CONCLUSIONS:These results demonstrate that documented social and economic needs are a powerful predictor of future hospitalization and emergency department use and suggest the need for research into whether interventions to address these needs can influence healthcare utilization.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Mosen DM,Banegas MP,Benuzillo JG,Hu WR,Brooks NB,Ertz-Berger BLdoi
10.1016/j.amepre.2019.10.004subject
Has Abstractpub_date
2020-03-01 00:00:00pages
457-460issue
3eissn
0749-3797issn
1873-2607pii
S0749-3797(19)30446-5journal_volume
58pub_type
杂志文章abstract:OBJECTIVES:This descriptive summary of the literature provides an overview of the available studies (published before October 2006) on sociodemographic, psychosocial, and other correlates of risk and protective behaviors for hearing loss in young people aged 12 to 25 years. METHODS:Publications were identified by a st...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
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journal_title:American journal of preventive medicine
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doi:
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abstract:BACKGROUND:People with disabilities are more likely to be obese, in poor health, and get less physical activity than the general population. However, research on community factors for physical activity has generally either excluded most people with disabilities, or overlooked relevant factors of community accessibility...
journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
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journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:
更新日期:1987-07-01 00:00:00
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journal_title:American journal of preventive medicine
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更新日期:2009-12-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2013-03-01 00:00:00
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journal_title:American journal of preventive medicine
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更新日期:2017-12-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2014-08-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2018-11-01 00:00:00
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journal_title:American journal of preventive medicine
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更新日期:2011-08-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章,meta分析
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更新日期:2019-09-01 00:00:00
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更新日期:2017-09-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2015-02-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1996-11-01 00:00:00
abstract:BACKGROUND:In light of previous research indicating that many patients fail to receive timely diagnostic follow-up of positive colorectal cancer (CRC) screening tests, the Veterans Health Administration (VA) initiated a national CRC diagnosis quality-improvement (QI) effort. PURPOSE:This article documents the percent ...
journal_title:American journal of preventive medicine
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更新日期:2009-08-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2010-02-01 00:00:00