Patient, Provider, and Hospital Characteristics Associated with Inappropriate Hospitalization

by Albert L. Siu, Willard G. Manning, Bernadette Benjamin

Download

Download eBook for Free

FormatFile SizeNotes
PDF file 1.2 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Purchase

Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback38 pages $20.00 $16.00 20% Web Discount

Studies conducted over the last 25 years have suggested that a substantial fraction of hospital use is inappropriate. This report examines the relationship between patient and provider (e.g., physician and hospital) characteristics and inappropriate hospital use, in terms of both admissions and days. The study examines adult nonpregnancy hospitalizations from a randomized trial of health insurance, the RAND Health Insurance Experiment. The data include evaluations of the appropriateness of inpatient treatment based on medical record review, patient characteristics (sociodemographic, economic, and health status), and provider characteristics (specialty and practice patterns for physicians, accreditations and facilities for hospitals). The findings indicate that women and patients of older physicians are more likely to have been inappropriately admitted to the hospitals. The authors conclude that patient and provider characteristics influence the likelihood that an admission is inappropriate; however, differences in provider and patient characteristics do not account for geographic differences in inappropriate hospitalization.

This report is part of the RAND Corporation report series. The report was a product of the RAND Corporation from 1948 to 1993 that represented the principal publication documenting and transmitting RAND's major research findings and final research.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.