Is outpatient care associated with lower use of inpatient and emergency care? An analysis of persons with HIV disease. Acad Emerg Med 2003 Nov;10(11):1228-38
Date
11/05/2003Pubmed ID
14597499DOI
10.1111/j.1553-2712.2003.tb00607.xScopus ID
2-s2.0-0242581662 (requires institutional sign-in at Scopus site) 14 CitationsAbstract
OBJECTIVES: The authors use data from the AIDS Costs and Service Utilization Survey (ACSUS) to investigate the extent to which use of ambulatory medical care is associated with inpatient and emergency department use among HIV-infected persons.
METHODS: Parameter estimates were derived from simultaneous, multiequation models.
RESULTS: Higher use of ambulatory medical services is not significantly associated with lower probability of inpatient admissions or emergency department (ED) visits. For the subgroup of patients who received an AIDS diagnosis during the study period, however, the number of ambulatory visits had significant negative effects on hospitalizations and ED use.
CONCLUSIONS: Outpatient care may offset inpatient and ED services at particular points in the disease course.
Author List
Pezzin LE, Fleishman JAAuthor
Liliana Pezzin PhD, JD Director, Professor in the Institute for Health and Humanity department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAmbulatory Care
Data Collection
Emergency Service, Hospital
Female
HIV Infections
Health Services Research
Health Status
Hospitalization
Humans
Insurance, Health
Length of Stay
Male
Probability
Random Allocation
United States
