. . HEALTH CARE: COSTS : MEDICAL: HOSPITAL CARE : RESEARCH : REPORTS: Study Links Longer Office Hours, Lower Health Care Costs By Shefali S. Kulkarni September 24th, 2012, 11:35 AM Capsules: The KHN Bloghttp://capsules.kaiserhealthnews.org/index.php/2012/09/ study-links-longer-office-hours-lower-health-care-costs/
. A shorter URL for the above link: . http://tinyurl.com/97hqh6j ORhttp://capsules.kaiserhealthnews.org/index.php/2012/09/ higher-prices-by-hospitals-other-providers-drove-2011- spending-increases-study-finds/
. A shorter URL for the above link: . http://tinyurl.com/8cmp6zq . .After primary care doctors close their doors on weekends and evenings, patients turn to urgent care facilities, pharmacy minute clinics, and emergency rooms to get the care they need. In doing so, they may also be contributing to the nations skyrocketing health system costs.
.When a patient shows up in the emergency room, the assumption is usually that they are more likely to be sick than not, says Dr. Anthony Jerant, a professor of family and community medicine at the University of California-Davis School of Medicine.
.Just being inside an emergency room is expensive. [The doctor] might be thinking wow, if they felt bad enough to come to an urgent care or emergency room they must be sick. So we should do a pretty through work-up and do every test known to man. And since emergency room providers are unfamiliar with a patients medical history, they will order multiple tests because they dont want to miss something, Jerant says.
.All of this adds up but Jerant and his team of researchers at the UC Davis Center For Health Care Policy Research published a study in the September/October Annals of Family Medicine that offers a suggestions that can help patients avoid this scenario.
. . Extended Office Hours and Health Care Expenditures: A National Study Anthony Jerant, MD?, Klea D. Bertakis, MD, MPH, Joshua J. Fenton, MD, MPH and Peter Franks, MD + Author AffiliationsDepartment of Family and Community Medicine, Center for Healthcare Policy and Research, University of California Davis School of Medicine, Sacramento, California
CORRESPONDING AUTHOR: Anthony Jerant, MD, Department of Family and Community Medicine, Center for Healthcare Policy and Research University of California Davis School of Medicine, 4860 Y St, Ste 2300, Sacramento, CA 95817, afjerant@xxxxxxxxxxx
PURPOSE A key component of primary care improvement efforts is timely access to care; however, little is known regarding the effects of extended (evening and weekend) office hours on health care use and outcomes. We examined the association between reported access to extended office hours and both health care expenditures and mortality.
doi: 10.1370/afm.1382 Ann Fam Med September/October 2012 vol. 10 no. 5 p. 388-395 http://annfammed.org/content/10/5/388.full . . 2011 Health Care Cost and Utilization ReportThe Health Care Cost and Utilization Report: 2011 tracks changes in health care prices, utilization, and spending on people younger than 65 covered by employer-sponsored private health insurance (ESI).
Health Care Cost Institute http://www.healthcostinstitute.org/2011report . Fact Sheets http://www.healthcostinstitute.org/fact-sheets . Methodology http://www.healthcostinstitute.org/methodology . Glossary http://www.healthcostinstitute.org/glossary . Executive Summary .The Health Care Cost and Utilization Report: 2011 provides the first broad look at 2011 health care spending among those with employer-sponsored insurance (ESI). HCCI found that average dollars spent on health care services for that population climbed 4.6 percent in 2011, reaching $4,547 per person. This was well above the 3.8 percent growth rate observed in 2010.
. Key Findings from this Report Regional spending gap widening Spending on childrens health care rising fastest Cost sharing between patients and payers remains stable Use of health care services up, particularly outpatient care Rising prices were the primary driver of spending growth Prescription spending slowed, growing just 1% from 2010 to 2011 . Download the 2011 Report (PDF) http://www.healthcostinstitute.org/files/HCCI_HCCUR2011.pdf . Download the Report Appendices http://www.healthcostinstitute.org/files/HCCI_HCCUR2011_Appendices.pdf . Read the Press Releasehttp://www.healthcostinstitute.org/news-and-events/ press-release-2011-health-care-cost-and-utilization-report
. A shorter URL for the above link: . http://tinyurl.com/8krpgs9 . Issue Brief: Spending on Prescriptions in 2011http://www.healthcostinstitute.org/ issue-brief-spending-prescriptions-2011
. A shorter URL for the above link: . http://tinyurl.com/8pgb2rs . Issue Brief: Changes in Health Care Spending in 2011http://www.healthcostinstitute.org/ issue-brief-changes-health-care-spending-2011
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