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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 Blog
http://capsules.kaiserhealthnews.org/index.php/2012/09/
study-links-longer-office-hours-lower-health-care-costs/
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A shorter URL for the above link:
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http://tinyurl.com/97hqh6j
OR
http://capsules.kaiserhealthnews.org/index.php/2012/09/
higher-prices-by-hospitals-other-providers-drove-2011-
spending-increases-study-finds/
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A shorter URL for the above link:
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http://tinyurl.com/8cmp6zq
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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.
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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.
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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.
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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.
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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 Affiliations
Department 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, [log in to unmask]
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
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2011 Health Care Cost and Utilization Report
The 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
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Fact Sheets
http://www.healthcostinstitute.org/fact-sheets
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Methodology
http://www.healthcostinstitute.org/methodology
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Glossary
http://www.healthcostinstitute.org/glossary
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Executive Summary
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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.
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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
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Download the 2011 Report (PDF)
http://www.healthcostinstitute.org/files/HCCI_HCCUR2011.pdf
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Download the Report Appendices
http://www.healthcostinstitute.org/files/HCCI_HCCUR2011_Appendices.pdf
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Read the Press Release
http://www.healthcostinstitute.org/news-and-events/
press-release-2011-health-care-cost-and-utilization-report
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A shorter URL for the above link:
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http://tinyurl.com/8krpgs9
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Issue Brief: Spending on Prescriptions in 2011
http://www.healthcostinstitute.org/
issue-brief-spending-prescriptions-2011
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A shorter URL for the above link:
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http://tinyurl.com/8pgb2rs
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Issue Brief: Changes in Health Care Spending in 2011
http://www.healthcostinstitute.org/
issue-brief-changes-health-care-spending-2011
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A shorter URL for the above link:
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http://tinyurl.com/9a8auc6
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Temple University
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