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Christopher R. Carpenter MD MSc Zachary F. Meisel MD MPH MSHP 《Academic emergency medicine》2017,24(8):1030-1033
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Casey Krickus BA Jaya Aysola MD MPH Kira Ryskina MD MSHP 《Journal of hospital medicine》2023,18(2):111-119
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Jessica T. Lee MD MSHP Amol S. Navathe MD PhD Rachel M. Werner MD PhD 《Journal of hospital medicine》2023,18(11):1004-1007
We sought to explore the heterogeneity among patients hospitalized with pneumonia, a condition targeted in payment reform. In a retrospective cohort study of Medicare beneficiaries hospitalized for pneumonia, we compared postacute care utilization and costs of 90-day episodes of care among patients with and without comorbidities of chronic obstructive pulmonary disease (COPD) and/or heart failure. Of the 1,926,674 discharges, 28.1% had COPD, 14.3% had heart failure, and 14.6% carried both diagnoses. Patients with pneumonia were more likely to be discharged to a facility than those with pneumonia and COPD with or without heart failure, though less likely than those with pneumonia and heart failure only. Compared to patients with pneumonia only, patients with COPD and/or heart failure had higher episode payments. Acute conditions such as pneumonia may hold promise for episode-based care payment reform; however, the heterogeneity within this diagnosis indicates the need to consider other patient characteristics in interventions to improve value-based care. 相似文献
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Contemporary use trends and survival outcomes in patients undergoing radical cystectomy or bladder‐preservation therapy for muscle‐invasive bladder cancer 
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下载免费PDF全文 David B. Cahn DO MBS Elizabeth A. Handorf PhD Eric M. Ghiraldi DO Benjamin T. Ristau MD MHA Daniel M. Geynisman MD Thomas M. Churilla MD Eric M. Horwitz MD Mark L. Sobczak MD David Y. T. Chen MD Rosalia Viterbo MD Richard E. Greenberg MD Alexander Kutikov MD Robert G. Uzzo MD Marc C. Smaldone MD MSHP 《Cancer》2017,123(22):4337-4345