Factors Affecting Cost Of Care And Length Of Stay In Rural And Urban Hospitals For Patients With Heart Disease

2.50
Hdl Handle:
http://hdl.handle.net/10755/165877
Category:
Abstract
Type:
Presentation
Title:
Factors Affecting Cost Of Care And Length Of Stay In Rural And Urban Hospitals For Patients With Heart Disease
Author(s):
Glenn, L.
Author Details:
L. Glenn, PhD, East Tennessee State University, Johnson City, Tennessee, USA, email: glennl@etsu.edu
Abstract:
Objectives: The purpose of this study was to investigate whether the length of stay (in days) and cost of care (service intensity) of hospitalized patients with heart disease were different based on gender, type of insurance (commercial or medicaid), and hospital size (rural or urban). Methods: Data were collected from the 1992 Tennessee Department of Health UB-82 medicaid and commercial insurance claims. 0f the 7,337 claims for treatment of acute heart disease, only those in the 45-64 age group (N = 4,804) were used in data collection. Results: The main findings of this study indicated that significantly more males were treated in urban medical centers for shorter, more expensive hospital care and that significantly more females were treated in rural hospitals for longer, less expensive care. Costs of treatment were not dependent on the type of insurance, but medicaid claims were associated with greater lengths of stay. The majority of women were insured by medicaid (55.3%), and the majority of men were insured by commercial health insurance (63.5%). Conclusions: These findings indicate that there are significant differences in the cost of treatment and length of acute hospital care for heart disease between men and women in this statewide sample. Further, rural and urban hospitals differ in the intensity of care and length of stay of patients with heart disease. What is not apparent is whether the outcomes of treatment are also different, a question for further study.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Host:
Southern Nursing Research Society
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleFactors Affecting Cost Of Care And Length Of Stay In Rural And Urban Hospitals For Patients With Heart Diseaseen_GB
dc.contributor.authorGlenn, L.en_US
dc.author.detailsL. Glenn, PhD, East Tennessee State University, Johnson City, Tennessee, USA, email: glennl@etsu.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/165877-
dc.description.abstractObjectives: The purpose of this study was to investigate whether the length of stay (in days) and cost of care (service intensity) of hospitalized patients with heart disease were different based on gender, type of insurance (commercial or medicaid), and hospital size (rural or urban). Methods: Data were collected from the 1992 Tennessee Department of Health UB-82 medicaid and commercial insurance claims. 0f the 7,337 claims for treatment of acute heart disease, only those in the 45-64 age group (N = 4,804) were used in data collection. Results: The main findings of this study indicated that significantly more males were treated in urban medical centers for shorter, more expensive hospital care and that significantly more females were treated in rural hospitals for longer, less expensive care. Costs of treatment were not dependent on the type of insurance, but medicaid claims were associated with greater lengths of stay. The majority of women were insured by medicaid (55.3%), and the majority of men were insured by commercial health insurance (63.5%). Conclusions: These findings indicate that there are significant differences in the cost of treatment and length of acute hospital care for heart disease between men and women in this statewide sample. Further, rural and urban hospitals differ in the intensity of care and length of stay of patients with heart disease. What is not apparent is whether the outcomes of treatment are also different, a question for further study.en_GB
dc.date.available2011-10-27T14:35:36Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T14:35:36Z-
dc.conference.hostSouthern Nursing Research Societyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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