2017
Impact of a Shared Decision Making Intervention on Health Care Utilization: A Secondary Analysis of the Chest Pain Choice Multicenter Randomized Trial
Schaffer JT, Hess EP, Hollander JE, Kline JA, Torres CA, Diercks DB, Jones R, Owen KP, Meisel ZF, Demers M, Leblanc A, Inselman J, Herrin J, Montori VM, Shah ND. Impact of a Shared Decision Making Intervention on Health Care Utilization: A Secondary Analysis of the Chest Pain Choice Multicenter Randomized Trial. Academic Emergency Medicine 2017, 25: 293-300. PMID: 29218817, DOI: 10.1111/acem.13355.Peer-Reviewed Original ResearchConceptsHealth care utilizationLength of stayCare utilizationObservation unit admissionUnit admissionChest painED visitsIntervention armStudy armsIndex emergency department visitLow-risk chest painOverall health care utilizationSecondary analysisBilling dataIndex ED visitAcute coronary syndromeEmergency department visitsCardiac imaging testsCardiac stress testingPlanned secondary analysisHealth care systemInitial EDPragmatic multicenterCardiac testingCoronary syndrome
2010
Impact of Hospice Disenrollment on Health Care Use and Medicare Expenditures for Patients With Cancer
Carlson MD, Herrin J, Du Q, Epstein AJ, Barry CL, Morrison RS, Back AL, Bradley EH. Impact of Hospice Disenrollment on Health Care Use and Medicare Expenditures for Patients With Cancer. Journal Of Clinical Oncology 2010, 28: 4371-4375. PMID: 20805463, PMCID: PMC2954136, DOI: 10.1200/jco.2009.26.1818.Peer-Reviewed Original ResearchConceptsHealth care useHospice disenrollmentCare useMedicare expendituresHospice usersEmergency departmentIntensive care unit admissionEnd Results-Medicare dataHigher health care useDisease-directed treatmentCare unit admissionRate of hospitalizationIntensive care unitLargest diagnostic groupResult of cancerTotal Medicare expendituresHospital deathUnit admissionCare unitMultivariable analysisFamily caregiversPatientsHospice teamPatient careDiagnostic groups