Skip to Main Content
 

Global Search Box

 
 
 
 

Files

File List


Birmingham Dissertation 072117.pdf (1.52 MB)

ETD Abstract Container

Abstract Header

EMERGENCY DEPARTMENT FREQUENT USERS: A LATENT CLASS ANALYSIS AND ECONOMIC EVALUATION TO POTENTIALLY GUIDE UTILIZATION MANAGEMENT INTERVENTIONS

Birmingham, Lauren E
http://orcid.org/0000-0001-6989-1823
http://rave.ohiolink.edu/etdc/view?acc_num=kent1500300815114958

Abstract Details

2017, PHD, Kent State University, College of Public Health.
Emergency department (ED) frequent users are those patients who make four or more ED visits in a 12-month period. Their impact on healthcare costs and ED capacity is substantial. Many policies and interventions have been designed to reduce their utilization, although randomized controlled trials have not shown great improvements in utilization or healthcare expenditures. Most interventions for ED frequent users are delivered to the entire population of ED frequent users, despite a high degree of heterogeneity within the population. In this work, a targeted approach to interventions for ED frequent users is proposed. However, before targeted interventions can be developed, a typology of ED frequent users needs to be created. This work created a typology of ED frequent users using Latent Class Analysis (LCA). The result is a four-group typology consisting of a heart-related group, long-term ED frequent user group, short-term ED frequent user group, and a minor care group. The long-term group is the highest total cost group ($4.5 million in costs to the hospital) and the heart group had the highest per-person hospital costs ($5,609 per person). It is recommended that the hospital pursue interventions for both the heart group and long-term groups to create both a short-term and long-term cost avoidance strategy with respect to high utilizing emergency department patients.
Jonathan VanGeest, PhD (Committee Chair)
Vinay Cheruvu, PhD, MS, MSc, PGD-MISCA (Committee Member)
John Hoornbeek, PhD (Committee Member)
Kirk Stiffler, MD, MPH (Committee Member)
181 p.
Medicine; Public Health
Emergency department; frequent user; healthcare utilization; utilization management; frequent flier

Recommended Citations

Citations

  • Birmingham, L. E. (2017). EMERGENCY DEPARTMENT FREQUENT USERS: A LATENT CLASS ANALYSIS AND ECONOMIC EVALUATION TO POTENTIALLY GUIDE UTILIZATION MANAGEMENT INTERVENTIONS [Doctoral dissertation, Kent State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=kent1500300815114958

    APA Style (7th edition)

  • Birmingham, Lauren. EMERGENCY DEPARTMENT FREQUENT USERS: A LATENT CLASS ANALYSIS AND ECONOMIC EVALUATION TO POTENTIALLY GUIDE UTILIZATION MANAGEMENT INTERVENTIONS. 2017. Kent State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=kent1500300815114958.

    MLA Style (8th edition)

  • Birmingham, Lauren. "EMERGENCY DEPARTMENT FREQUENT USERS: A LATENT CLASS ANALYSIS AND ECONOMIC EVALUATION TO POTENTIALLY GUIDE UTILIZATION MANAGEMENT INTERVENTIONS." Doctoral dissertation, Kent State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=kent1500300815114958

    Chicago Manual of Style (17th edition)

kent1500300815114958
1,291
© 2017, all rights reserved.
This open access ETD is published by Kent State University and OhioLINK.