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 syndromePredictors of Return Visits Among Insured Emergency Department Mental Health and Substance Abuse Patients, 2005-2013
Lee S, Herrin J, Bobo WV, Johnson R, Sangaralingham LR, Campbell RL. Predictors of Return Visits Among Insured Emergency Department Mental Health and Substance Abuse Patients, 2005-2013. Western Journal Of Emergency Medicine 2017, 18: 884-893. PMID: 28874941, PMCID: PMC5576625, DOI: 10.5811/westjem.2017.6.33850.Peer-Reviewed Original ResearchConceptsED visitsReturn visitsInpatient admissionsOptum Labs Data WarehouseMental healthChronic medical comorbiditiesContinuous insurance enrollmentFirst ED visitIndex ED visitRetrospective cohort studyAdministrative claims dataMedicare Advantage enrolleesPrior EDMedical comorbiditiesCohort studyAcute carePrimary diagnosisStudy inclusionRisk factorsInpatient utilizationClaims dataIncreased ageSubstance abusePatientsStudy period