The effects of clinical case management on hospital service use among ED frequent users

This study examined the impact of case management on hospital service use, hospital costs, homelessness, substance abuse, and psychosocial problems in frequent users of a public urban emergency department (ED). Subjects were 53 patients who used the ED five times or more in 12 months. Utilization, c...

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Bibliographic Details
Published in:The American journal of emergency medicine 2000-09, Vol.18 (5), p.603-608
Main Authors: Okin, Robert L., Boccellari, Alicia, Azocar, Francisca, Shumway, Martha, O'Brien, Kathy, Gelb, Alan, Kohn, Michael, Harding, Phyllis, Wachsmuth, Christine
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Case Management - economics
Emergency and intensive care: techniques, logistics
Emergency Service, Hospital - economics
Emergency Service, Hospital - utilization
Female
Health Services Misuse
Homeless Persons - psychology
Homeless Persons - statistics & numerical data
Hospital Costs
Humans
Intensive care medicine
Intensive care unit. Emergency transport systems. Emergency, hospital ward
Male
Medical sciences
Mental Disorders - epidemiology
Mental Disorders - psychology
Middle Aged
Mortality
Pilot Projects
San Francisco - epidemiology
Treatment Outcome
Utilization Review
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Summary:This study examined the impact of case management on hospital service use, hospital costs, homelessness, substance abuse, and psychosocial problems in frequent users of a public urban emergency department (ED). Subjects were 53 patients who used the ED five times or more in 12 months. Utilization, cost, and psychosocial variables were compared 12 months before and after the intervention. The median number of ED visits decreased from 15 to 9 (P
ISSN:0735-6757
1532-8171
DOI:10.1053/ajem.2000.9292