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Article: Avoidable hospital admissions from diabetes complications in Japan, Singapore, Hong Kong, and communities outside Beijing

TitleAvoidable hospital admissions from diabetes complications in Japan, Singapore, Hong Kong, and communities outside Beijing
Authors
Issue Date2017
PublisherProject Hope. The Journal's web site is located at http://www.healthaffairs.org
Citation
Health Affairs, 2017, v. 36 n. 11, p. 1896-1903 How to Cite?
AbstractImproving the quality of primary care may reduce avoidable hospital admissions. Avoidable admissions for conditions such as diabetes are used as a quality metric in the Health Care Quality Indicators of the Organization for Economic Cooperation and Development (OECD). Using the OECD indicators, we compared avoidable admission rates and spending for diabetes-related complications in Japan, Singapore, Hong Kong, and rural and peri-urban Beijing, China, in the period 2008–14. We found that spending on diabetes-related avoidable hospital admissions was substantial and increased from 2006 to 2014. Annual medical expenditures for people with an avoidable admission were six to twenty times those for people without an avoidable admission. In all of our study sites, when we controlled for severity, we found that people with more outpatient visits in a given year were less likely to experience an avoidable admission in the following year, which implies that primary care management of diabetes has the potential to improve quality and achieve cost savings. Effective policies to reduce avoidable admissions merit investigation.
Persistent Identifierhttp://hdl.handle.net/10722/249930
ISSN
2017 Impact Factor: 4.843
2015 SCImago Journal Rankings: 4.139
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorQuan, J-
dc.contributor.authorZhang, H-
dc.contributor.authorPang, D-
dc.contributor.authorChen, BK-
dc.contributor.authorJohnston, JM-
dc.contributor.authorJian, W-
dc.contributor.authorLau, ZY-
dc.contributor.authorIizuka, T-
dc.contributor.authorLeung, GM-
dc.contributor.authorFang, H-
dc.contributor.authorTan, KB-
dc.contributor.authorEggleston, K-
dc.date.accessioned2017-12-20T09:18:09Z-
dc.date.available2017-12-20T09:18:09Z-
dc.date.issued2017-
dc.identifier.citationHealth Affairs, 2017, v. 36 n. 11, p. 1896-1903-
dc.identifier.issn0278-2715-
dc.identifier.urihttp://hdl.handle.net/10722/249930-
dc.description.abstractImproving the quality of primary care may reduce avoidable hospital admissions. Avoidable admissions for conditions such as diabetes are used as a quality metric in the Health Care Quality Indicators of the Organization for Economic Cooperation and Development (OECD). Using the OECD indicators, we compared avoidable admission rates and spending for diabetes-related complications in Japan, Singapore, Hong Kong, and rural and peri-urban Beijing, China, in the period 2008–14. We found that spending on diabetes-related avoidable hospital admissions was substantial and increased from 2006 to 2014. Annual medical expenditures for people with an avoidable admission were six to twenty times those for people without an avoidable admission. In all of our study sites, when we controlled for severity, we found that people with more outpatient visits in a given year were less likely to experience an avoidable admission in the following year, which implies that primary care management of diabetes has the potential to improve quality and achieve cost savings. Effective policies to reduce avoidable admissions merit investigation.-
dc.languageeng-
dc.publisherProject Hope. The Journal's web site is located at http://www.healthaffairs.org-
dc.relation.ispartofHealth Affairs-
dc.titleAvoidable hospital admissions from diabetes complications in Japan, Singapore, Hong Kong, and communities outside Beijing-
dc.typeArticle-
dc.identifier.emailQuan, J: chao.quan@hku.hk-
dc.identifier.emailJohnston, JM: jjohnsto@hku.hk-
dc.identifier.emailLeung, GM: gmleung@hku.hk-
dc.identifier.authorityQuan, J=rp02266-
dc.identifier.authorityJohnston, JM=rp00375-
dc.identifier.authorityLeung, GM=rp00460-
dc.identifier.doi10.1377/hlthaff.2017.0479-
dc.identifier.hkuros283544-
dc.identifier.volume36-
dc.identifier.issue11-
dc.identifier.spage1896-
dc.identifier.epage1903-
dc.identifier.isiWOS:000414451400006-
dc.publisher.placeUnited States-

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