ArticleAmerican journal of public health1999
Effects of health care cost-containment programs on patterns of care and readmissions among children and adolescents.
Article in American journal of public health, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
22 citing papers in PubMed, 62 citations in OpenAlex.
- Perspectives of Parents and Providers on Reasons for Mental Health Readmissions: A Content Analysis Study.Administration and policy in mental health · 2021Article
- Factors Associated With Multiple Psychiatric Readmissions for Youth With Mood Disorders.Journal of the American Academy of Child and Adolescent Psychiatry · 2020Article
- Inpatient Psychiatric Care Outcomes for Adolescents: A Test of Clinical and Psychosocial Moderators.Evidence-based practice in child and adolescent mental health · 2019Article
- The Effect of Utilization Review on Emergency Department Operations.Annals of emergency medicine · 2017Article
- Predictors for readmission into children's inpatient mental health treatment.Community mental health journal · 2013Article
- Antipsychotic adherence patterns and health care utilization and costs among patients discharged after a schizophrenia-related hospitalization.BMC psychiatry · 2013Article
- Hospital readmission among medicaid patients with an index hospitalization for mental and/or substance use disorder.The journal of behavioral health services & research · 2013Article
- Impact of length of stay after coronary bypass surgery on short-term readmission rate: an instrumental variable analysis.Medical care · 2013Article
- Examining Outcomes of Acute Psychiatric Hospitalization among Children.Social work in mental health · 2012Article
- Residential Care for Youth in the Child Welfare System: Stop-Gap Option or Not?Residential treatment for children & youth · 2012Article
- Post-discharge services and psychiatric rehospitalization among children and youth.Administration and policy in mental health · 2010Article
- Crisis discharges and readmission risk in acute psychiatric male inpatients.BMC psychiatry · 2008Article
- The influence of clinical, treatment, and healthcare system characteristics on psychiatric readmission of adolescents.The American journal of orthopsychiatry · 2008Article
- Increased rates of bipolar disorder diagnoses among U.S. child, adolescent, and adult inpatients, 1996-2004.Biological psychiatry · 2007Article
- Is readmission a valid indicator of the quality of inpatient psychiatric care?The journal of behavioral health services & research · 2007Review
- The effect of a medicaid managed care program on patterns of psychiatric readmission among adolescents: evidence from Maryland.The journal of behavioral health services & research · 2006Article
- Symptom, family, and service predictors of children's psychiatric rehospitalization within one year of discharge.Journal of the American Academy of Child and Adolescent Psychiatry · 2004Article
- Medicaid behavioral health care plan satisfaction and children's service utilization.Health care financing review · 2004Article
- From physician to consumer: the effectiveness of strategies to manage health care utilization.Medical care research and review : MCRR · 2002Article
- The impact of utilization management on readmissions among patients with cardiovascular disease.Health services research · 2000Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study examined the effects of a utilization management program on patterns of medical care among children and adolescents.
methodsFrom 1989 through 1993, the program conducted 8568 reviews of pediatric patients, ranging in age from birth to 18 years. The program used preadmission and concurrent review procedures to review and certify patients' need for care. This study used multivariate analyses to assess changes in the number of days of inpatient care approved by the program and to determine whether limitations imposed on length of stay affected the risk of 60-day readmission.
resultsConcurrent review reduced the number of requested days of inpatient care by 3.2 days per patient. Low-birthweight infants and adolescent patients with depression or alcohol or drug dependence accounted for a disproportionate share of the reduction. Patients classified as admitted for medical or mental health care and whose stay was restricted by concurrent review were more likely (P < .05) to be readmitted within 60 days after discharge.
conclusionsBy limiting care through its review procedures, the utilization management program decreased inpatient resource consumption but also increased the risk of readmission for some patients. Continued investigation should be conducted of the effects of cost-containment programs on the quality of care given to children and adolescents, especially in the area of mental health.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.