i
High utilizers of ambulatory care services: 6-year followup at Alaska Native Medical Center.
-
1984 Jul-Aug
Source: Public Health Rep. 99(4):400-404
Details:
-
Alternative Title:Public Health Rep
-
Personal Author:
-
Description:In a retrospective study, 100 randomly selected, high utilizers of ambulatory care services in 1972 were followed for a 6-year period, 1973-78. The 22 men and 78 women had visited the Alaska Native Medical Center in Anchorage 15 or more time in 1972. Each patient was matched by age and sex with a control patient who had made three or fewer visits. There were predominately more women than men in all age groups in the high-utilizer group and in all but one age group in the general clinic population. High-utilizer men as a group were older than high-utilizer women. In the followup period, the men in the high-utilizer group had three times the number of hospitalizations as the controls, and women had two times the number. At the end of the followup period, 1 of every 4 men in the high-utilizer group had died, and 1 of every 10 women had died. One-half of these deaths were associated with alcohol. Several approaches to high-utilizer patients are useful. A well-organized medical record, with a complete problem list and index, is imperative. Just as helpful is only having one or several health care providers consistently see the patient at each encounter. Until there is more study of these complex issues, high utilizers must be recognized as a subgroup of patients at high risk for hospitalization and early death.
-
Subject:
-
Source:
-
Pubmed ID:6431488
-
Pubmed Central ID:PMCnull
-
Document Type:
-
Collection(s):
-
Main Document Checksum:urn:sha256:d722c769f56f475e72f25b043c82b9beb83574c63ed63116ba7e004025598c5a
-
Download URL:
-
File Type:
Supporting Files
-
No Additional Files
More +
Related Documents
-
Personal Author:Nightingale, S L1984 Jul-Aug | Public Health Rep. 99(4):333-338Description:The controversy over Laetrile is nearly at an end, the worthlessness of the drug having been demonstrated beyond reasonable doubt. But the Laetrile ex...Personal Author:McCutcheon, J W1984 Jul-Aug | Public Health Rep. 99(4):360-364Description:Nitrite has been used for centuries to preserve, color, and flavor meat. Today, about 10 billion pounds of cured meat products are produced annually, ...Personal Author:Cordle, F ;Miller, S A1984 Jul-Aug | Public Health Rep. 99(4):365-369Description:The increasing use of nonnutritive sweeteners and the widely publicized 1969 ban on cyclamate led to additional investigations in rodents of the carci...Personal Author:Pasley, B H ;Standfast, S J...1984 Jul-Aug | Public Health Rep. 99(4):424-429Description:A physician survey was conducted in 13 counties surrounding Albany and Syracuse, N.Y., to determine estrogen prescribing patterns for treatment of pro...Personal Author:Kristiansen, C M ;Harding, C M1984 Jul-Aug | Public Health Rep. 99(4):384-388Description:The relationship between measures of social desirability and various preventive health behaviors was examined directly for 235 females and 171 males f...Personal Author:Eckhardt, K W ;Hendershot, Gerry E.1984 Jul-Aug | Public Health Rep. 99(4):410-415Description:The long downward trend in the practice of breast feeding was reversed during the 1972-73 period. Data from the National Survey of Family Growth condu...The 1990 objectives for the nation for control of stress and violent behavior: progress report.CitePersonal Author:Silver, B J ;Goldston, S E...1984 Jul-Aug | Public Health Rep. 99(4):374-384Description:The control of stress and violent behavior is 1 of the 15 priority areas addressed in the Public Health Service's Objectives for the Nation. The Natio...Personal Author:Chabner, B A ;Wittes, R...1984 Jul-Aug | Public Health Rep. 99(4):355-360Description:The National Cancer Institute since 1955 has been charged with responsibility for discovering new anti-cancer agents and bringing them to clinical tri...Personal Author:Coulehan, J L ;Michaels, R H...1984 Jul-Aug | Public Health Rep. 99(4):404-409Description:During a 7-year period ending June 30, 1980, the annual incidence of all Haemophilus influenzae type b disease among Navajo children less than 5 years...
More +
You May Also Like
Personal Author:
Ringhand, T H ;
Snowdon, D A
...
1990 Jul-Aug | Public Health Rep. 105(4):425-428
Description:
Trends in age- and sex-specific mortality rates for all causes of death for Indians in Minnesota during the years 1960-79 were examined using the Mant...
Personal Author:
Melkonian, Stephanie C. ;
Jim, Melissa A.
...
July 20 2018 | Cancer Causes Control. 29(9):833-844
Description:
PurposeTo evaluate liver cancer incidence rates and risk factor correlations in non-Hispanic AI/AN populations for the years 1999–2009.MethodsWe lin...
Checkout today's featured content at stacks.cdc.gov