Outcomes of Surgery Under Medicaid

Overview

Journal Health Care Financ Rev

Specialty Health Services

Date 1991 Jan 4

PMID 10170577

Citations 2

Authors

D Klingman

P L Pine

J Simon

Affiliations

Soon will be listed here.

Abstract

In this study, health outcomes during the 6-month period following surgery are examined for all Medicaid recipients in Michigan and Georgia who underwent selected surgical procedures between July 1, 1981, and June 30, 1982. Readmissions were somewhat more prevalent in both States for hysterectomy, cholecystectomy, appendectomy, and myringotomy. On almost all measures in both States, levels of post-surgical utilization, expenditure, and complications were higher among females, older patients, Supplemental Security Income enrollees, and those with higher levels of presurgical utilization and longer and more costly surgical stays. The results further demonstrate the utility of claims data in monitoring outcomes of surgery.

Citing Articles

Payor Type is Associated With Increased Rates of Reoperation and Health-care Utilization Following Unicompartmental Knee Arthroplasty: A National Database Study.

Sequeira S, Boucher H Arthroplast Today. 2023; 19:101074.

PMID: 36605496 PMC: 9807856. DOI: 10.1016/j.artd.2022.101074.

Psychosocial Risks are Independently Associated with Cancer Surgery Outcomes in Medically Comorbid Patients.

Leeds I, Meyers P, Enumah Z, He J, Burkhart R, Haut E Ann Surg Oncol. 2019; 26(4):936-944.

PMID: 30617868 PMC: 8710142. DOI: 10.1245/s10434-018-07136-3.

References

Victor C, Vetter N . The early readmission of the elderly to hospital. Age Ageing. 1985; 14(1):37-42. DOI: 10.1093/ageing/14.1.37. View

Anderson G, Steinberg E . Predicting hospital readmissions in the Medicare population. Inquiry. 1985; 22(3):251-8. View

Brook R, Appel F, Avery C, Orman M, Stevenson R . Effectiveness of inpatient follow-up care. N Engl J Med. 1971; 285(27):1509-14. DOI: 10.1056/NEJM197112302852705. View

Scheffler R, Knaus W, Wagner D, Zimmerman J . Severity of illness and the relationship between intensive care and survival. Am J Public Health. 1982; 72(5):449-54. PMC: 1649773. DOI: 10.2105/ajph.72.5.449. View

Schroeder S, Showstack J, Schwartz J . Survival of adult high-cost patients. Report of a follow-up study from nine acute-care hospitals. JAMA. 1981; 245(14):1446-9. View

Paradise J, BLUESTONE C, Bachman R, Colborn D, Bernard B, Taylor F . Efficacy of tonsillectomy for recurrent throat infection in severely affected children. Results of parallel randomized and nonrandomized clinical trials. N Engl J Med. 1984; 310(11):674-83. DOI: 10.1056/NEJM198403153101102. View

Flood A, Scott W, Ewy W, FORREST Jr W . Effectiveness in professional organizations: the impact of surgeons and surgical staff organizations on the quality of care in hospitals. Health Serv Res. 1982; 17(4):341-66. PMC: 1068694. View

WENNBERG J, Roos N, Sola L, Schori A, Jaffe R . Use of claims data systems to evaluate health care outcomes. Mortality and reoperation following prostatectomy. JAMA. 1987; 257(7):933-6. View

Riley G, Lubitz J . Outcomes of surgery in the Medicare aged population: rehospitalization after surgery. Health Care Financ Rev. 1987; 8(1):23-34. PMC: 4191531. View

10.

Franks P, DICKINSON J . Comparisons of family physicians and internists. Process and outcome in adult patients at a community hospital. Med Care. 1986; 24(10):941-8. DOI: 10.1097/00005650-198610000-00007. View

11.

Shortell S, LoGerfo J . Hospital medical staff organization and quality of care: results for myocardial infarction and appendectomy. Med Care. 1981; 19(10):1041-55. DOI: 10.1097/00005650-198110000-00006. View

12.

Turnbull A, CARLON G, Baron R, Sichel W, Young C, HOWLAND W . The inverse relationship between cost and survival in the critically ill cancer patient. Crit Care Med. 1979; 7(1):20-3. DOI: 10.1097/00003246-197901000-00005. View

13.

Flood A, Scott W, Ewy W . Does practice make perfect? Part II: The relation between volume and outcomes and other hospital characteristics. Med Care. 1984; 22(2):115-25. View

14.

Luft H . The relation between surgical volume and mortality: an exploration of causal factors and alternative models. Med Care. 1980; 18(9):940-59. DOI: 10.1097/00005650-198009000-00006. View

15.

Riley G, Lubitz J . Outcomes of surgery among the Medicare aged: surgical volume and mortality. Health Care Financ Rev. 1986; 7(1):37-47. PMC: 4191511. View

16.

Donabedian A . Volume, quality, and the regionalization of health care services. Med Care. 1984; 22(2):95-7. DOI: 10.1097/00005650-198402000-00001. View

17.

Roos Jr L, Cageorge S, Austen E, Lohr K . Using computers to identify complications after surgery. Am J Public Health. 1985; 75(11):1288-95. PMC: 1646712. DOI: 10.2105/ajph.75.11.1288. View

18.

Civetta J . The inverse relationship between cost and survival. J Surg Res. 1973; 14(3):265-9. DOI: 10.1016/0022-4804(73)90144-3. View

19.

Anderson R . The autopsy as an instrument of quality assessment. Classification of premortem and postmortem diagnostic discrepancies. Arch Pathol Lab Med. 1984; 108(6):490-3. View

20.

. Comparison of hospitals with regard to outcomes of surgery. Health Serv Res. 1976; 11(2):112-27. PMC: 1071907. View