MARC details
| 000 -LEADER |
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| fixed length control field |
04652nam a22005657a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
210726s20212021 xxu||||| |||| 00| 0 eng d |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1111/acem.14351 [doi] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
34288254 |
| 245 ## - TITLE STATEMENT |
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| Title |
Effects of Maryland's global budget revenue model on emergency department utilization and revisits. |
| 245 ## - TITLE STATEMENT |
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| Title |
Effects of Maryland's Global Budget Revenue Model on Emergency Department Utilization and Revisits. |
| 251 ## - Source |
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| Source |
Academic Emergency Medicine. 29(1):83-94, 2022 01. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Acad Emerg Med. 29(1):83-94, 2022 01. |
| 252 ## - Abbreviated Source |
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| Former abbreviated source |
Acad Emerg Med. 2021 Jul 20 |
| 253 ## - Journal Name |
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| Journal name |
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Publication date |
2021 Jul 20 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
ppublish |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2021-07-26 |
| 268 ## - Previous citation |
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| -- |
Academic Emergency Medicine. 2021 Jul 20 |
| 501 ## - WITH NOTE |
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| Local holdings |
Available online from MWHC library: 1997 - present, Available in print through MWHC library:2005-2007 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
BACKGROUND: In 2014, Maryland (MD) implemented a "global budget revenue" (GBR) program that prospectively sets hospital budgets. This program introduced incentives for hospitals to tightly control volume and meet budget targets. We examine GBR's effects on emergency department (ED) visits, admissions, and returns. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSIONS: GBR adoption was associated with lower ED utilization and admissions. ED returns and admissions among returns also decreased, while mortality and ICU stays among returns remained stable, suggesting that GBR has not led to adverse patient outcomes from fewer admissions. However, changes in ED return disparities varied by subgroup, indicating that improvements in care transitions may be uneven across patient populations. Copyright This article is protected by copyright. All rights reserved. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
METHODS: We performed an interrupted time series analysis with difference-in-differences (DiD) comparisons using 2012 to 2015 Healthcare Cost Utilization and Project data from MD, New York (NY), and New Jersey (NJ). We examined GBR's effects on ED visits/1,000 population, admissions from the ED, and ED returns at 72-hours and 9-days. We also examined rates of admission, intensive care unit (ICU) stay, and in-hospital mortality among returns. To evaluate racial/ethnic and payer outcome disparities among ED returns, we performed a triple differences analysis. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
RESULTS: ED visits decreased with GBR adoption in MD relative to NY and NJ, by 5 and 6 visits/1,000 population respectively. ED admissions declined relative to NY and NJ, by 0.6% and 1.8% respectively. There was also a post-GBR decline in ED returns by 0.7%. Admissions among returns declined by 2%, while ICU and in-hospital mortality among returns remained relatively stable. ED return outcomes varied by racial/ethnic and payer group. Non-Hispanic whites and non-Hispanic blacks experienced a similar decline in returns, while returns remained unchanged among Hispanics/Latinos, widening the disparity gap. Payer group disparities between privately insured and Medicare, Medicaid, and uninsured individuals improved, with the disparity reduction most pronounced among the uninsured. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Emergency Service, Hospital |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Medicare |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Aged |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Hospitalization |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Humans |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Maryland/ep [Epidemiology] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Medically Uninsured |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
United States |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Health Research Institute |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Institute for Innovation |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Emergency Medicine |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
DeLia, Derek |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Fairbanks, Rollin JT |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Galarraga, Jessica E |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Huang, Jim C |
| 790 ## - Authors |
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| All authors |
DeLia D, Fairbanks RJ, Galarraga JE, Huang J, Pines JM, Woodcock C |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1111/acem.14351">https://dx.doi.org/10.1111/acem.14351</a> |
| Public note |
https://dx.doi.org/10.1111/acem.14351 |
| 858 ## - ORCID |
|---|
| ORCID text |
Galarraga, Jessica E |
| -- |
Huang, Jim |
| Orcid |
<a href="https://orcid.org/0000-0003-3654-9436">https://orcid.org/0000-0003-3654-9436</a> |
| -- |
<a href="https://orcid.org/0000-0002-7461-4369">https://orcid.org/0000-0002-7461-4369</a> |
| Name |
https://orcid.org/0000-0003-3654-9436 |
| -- |
https://orcid.org/0000-0002-7461-4369 |
| -- |
https://orcid.org/0000-0003-3654-9436 |
| -- |
https://orcid.org/0000-0002-7461-4369 |
| 858 ## - ORCID |
|---|
| ORCID text |
Galarraga, Jessica E |
| -- |
Huang, Jim |
| Orcid |
<a href="https://orcid.org/0000-0003-3654-9436">https://orcid.org/0000-0003-3654-9436</a> |
| -- |
<a href="https://orcid.org/0000-0002-7461-4369">https://orcid.org/0000-0002-7461-4369</a> |
| Name |
https://orcid.org/0000-0003-3654-9436 |
| -- |
https://orcid.org/0000-0002-7461-4369 |
| -- |
https://orcid.org/0000-0003-3654-9436 |
| -- |
https://orcid.org/0000-0002-7461-4369 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
