Cost-effectiveness of clinical case management for ED frequent users: results of a randomized trial⋆☆
Oral presentations include the following: November 2003, APHA, San Francisco, Calif; June 2004, Complexities of Co-Occurring Conditions, Washington, DC; May 2005, CREDO Symposium, Detroit, Mich.
Martha Shumway

,x
, PhDMartha Shumway
Search for articles by this author
Correspondence
- Corresponding author. Tel.: +1 415 437 3077; fax: +1 415 437 3020.

x
Martha Shumway
Search for articles by this author
Correspondence
- Corresponding author. Tel.: +1 415 437 3077; fax: +1 415 437 3020.

Alicia Boccellari, PhD
, Kathy O'Brien, LCSW
, Robert L. Okin, MD
Department of Psychiatry, San Francisco General Hospital, University of California, San Francisco, CA
References
- [1]Mandelberg, J.H., Kuhn, R.E., Kohn, M.A. Epidemiologic analysis of an urban public emergency department's frequent users. Acad Emerg Med. 2000;7:637–646.
- [2]Hansagi, H., Olsson, M., Sjoberg, S. et al, Frequent use of the hospital emergency department is indicative of high use of other health care services. Ann Emerg Med. 2001;37:561–567.
- Abstract
- | Full Text
- | Full Text PDF
- | PubMed
- | Scopus (132)
- [3]Gordon, J.A., Chudnofsky, C.R., Hayward, R.A. Where health and welfare meet: social deprivation among patients in the emergency room. J Urban Health. 2001;78:104–111.
- [4]Williams, E.R.L., Guthrie, E., Mackway-Jones, K. et al, Psychiatric status, somatisation, and health care utilization of frequent attenders at the emergency department: a comparison with routine attenders. J Psychosom Res. 2001;30:161–167.
- [5]Dent, A.W., Phillips, G.A., Chenhall, A.J. et al, The heaviest repeat users in an inner city emergency department are not general practice patients. Emerg Med. 2003;15:332–339.
- [6]Sun, B.C., Burstin, H.R., Brennan, T.A. Predictors and outcomes of frequent emergency department users. Acad Emerg Med. 2003;10:32–328.
- [7]Derlet, R.W., Richards, J.R. Overcrowding in the nation's emergency departments: complex causes and disturbing effects. Ann Emerg Med. 2003;35:63–68.
- [8]Trzeciak, S., Rivers, E.P. Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emerg Med J. 2003;20:402–405.
- [9]Cowan, R.M., Trzeciak, S. Clinical review: emergency department overcrowding and the potential impact on the critically ill. Crit Care. 2005;9:291–295.
- [10]Brandon, W.R., Chambers, R. Reducing emergency department visits among high-using patients. J Fam Pract. 2003;8:637–640.
- [11]Pope, D., Fernandes, C.M.B., Bouthillette, F. et al, Frequent users of the emergency department: a program to improve care and reduce visits. CMAJ. 2000;162:1017–1020.
- [12]Witbeck, G., Hornfeld, S., Dalack, G.W. Emergency room outreach to chronically addicted individuals: a pilot study. J Subst Abuse Treat. 2000;19:39–43.
- Abstract
- | Full Text
- | Full Text PDF
- | PubMed
- | Scopus (21)
- [13]Phillips, G.A., Brophy, D.S., Weiland, T.J. et al, The effect of multidisciplinary case management on selected outcomes for frequent attenders at an emergency department. Med J Aust. 2006;184:602–606.
- [14]Okin, R.L., Boccellari, A., Azocar, F. et al, The effects of clinical case management on hospital service use among ED frequent users. Am J Emerg Med. 2000;18:603–608.
- [15]Ruger, J.P., Richter, C.J., Spitznagel, E.L. et al, Analysis of costs, length of stay, and utilization of emergency department services by frequent users: implications for health policy. Acad Emerg Med. 2004;11:1311–1317.
- [16]National Institute on Alcohol and Alcoholism. in: 10th special report to the US Congress on alcohol and health: highlights from current research. US Department of Health and Human Services, National Institutes of Health,
Washington (DC); 2000:420–430 ([NIH publication no. 00-1583]).
- [17]Lehman, A.F. A quality of life interview for the chronically mentally ill. Eval Program Plann. 1988;11:51–62.
- [18]Derogatis, L.R., Melisaratos, N. The Brief Symptom Inventory: an introductory report. Psychol Med. 1983;13:595–605.
- [19]Elixhauser, A., Steiner, C., Palmer, L. Clinical Classifications Software (CCS). US Agency for Healthcare Research and Quality,
Rockville (Md); 2006.
- [20]Charlson, M.E., Pompei, P., Ales, K.L., MacKenzie, C.R. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373–383.
- [21]Deyo, R.A., Cherkin, D.C., Ciol, M.A. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45:613–619.
- [22]Centers for Medicare and Medicaid Services. National physician fee schedule payment amount file, calendar year 2001. (Available at:)www.cms.hhs.gov/providers/pufdownload/pfalldwn.asp. ([Accessed June 2, 2004]).
- [23]United States Department of Labor, Bureau of Labor Statistics. Consumer price index, medical care. (Available at:)http://data.bls.gov/cgi-bin/surveymost?cu. ([Accessed February 1, 2005]).
- [24]Liang, K.-Y., Zeger, S.L. Longitudinal data analysis using generalized linear models. Biometrika. 1986;73:13–22.
- [25]Hardin, J.W., Hilbe, J.M. Generalized estimating equations. Chapman and Hall,
Boca Raton; 2003.
- [26]SAS Institute Inc. SAS/STAT 9.1 user's guide. SAS Institute Inc.,
Cary (NC); 2004.
- [27]Cameron, A.C., Trivedi, P.K. Regression analyses of count data. Cambridge University Press, Cambridge; 1998.
- [28]Austin, P.C., Ghali, W.A., Tu, J.V. A comparison of several regression models for analyzing cost of CABG surgery. Stat Med. 2003;22:2799–2815.
- [29]Gordon, J.A. The hospital emergency department as a social welfare institution. Ann Emerg Med. 1999;33:321–325.
- Abstract
- | Full Text
- | Full Text PDF
- | PubMed
- | Scopus (48)
- [30]Zuckerman, S., Shen, Y.C. Characteristics of occasional and frequent emergency department users: do insurance coverage and access to care matter?. Med Care. 2004;42:176–182.
☆Financial support was received from the San Francisco Department of Public Health.
© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
Access this article on
Visit ScienceDirect to see if you have access via your institution.
Article Tools
Related Articles
Searching for related articles..
