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Impact of Advance Care Planning on the Hospitalization-Associated Utilization and Cost of Patients with Alzheimer's Disease-Related Disorders Receiving Primary Care via Telehealth in a Provider Shortage Area: A Quantitative Pre-Study
DC Field | Value | Language |
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dc.contributor.author | 강희택 | - |
dc.date.accessioned | 2023-08-09T06:58:40Z | - |
dc.date.available | 2023-08-09T06:58:40Z | - |
dc.date.issued | 2023-06 | - |
dc.identifier.issn | 1661-7827 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/196018 | - |
dc.description.abstract | Telehealth has been adopted as an alternative to in-person primary care visits. With multiple participants able to join remotely, telehealth can facilitate the discussion and documentation of advance care planning (ACP) for those with Alzheimer's disease-related disorders (ADRDs). We measured hospitalization-associated utilization outcomes, instances of hospitalization and 90-day re-hospitalizations from payors' administrative databases and verified the data via electronic health records. We estimated the hospitalization-associated costs using the Nevada State Inpatient Dataset and compared the estimated costs between ADRD patients with and without ACP documentation in the year 2021. Compared to the ADRD patients without ACP documentation, those with ACP documentation were less likely to be hospitalized (mean: 0.74; standard deviation: 0.31; p < 0.01) and were less likely to be readmitted within 90 days of discharge (mean: 0.16; standard deviation: 0.06; p < 0.01). The hospitalization-associated cost estimate for ADRD patients with ACP documentation (mean: USD 149,722; standard deviation: USD 80,850) was less than that of the patients without ACP documentation (mean: USD 200,148; standard deviation: USD 82,061; p < 0.01). Further geriatrics workforce training is called for to enhance ACP competencies for ADRD patients, especially in areas with provider shortages where telehealth plays a comparatively more important role. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | MDPI | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Advance Care Planning* | - |
dc.subject.MESH | Alzheimer Disease* / therapy | - |
dc.subject.MESH | Documentation | - |
dc.subject.MESH | Hospitalization | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Primary Health Care | - |
dc.subject.MESH | Telemedicine* | - |
dc.title | Impact of Advance Care Planning on the Hospitalization-Associated Utilization and Cost of Patients with Alzheimer's Disease-Related Disorders Receiving Primary Care via Telehealth in a Provider Shortage Area: A Quantitative Pre-Study | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Family Medicine (가정의학교실) | - |
dc.contributor.googleauthor | Ji Won Yoo | - |
dc.contributor.googleauthor | Peter S Reed | - |
dc.contributor.googleauthor | Jay J Shen | - |
dc.contributor.googleauthor | Jennifer Carson | - |
dc.contributor.googleauthor | Mingon Kang | - |
dc.contributor.googleauthor | Jerry Reeves | - |
dc.contributor.googleauthor | Yonsu Kim | - |
dc.contributor.googleauthor | Ian Choe | - |
dc.contributor.googleauthor | Pearl Kim | - |
dc.contributor.googleauthor | Laurie Kim | - |
dc.contributor.googleauthor | Hee-Taik Kang | - |
dc.contributor.googleauthor | Maryam Tabrizi | - |
dc.identifier.doi | 10.3390/ijerph20126157 | - |
dc.contributor.localId | A00106 | - |
dc.relation.journalcode | J01111 | - |
dc.identifier.eissn | 1660-4601 | - |
dc.identifier.pmid | 37372743 | - |
dc.subject.keyword | advance care plan | - |
dc.subject.keyword | age-friendly health system | - |
dc.subject.keyword | dementia | - |
dc.subject.keyword | finances | - |
dc.subject.keyword | primary care | - |
dc.subject.keyword | telehealth | - |
dc.contributor.alternativeName | Kang, Hee Taik | - |
dc.contributor.affiliatedAuthor | 강희택 | - |
dc.citation.volume | 20 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | 6157 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, Vol.20(12) : 6157, 2023-06 | - |
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