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Related Experiment Videos

Hospitalized teens. Ambulatory care utilization patterns.

N P Joshi1, P O'Mara, T H Hendershott

  • 1Fallon Health Care System, Fallon Clinic, Inc., Worcester, MA 01605.

HMO Practice
|November 4, 1993
PubMed
Summary

Hospitalized adolescents with trauma or mental health issues utilized episodic care more frequently before admission. Improved data collection and provider collaboration are key for preventive interventions in managed care settings.

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Area of Science:

  • Pediatric healthcare utilization
  • Adolescent mental health services
  • Trauma care outcomes

Background:

  • Adolescents with trauma or mental health diagnoses represent a vulnerable population.
  • Understanding healthcare utilization patterns is crucial for effective intervention.
  • Federally qualified Health Maintenance Organizations (HMOs) provide a setting for studying healthcare access.

Purpose of the Study:

  • To compare health care utilization between hospitalized adolescents and a matched control group.
  • To identify patterns of care preceding hospital admission for trauma or mental health issues.
  • To inform preventive strategies within managed care systems.

Main Methods:

  • Retrospective analysis of healthcare utilization over 24 months.

Related Experiment Videos

  • Identification of adolescents (12-18 years) with trauma/mental health admissions in a Central Massachusetts HMO.
  • Matching study cases with a control group based on age, sex, and enrollment duration.

    • Main Results:

    • Hospitalized adolescents were less likely to be in school and living with parents.
    • Study cases exhibited higher episodic care use, particularly in the 6 months before admission.
    • Both groups showed higher office-based provider visits than national averages.

    Conclusions:

    • Enhanced awareness of utilization patterns and risk behaviors can improve prevention.
    • Utilizing better instruments for health habits and lifestyle data can aid preventive interventions.
    • Collaboration between pediatric primary care, Information Services (IS), and Quality Management (QM) can facilitate research in managed care.