Health system resource use among populations with complex social and behavioral needs in an urban, safety-net health system.

ABSTRACT:

Background

Costs incurred by health systems when caring for populations with social or behavioral complexity are poorly understood. We compared the frequency and costs of unreimbursed care among individuals with complexity factors (homelessness, a history of county jail incarceration, and/or substance use disorder or mental illness [SUD/MI]).

Methods

We conducted a cross-sectional analysis using electronic health record data for adults aged 18 and older between January 1, 2016 and December 31, 2017 from a Midwestern safety-net health system. Zero-inflated negative binomial regression models were used to assess risk-adjusted associations between complexity factors and care coordination encounters, missed appointments, and excess inpatient days.

Results

Our sample inclu

SUBMITTER: Garrett N 

PROVIDER: S-EPMC7652034 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature