National Healthcare Quality and Disparities Report
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 2 of 2 Research Studies DisplayedRapoport AB, Fine DR, Manne-Goehler JM
High inpatient health care utilization and charges associated with injection drug use-related infections: a cohort study, 2012-2015.
This study described the characteristics of patients hospitalized with injection drug use-related infection over a multiyear period in a region highly impacted by the opioid epidemic. Findings revealed a longer average length of stay with subsequent higher cost, a higher percentage of 30-day readmissions, disproportionate public payer mix representation, and higher rates of discharge to alternate facilities for ongoing care as compared with the total inpatient cohort.
AHRQ-funded; HS026215.
Citation: Rapoport AB, Fine DR, Manne-Goehler JM .
High inpatient health care utilization and charges associated with injection drug use-related infections: a cohort study, 2012-2015.
Open Forum Infect Dis 2021 Mar;8(3):ofab009. doi: 10.1093/ofid/ofab009..
Keywords: Opioids, Substance Abuse, Hospitalization, Healthcare Costs, Healthcare Utilization
Beetham T, Saloner B, Gaye M
Admission practices and cost of care for opioid use disorder at residential addiction treatment programs in the US.
This study looked at admission practices and cost of care for opioid use disorder at profit and nonprofit residential addiction treatment programs in the US. An audit survey of 613 residential programs was conducted nationally where the caller posed as an uninsured cash-paying individual using heroin and seeking addiction treatment. One-third of callers were offered admission before clinical admission, usually within one day of initial contact. Most programs required up-front payments, with for-profit programs charging almost three times as much ($17,434) as nonprofits ($5,712). Recruitment techniques such as paid transportation was used frequently by for-profit, but not by nonprofit programs. Other practices included admission offers during the call. High up-front payments were common even among programs with third-party accreditation and state licenses. These practices may be an issue for a clinically and financially vulnerable population for costly treatment without assessing other care settings.
AHRQ-funded; HS017589.
Citation: Beetham T, Saloner B, Gaye M .
Admission practices and cost of care for opioid use disorder at residential addiction treatment programs in the US.
Health Aff 2021 Feb;40(2):317-25. doi: 10.1377/hlthaff.2020.00378..
Keywords: Opioids, Substance Abuse, Healthcare Costs