title: A multidimensional analysis of the impact of high-cost hospitalization.
abstract: In this update of a study of high-cost illness, we analyzed data on 1,455,766 discharges from 167 short-term general hospitals that participated in the Professional Activity Study of the Commission on Professional and Hospital Activities. Our results suggest that high-cost hospitalization can be characterized broadly by two groups: the single costly hospital episode and the multiple-admission pattern. We propose a theoretical framework to analyze high-cost hospitalization in terms of three dimensions: the magnitude of expenditures, the scope of high-cost illness within the cohort, and the scale of high-cost hospitalization within the population at large.
authors.forename: S T
authors.initials: ST
authors.lastname: Fleming
authors.forename: E J
authors.initials: EJ
authors.lastname: Kobrinski
authors.forename: M J
authors.initials: MJ
authors.lastname: Long
mesh_terms: D000367:Age Factors; D000368:Aged; D003365:Costs and Cost Analysis; D003953:Diagnosis-Related Groups; D006760:Hospitalization / Q000191:economics*; D006769:Hospitals, General / Q000191:economics; D006801:Humans; D007231:Infant, Newborn; D006278:Medicare / Q000191:economics; D008875:Middle Aged; D008962:Models, Theoretical; D010359:Patient Readmission / Q000191:economics; D013223:Statistics as Topic; D014481:United States