G163 An analysis of healthcare costs in high-need children and young people

Abstract

30% of the times junior doctors (SHO) were given the opportunity to intubate in comparison to 3% earlier. Confidence in BVM ventilation among SHOs and intubation among registrars are significantly high in the repeat survey, due to continued teaching and simulation training. Conclusions Effective simulation, training, education and perseverance in change in practice improved the intubation in neonates in DGH and confidence of doctors and nurses working in the unit. Improvement is likely to improve outcome of the babies.

Trends in the Concentration and Distribution of Health Care Expenditures in the US, 2001-2018

“…As shown in this cross-sectional study, in any given year, slightly less than 5% of the US population accounts for 50% of health care expenditures. International comparisons with England 8 or Germany 9 suggest that this is a feature of health systems in high-income countries and that the US is not an outlier in this regard despite spending more per person on health care. At the same time, approximately 20% of the US population are nonspenders.…”

Disease patterns in high-cost individuals with multimorbidity: a retrospective cross-sectional study in primary care

“… 25 The current study considers primary care only, and it is not clear whether conclusions would hold across secondary and social care settings, or the extent to which the degree of substitution and complementarity among care components should be accounted for. 13 Finally, the current study describes costs only, and this debate should also be informed by outcomes.…”

“… 6 – 8 Funding and recruitment shortfalls have resulted in increasing workload, with more patients per GP, 9 , 10 challenging their ability to care properly for people with multimorbidity. 11 , 12 This problem is magnified among ‘high-cost’ individuals with multimorbidity 13 who have the highest risk of unmet health need, poorly coordinated and duplicated care, and worse health outcomes. 14 , 15 Understanding the healthcare needs of these patients better can inform quality improvement and cost containment efforts.…”

“… 18 Soley-Bori et al found that the disease/condition-based clusters of alcohol and substance dependence, followed by anxiety and depression, had the highest primary care use as additional LTCs develop over time. 22 However, understanding the distribution and concentration of costs is needed, 13 and identifying clusters based on primary care costs rather than disease prevalence may yield different results. International literature reports highly concentrated hospital costs, where the top 10% of patients account for between 50% and 80% of costs.…”