Key result
Higher rates of disease self-management were associated with more emergency department visits, hospitalizations, and longer hospital stays among young Medicaid recipients with chronic illnesses.
Why the study?
Does a high rate of disease self-management reduce health care use in adolescent and young adult Medicaid recipients with chronic illnesses?
Population
150 adolescents or young adults aged 14 to 29, North Carolina Medicaid recipients with chronic health…
Comparison
High rate of disease self-management vs Low rate of disease self-management
Design
Cross-sectional
Authors
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Association warrants no practice change; leaves open reverse causality and need for longitudinal studies in young Medicaid patients.
Cross-Sectional (n=150)
Does a high rate of disease self-management reduce health care use in adolescent and young adult Medicaid recipients with chronic illnesses?
In adolescent and young adult Medicaid recipients with chronic conditions, better self-management is paradoxically associated with increased health care use, including ED visits and hospitalizations.
Phillips et al. (2015) conducted a cross-sectional in Chronic health conditions (n=150). High rate of disease self-management vs. Low rate of disease self-management was evaluated on Health care use (emergency department visits, hospitalizations, and length of stay). Higher rates of disease self-management were associated with more emergency department visits, hospitalizations, and longer hospital stays among young Medicaid recipients with chronic illnesses.