Causes people to live longer due to being alive longer than they would without the services, thus causing overpopulation eventually and the pension crisis.
I don't know if that was the kind of answer you wanted, you need to be more specific as it is a very open question.
2007-02-28 06:31:10
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answer #1
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answered by ? 3
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Among mental health patients, restrictions imposed on length of stay increased the likelihood of early re-admission. On average, patients had their hospital stays reduced by six days, which translated into an estimated 30 percent increase in re-admission risk. Patients with alcohol or drug dependence had the greatest restrictions imposed by utilization management. Almost all mental health patients, regardless of diagnosis, were authorized for the same number of days of care at admission.
Among general adult medical patients, utilization management rarely denied hospital admission outright. Hospital admission was denied outright in fewer than 1 percent of cases reviewed. Hysterectomies accounted for the largest number of admission denials. Patients who were required to obtain outpatient care instead of inpatient care typically had requested in-patient treatment for hernia repair, drug or alcohol dependence, or hemorrhoid surgery.
Utilization management became more restrictive over time in approving care, especially for mental health patients. In 1990, utilization management approved, on average, 20.7 days of inpatient care for each mental health patient, compared with 10.9 days in 1993. Statistically significant reductions in the number of days approved also occurred among medical and surgical cases.
Among pediatric patients ages 12 through 18, utilization management had the greatest impact in restricting inpatient care for mental health problems. Like adult patients, pediatric patients were rarely denied care outright as a result of utilization management, although utilization management also became more restrictive over time in approving care for pediatric patients. Restrictions imposed on length of stay among pediatric patients admitted for medical or mental health problems increase the risk of subsequent early re-admission.
Among patients with cardiovascular disease, utilization management for those who were surgical patients significantly increased the relative risk of re-admission. Utilization management restricted length of stay for 9 percent of surgical patients by two or more days. These patients were, increasing the relative risk of re-admission within 60 days by 2.7 times more likely to be re-admitted within 60 days than surgical patients whose length of stay was not restricted by utilization review. For cardiovascular disease patients who were initially admitted under a medical diagnosis, utilization management had little effect on re-admissions.
2007-02-28 18:42:28
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answer #2
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answered by BARROWMAN 6
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