Interventions to Decrease Use in Prehospital and Emergency Care Settings Among Super-Utilizers in the United States: A Systematic Review

Med Care Res Rev. 2020 Apr;77(2):99-111. doi: 10.1177/1077558719845722. Epub 2019 Apr 26.

Abstract

Interest in high users of acute care continues to grow as health care organizations look to deliver cost-effective and high-quality care to patients. Since "super-utilizers" of acute care are responsible for disproportionately high health care spending, many programs and interventions have been implemented to reduce medical care use and costs in this population. This article presents a systematic review of the peer-reviewed and grey literature on evaluations of interventions to decrease prehospital and emergency care use among U.S. super-utilizers. Forty-six distinct evaluations were included in the review. The most commonly evaluated intervention was case management. Although a number of interventions reported reductions in prehospital and emergency care utilization and costs, methodological and study design weaknesses-especially regression to the mean-were widespread and call into question reported positive findings. More high-quality research is needed to accurately assess the impact of interventions to reduce prehospital and emergency care use in the super-utilizer population.

Keywords: emergency department; interventions; super-utilizer; systematic review.

Publication types

  • Research Support, Non-U.S. Gov't
  • Systematic Review

MeSH terms

  • Case Management
  • Emergency Medical Services* / economics
  • Emergency Medical Services* / statistics & numerical data
  • Emergency Service, Hospital* / economics
  • Emergency Service, Hospital* / statistics & numerical data
  • Health Services Misuse / prevention & control*
  • Hospitalization* / economics
  • Hospitalization* / statistics & numerical data
  • Humans
  • Longitudinal Studies
  • Quality of Health Care