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Decline in surgeries is causing a sharp decline in hospital stays in California



The decline of 36.2% in the number of hospital stays involving California's injured workers over the past decade was largely due to the ongoing decline in spinal fusion and a recent decline in joint operations on the lower extremities, according to a study published in Tuesday by California Workers & # 39; Compensation Institute.

Researchers at Oakland-based institutes reviewed discharge data compiled by the Office of Statewide Health Planning and Development on 35.9 million hospital stays from 2010 to 2019 paid for by work compensation, Medicare, the state medical doctor. Cal program and private insurance, to identify workers' trends in inpatient care.

The study showed that the number of workers who lost hospital stays during the ten-year period decreased by 36.2%, compared to a decrease in private coverage by 1

5.9%, an increase of 4% in Medicare and an increase of 14.5% in hospital care at Medi-Cal.

Researchers found that workers' skills are the smallest of the medical delivery systems examined, accounting for only 0.4% of all inpatient care in 2019, "which is not surprising given that it has only accounted for between 1.4% and 1.6% of California health care costs over the past decade.

The study showed that a key factor leading to a reduction in workers' outpatient care was the sharp decline in the number of injured workers receiving spinal cord mergers, which fell 53.1% between 2010 and 2019. This decline was accelerated by several factors highlighted in the report, including the adoption of use review and independent medical review programs requiring treatment to meet evidence-based drug standards, elimination of double payments for implantable devices used in spinal surgery, and fraudulent convictions that led to the sale of hospitals with large volumes of work components.

At the same time, the total number of occupational injury claims decreased and there were technical and procedural advances that enabled more services to be provided in outpatient settings, according to the study.

The study also stated that spinal fusions were not the only type of hospital care worker who saw a significant decline, as the number of lower extremity worker emissions decreased from 2,727 in 2014 to 2,140 in 2019, a net decrease of 21.5%. Catalog

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