Relationship between efficiency and clinical effectiveness indicators in an adjusted model of resource consumption: a cross-sectional study

Violán, Concepción; Plana‐Ripoll, Oleguer; Foguet-Boreu, Quintí; Bolíbar, Bonaventura; Aguado, Alba; Navarro‐Artieda, Ruth; Velasco-Velasco, Soledad; Sicras‐Mainar, Antoni

doi:10.1186/1472-6963-13-421

Cited by 5 publications

(1 citation statement)

References 22 publications

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“…In a study conducted in Spain in a reference primary care population of 200 000 laboratory tests were requested in 32% of visits, radiology tests in 15.4% and referrals to other specialists in 8.9%. 15 However, there are no studies from which to estimate standardized rates of test or referral requests adjusted by patient complexity in hospital specialties.…”

Section: Discussionmentioning

confidence: 99%

The value of telephone consultations during COVID-19 pandemic. An observational study

Pérez

Martín-Escalante

Olalla

et al. 2021

QJM: An International Journal of Medicine

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Background many Spanish hospitals converted scheduled in-person visits to telephone visits during the COVID-19 lockdown. There is scarce information about the performance of those visits. Aim to compare telephone visits during the COVID-19 lockdown period with previous in-person visits Design retrospective descriptive study. Methods telephone visits from 15 March to 31 May 2020 were compared with in-person visits during the same period in 2019. Main Measures the proportions of both groups were compared in term of failure to contact patient, requested diagnostic tests/referrals, discharges, admissions, and emergency visits within 30-60 days. A sample of patients, and all participating physicians completed surveys. Z-score test was used (statistical significance p < 0.05). Results 5602 telephone visits were conducted. In comparison to in-person visits, telephone visits showed higher rates of visit compliance (95.9% vs 85.2%, p < 0.001) and discharges (22.12% vs 11.82%; p < 0.001), and lower number of ancillary tests and referrals. During the 30-day and 60-day period following the telephone visit a reduction of 52% and 47% in the combined number of emergency department visits and hospital admissions was observed compared to in-person visits (p < 0.01). Of the 120 patients surveyed, 95% were satisfied/very satisfied with the telephone visits. Of the 26 physicians, 84.6% considered telephone visits were useful to prioritise patients. Conclusions during health emergencies, previously scheduled outpatient in-person visits can be converted to telephone visits, reducing absenteeism, increasing the rate of discharges, and reducing ancillary tests and referrals without increasing the rate of hospital admissions or emergency department visits.s

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Section: Discussionmentioning

confidence: 99%

The value of telephone consultations during COVID-19 pandemic. An observational study

Pérez

Martín-Escalante

Olalla

et al. 2021

QJM: An International Journal of Medicine

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A systematic review of risk stratification tools internationally used in primary care settings

Girwar

Jabroer

Fiocco

et al. 2021

Health Science Reports

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Background and Aims In our current healthcare situation, burden on healthcare services is increasing, with higher costs and increased utilization. Structured population health management has been developed as an approach to balance quality with increasing costs. This approach identifies sub‐populations with comparable health risks, to tailor interventions for those that will benefit the most. Worldwide, the use of routine healthcare data extracted from electronic health registries for risk stratification approaches is increasing. Different risk stratification tools are used on different levels of the healthcare continuum. In this systematic literature review, we aimed to explore which tools are used in primary healthcare settings and assess their performance. Methods We performed a systematic literature review of studies applying risk stratification tools with health outcomes in primary care populations. Studies in Organisation for Economic Co‐operation and Development countries published in English‐language journals were included. Search engines were utilized with keywords, for example, “primary care,” “risk stratification,” and “model.” Risk stratification tools were compared based on different measures: area under the curve (AUC) and C‐statistics for dichotomous outcomes and R 2 for continuous outcomes. Results The search provided 4718 articles. Specific election criteria such as primary care populations, generic health utilization outcomes, and routinely collected data sources identified 61 articles, reporting on 31 different models. The three most frequently applied models were the Adjusted Clinical Groups (ACG, n = 23), the Charlson Comorbidity Index (CCI, n = 19), and the Hierarchical Condition Categories (HCC, n = 7). Most AUC and C‐statistic values were above 0.7, with ACG showing slightly improved scores compared with the CCI and HCC (typically between 0.6 and 0.7). Conclusion Based on statistical performance, the validity of the ACG was the highest, followed by the CCI and the HCC. The ACG also appeared to be the most flexible, with the use of different international coding systems and measuring a wider variety of health outcomes.

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Determining the Associations Between Glucocorticoid Use During Hematologic Chemotherapy Treatment and New-onset Diabetes and Hyperglycemia and Mortality: A Population-based Cohort Study

Moore-Vasram,

Sawhney,

Houlden

et al. 2024

Canadian Journal of Diabetes

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Relationship between efficiency and clinical effectiveness indicators in an adjusted model of resource consumption: a cross-sectional study

Cited by 5 publications

References 22 publications

The value of telephone consultations during COVID-19 pandemic. An observational study

The value of telephone consultations during COVID-19 pandemic. An observational study

A systematic review of risk stratification tools internationally used in primary care settings

Determining the Associations Between Glucocorticoid Use During Hematologic Chemotherapy Treatment and New-onset Diabetes and Hyperglycemia and Mortality: A Population-based Cohort Study

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