Strategy for proactive integrated care for high-risk, high-cost patients/Estrategia de atención proactiva integrada a pacientes en riesgo de alto consumo de recursos

Berruezo, Xavier Pérez; Oliveras, Marc Pérez; Belzulce, José María Inoriza; Jiménez, Annabel Ibáñez; Sánchez, Irene Sánchez; Lassaletta, Jordi Coderch de

doi:10.5334/ijic.873

Cited by 1 publication

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“…individual cost above the 95th percentile according to a logistic regression [15]. Individuals identified as potential high consumers are included in target lists, which are then delivered to the corresponding general practitioner [34]. Unfortunately, the model is unable to detail which specific costs and healthcare resources according to patient morbidity are required.…”

Section: Discussionmentioning

confidence: 99%

Analysing the Costs of Integrated Care: A Case on Model Selection for Chronic Care Purposes

Carreras

Sánchez-Pérez

Ibern

et al. 2016

International Journal of Integrated Care

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Background:The objective of this study is to investigate whether the algorithm proposed by Manning and Mullahy, a consolidated health economics procedure, can also be used to estimate individual costs for different groups of healthcare services in the context of integrated care.Methods:A cross-sectional study focused on the population of the Baix Empordà (Catalonia-Spain) for the year 2012 (N = 92,498 individuals). A set of individual cost models as a function of sex, age and morbidity burden were adjusted and individual healthcare costs were calculated using a retrospective full-costing system. The individual morbidity burden was inferred using the Clinical Risk Groups (CRG) patient classification system.Results:Depending on the characteristics of the data, and according to the algorithm criteria, the choice of model was a linear model on the log of costs or a generalized linear model with a log link. We checked for goodness of fit, accuracy, linear structure and heteroscedasticity for the models obtained.Conclusion:The proposed algorithm identified a set of suitable cost models for the distinct groups of services integrated care entails. The individual morbidity burden was found to be indispensable when allocating appropriate resources to targeted individuals.

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Section: Discussionmentioning

confidence: 99%