Health care service use and costs for a cohort of high-needs elderly diabetic patients.
Aims: To describe the impact of diabetes comorbidities on the health care services use and costs of a cohort of elderly patients with diabetes and high health care needs (HHCN), based on real-world data.Methods: We focused on a cohort of diabetic patients with HHCN belonging to Resource Utilization...
| Publicado en: | Primary Care Diabetes Vol. 15; no. 2; pp. 397 - 405 |
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| Autores principales: | , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Elsevier B.V.
Apr2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149013710&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149013710 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17519918 3A08 jtl: Primary Care Diabetes issn: 17519918 maglogo: N pubinfo: dt: Apr2021 vid: 15 iid: 2 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 149013710 149013710 NLM33358612 10.1016/j.pcd.2020.12.002 NLM33358612 149013710 ppf: 397 ppct: 8 formats: tig: atl: Health care service use and costs for a cohort of high-needs elderly diabetic patients. aug: au: Buja, Alessandra Caberlotto, Riccardo Pinato, Carlo Mafrici, Simona Fortunata Bolzonella, Umberto Grotto, Giulia Baldovin, Tatjana Rigon, Stefano Toffanin, Roberto Baldo, Vincenzo affil: Department of Cardiologic, Vascular, and Thoracic Sciences, and Public Health, University of Padua, Padova, Italy sug: subj: Health Care Costs Diabetes Mellitus Epidemiology Diabetes Mellitus Diagnosis Diabetes Mellitus Therapy Health Care Delivery Health Services Aged Retrospective Design Impact of Events Scale Scales Arthritis Impact Measurement Scales Aged: 65+ years ab: Aims: To describe the impact of diabetes comorbidities on the health care services use and costs of a cohort of elderly patients with diabetes and high health care needs (HHCN), based on real-world data.Methods: We focused on a cohort of diabetic patients with HHCN belonging to Resource Utilization Bands 4 and 5 according to the Adjusted Clinical Group (ACG) system. Their comorbidities were assessed using the clinical diagnoses that the ACG system assigns to single patients by combining different information flows. Regression models were applied to analyze the associations between comorbidities and health care service use or costs, adjusting for age and sex.Results: Our analyses showed that all health care service usage measures (e.g. access to emergency care; number of outpatient visits) and the total annual costs and pharmacy costs are associated significantly with comorbidity class. Instead, no differences in hospitalization rates by comorbidity class were revealed.Conclusion: The association between a larger number of comorbidities and higher total health care service usage and costs was seen mainly for primary care services. This underscores the need to strengthen primary care for today's aging and multimorbid population. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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