Characteristics of High-Need, High-Cost Patients
| Autor: | Nancy D. Berkman, Eva Chang, Julie Seibert, Rania Ali |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Annals of Internal Medicine. 175:1728-1741 |
| ISSN: | 1539-3704 0003-4819 |
| DOI: | 10.7326/m21-4562 |
| Popis: | Accurately identifying high-need, high-cost (HNHC) patients to reduce their preventable or modifiable health care use for their chronic conditions is a priority and a challenge for U.S. policymakers, health care delivery systems, and payers.To identify characteristics and criteria to distinguish HNHC patients.Searches of multiple databases and gray literature from 1 January 2000 to 22 January 2022.English-language studies of characteristics and criteria to identify HNHC adult patients, defined as those with high use (emergency department, inpatient, or total services) or high cost.Independent, dual-review extraction and quality assessment.The review included 64 studies comprising multivariate exposure studies (Little evidence distinguished potentially preventable or modifiable health care use from overall use.A combination of characteristics can be useful for identifying HNHC patients. Because of the complexity of their conditions and circumstances, improving their quality of care will likely also require an individualized assessment of care needs and availability of support services.Agency for Healthcare Research and Quality. (PROSPERO: CRD42020161179). |
| Databáze: | OpenAIRE |
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