Categorising high-cost high-need children and young people
| Autor: | Rakhee Shah, Thomas Beaney, Kathryn Marszalek, Dasha Nicholls, Dougal S Hargreaves, Sarah R Deeny, Nikita Punjabi |
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| Přispěvatelé: | National Institute for Health Research |
| Rok vydání: | 2021 |
| Předmět: |
Male
Mental Health Services medicine.medical_specialty Adolescent Population Social Welfare Pediatrics 1117 Public Health and Health Services Health care Epidemiology medicine Humans education Child Retrospective Studies education.field_of_study Science & Technology Inpatient care business.industry Health services research Retrospective cohort study 1103 Clinical Sciences Health Care Costs CARE Patient Acceptance of Health Care Mental health health services research Hospitalization health care economics and organizations Pediatrics Perinatology and Child Health 1114 Paediatrics and Reproductive Medicine epidemiology Female business Life Sciences & Biomedicine Delivery of Health Care Demography |
| Zdroj: | Archives of disease in childhood. 107(4) |
| ISSN: | 1468-2044 |
| Popis: | ObjectivesTo describe the characteristics of high-cost high-need children and young people (CYP) (0–24 years) in England.MethodsRetrospective observational study using data from the Clinical Practice Research Database linked to Hospital Episode Statistics in 2014/2015 and 2015/2016. Healthcare utilisation of primary and secondary care services were calculated, and costs were estimated using Healthcare Resource Group for secondary care and Personal Social Services Research Unit for primary care. High-cost high-need CYP were defined as the top 5% of users by cost.Results3891 of 73 392 CYP made up the top 5% that were classified as high-cost high-need, and this group accounted for 54% of total annual costs. In this population, 7.3% were males ConclusionsThese findings indicate the importance of further understanding and anticipating trends in CYP health spending to optimise care, reduce costs and inform new models of care. This includes integrated services, a further look into societal factors in reducing health inequalities and a particular focus of mental health services, the demand of which increases with age. |
| Databáze: | OpenAIRE |
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