Health care service use and costs for a cohort of high-needs elderly diabetic patients
| Autor: | Tatjana Baldovin, Riccardo Caberlotto, Roberto Toffanin, Umberto Bolzonella, Giulia Grotto, Stefano Rigon, Vincenzo Baldo, Alessandra Buja, Simona Fortunata Mafrici, Carlo Pinato |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Endocrinology Diabetes and Metabolism Health care service Population 030209 endocrinology & metabolism Pharmacy 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Health care Diabetes Mellitus Internal Medicine Humans Medicine 030212 general & internal medicine Medical diagnosis education Aged Retrospective Studies education.field_of_study Nutrition and Dietetics business.industry Diabetes comorbidities Health care service costs Health care service use Health Care Costs Health Services medicine.disease Comorbidity Family medicine Cohort Family Practice business Delivery of Health Care |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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