Health care service use and costs for a cohort of high-needs elderly diabetic patients.
Diabetes comorbidities
Health care service costs
Health care service use
Journal
Primary care diabetes
ISSN: 1878-0210
Titre abrégé: Prim Care Diabetes
Pays: England
ID NLM: 101463825
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
received:
10
09
2020
revised:
16
11
2020
accepted:
04
12
2020
pubmed:
29
12
2020
medline:
16
10
2021
entrez:
28
12
2020
Statut:
ppublish
Résumé
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. 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. 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. 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.
Identifiants
pubmed: 33358612
pii: S1751-9918(20)30336-3
doi: 10.1016/j.pcd.2020.12.002
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
397-404Informations de copyright
Copyright © 2020. Published by Elsevier Ltd.