[Adjusted Clinical Groups as a risk assessment model for healthcare resource allocation]. / Aplicación de grupos clínicos ajustados como herramienta de ajuste de riesgo: evaluación en la distribución de recursos en programa de enfermedades crónicas.
Rev Med Chil
; 142(2): 153-60, 2014 Feb.
Article
en Es
| MEDLINE
| ID: mdl-24953102
ABSTRACT
BACKGROUND:
There is increasing interest in the study and improvement of health system resource allocation. The Adjusted Clinical Groups (ACG) System measures the morbidity burden of patient populations based on disease patterns, age and gender. This system can be used in primary health care settings.AIM:
To report the use of the ACG system as a risk based patient classification system and its potential as a resource allocation mechanism in primary health care. MATERIAL ANDMETHODS:
Patient diagnoses from a sample of primary care establishments were processed using the Johns Hopkins ACG System. Linear regressions were used to measure the ACG System's ability to explain resource use and ambulatory visit rates.RESULTS:
The ACG System had a statistically significant capacity to explain primary health care costs with an adjusted R² of 0.26. These results are significantly better, compared with risk assessment models based on patients' age and sex, whose adjusted R² is 0.05.CONCLUSIONS:
The use of risk adjustment mechanisms will contribute to improve health care resource allocation as well to know the disease profile of the population.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Atención Primaria de Salud
/
Grupos Diagnósticos Relacionados
/
Asignación de Recursos
Tipo de estudio:
Etiology_studies
/
Evaluation_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Male
País/Región como asunto:
America do sul
/
Chile
Idioma:
Es
Revista:
Rev Med Chil
Año:
2014
Tipo del documento:
Article