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Analysing the costs of integrated care: a case on model selection for chronic care purposes

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dc.contributor.author Carreras, Marc
dc.contributor.author Sánchez-Pérez, Inma
dc.contributor.author Ibern Regàs, Pere
dc.contributor.author Coderch, Jordi
dc.contributor.author Inoriza, José María
dc.date.accessioned 2023-11-21T06:54:30Z
dc.date.available 2023-11-21T06:54:30Z
dc.date.issued 2016
dc.identifier.citation Carreras M, Sánchez-Pérez I, Ibern P, Coderch J, Inoriza JM. Analysing the costs of integrated care: a case on model selection for chronic care purposes. International Journal of Integrated Care. 2016 Aug 19;16(3):10. DOI: 10.5334/ijic.2422
dc.identifier.issn 1568-4156
dc.identifier.uri http://hdl.handle.net/10230/58345
dc.description.abstract Background: The objective of this study is to investigate whether the algorithm proposed by Manning and Mullahy, a consolidated health economics procedure, can also be used to estimate individual costs for different groups of healthcare services in the context of integrated care. Methods: A cross-sectional study focused on the population of the Baix Empordà (Catalonia-Spain) for the year 2012 (N = 92,498 individuals). A set of individual cost models as a function of sex, age and morbidity burden were adjusted and individual healthcare costs were calculated using a retrospective full-costing system. The individual morbidity burden was inferred using the Clinical Risk Groups (CRG) patient classification system. Results: Depending on the characteristics of the data, and according to the algorithm criteria, the choice of model was a linear model on the log of costs or a generalized linear model with a log link. We checked for goodness of fit, accuracy, linear structure and heteroscedasticity for the models obtained. Conclusion: The proposed algorithm identified a set of suitable cost models for the distinct groups of services integrated care entails. The individual morbidity burden was found to be indispensable when allocating appropriate resources to targeted individuals.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Ubiquity Press
dc.relation.ispartof International Journal of Integrated Care. 2016 Aug 19;16(3):10
dc.rights © 2016 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.title Analysing the costs of integrated care: a case on model selection for chronic care purposes
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.5334/ijic.2422
dc.subject.keyword Costs and cost analysis
dc.subject.keyword Delivery of health care
dc.subject.keyword Integrated
dc.subject.keyword Risk assessment
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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