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.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.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.doi http://dx.doi.org/10.5334/ijic.2422
- dc.identifier.issn 1568-4156
- dc.identifier.uri http://hdl.handle.net/10230/58345
- 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.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Costs and cost analysis
- dc.subject.keyword Delivery of health care
- dc.subject.keyword Integrated
- dc.subject.keyword Risk assessment
- 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.type.version info:eu-repo/semantics/publishedVersion