Aplicación de grupos clínicos ajustados como herramienta de ajuste de riesgo: evaluación en la distribución de recursos en programa de enfermedades crónicas / Adjusted Clinical Groups as a risk assessment model for healthcare resource allocation
Rev. méd. Chile
; 142(2): 153-160, feb. 2014. tab
Article
em Es
| LILACS
| ID: lil-710982
Biblioteca responsável:
CL1.1
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Atenção Primária à Saúde
/
Grupos Diagnósticos Relacionados
/
Alocação de Recursos
Tipo de estudo:
Etiology_studies
/
Evaluation_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
País/Região como assunto:
America do sul
/
Chile
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Chile
País de publicação:
Chile