...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Canadian Medical Association Journal: Journal de l'Association Medicale Canadienne >A 3-year study of high-cost users of health care
【24h】

A 3-year study of high-cost users of health care

机译：三年的研究,高成本的医疗保健的用户

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Characterizing high-cost users of health care resources is essential for the development of appropriate interventions to improve the management of these patients. We sought to determine the concentration of health care spending, characterize demographic characteristics and clinical diagnoses of high-cost users and examine the consistency of their health care consumption over time. Methods: We conducted a retrospective analysis of all residents of Ontario, Canada, who were eligible for publicly funded health care between 2009 and 2011. We estimated the total attributable government health care spending for every individual in all health care sectors. Results: More than $30 billion in annual health expenditures, representing 75% of total government health care spending, was attributed to individual costs. One-third of high-cost users (individuals with the highest 5% of costs) in 2009 remained in this category in the subsequent 2 years. Most spending among high-cost users was for institutional care, in contrast to lower-cost users, among whom spending was predominantly for ambulatory care services. Costs were far more concentrated among children than among older adults. The most common reasons for hospital admissions among high-cost users were chronic diseases, infections, acute events and palliative care. Interpretation: Although high health care costs were concentrated in a small minority of the population, these related to a diverse set of patient health care needs and were incurred in a wide array of health care settings. Improving the sustainability of the health care system through better management of high-cost users will require different tactics for different high-cost populations.
机译：背景:高成本的用户特征医疗资源是至关重要的开发适当的干预措施改善这些患者的管理。试图确定健康的浓度保健支出,人口特征特点和临床诊断高成本的用户和检查的一致性随着时间的推移他们的医疗保健消费。我们进行了一项回顾性分析加拿大安大略省的居民,他们的资格公共资金资助的卫生保健和2009之间2011. 政府医疗支出为每个个人所有卫生保健领域。超过300亿美元的年度健康支出,占总量的75%政府医疗支出,是由于个人成本。(个人最高的5%的成本)在随后的2009年仍在这一类2年。机构照顾,与低成本用户,其中主要支出门诊服务。集中在孩子比老年人当中成年人。招生在高成本的用户是慢性的疾病、感染、急性事件和缓和护理。集中在一小部分成本人口,这些相关的多样化病人的卫生保健需求和发生在广泛的医疗保健设置。卫生保健系统的可持续性更好的管理的高成本的用户需要不同的策略不同的高成本人群。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号