Literature DB >> 10730452

[A proposal for capitation payment, based on age, chronicity, and gender, using management databases].

A Brugos Larumbe1, E Lorenzo Vello, M Juanenea Beraza, M J Lezáun Larumbe, F Guillén Grima, C Fernández Martínez de Alegría.   

Abstract

OBJECTIVES: To propose a case-mix methodology for primary care, based on chronicity, type and age. To describe the explanatory value of these variables in the variability of the medical case-load.
DESIGN: Observation, descriptive and retrospective study.
SETTING: Primary care. Rochapea Health Centre, Pamplona.
MATERIAL AND METHODS: Computer records of all the consultations between January 1996 and June 1997. Dependent variable: case-load. INDEPENDENT VARIABLES: age, type, chronic pathologies (diabetes, lipaemia, chronic neurological diseases, COPD-asthma, chronic psychiatric illnesses, cardiopathy, hypertension, alcohol and other drug abuse). The Kruskal-Wallis test was used to compare work-loads by age groups; and multiple linear regression analysis to calculate the predictive power of the independent variables.
RESULTS: Significant differences were observed for age groups. In the multivariate model used for general practitioners, all the variables could be included. They explained 24.2% of the variability in work load (R2). For paediatricians, age and asthma, explaining 23.48%, could also be included.
CONCLUSIONS: Age, type and chronicity are useful variables for predicting case load from administrative data bases. They can be used in adjustments for case load applicable to capitation payment systems.

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Year:  2000        PMID: 10730452     DOI: 10.1016/s0212-6567(00)78456-3

Source DB:  PubMed          Journal:  Aten Primaria        ISSN: 0212-6567            Impact factor:   1.137


  1 in total

1.  Risk adjustment and primary health care in Chile.

Authors:  Veronica Vargas; Juergen Wasem
Journal:  Croat Med J       Date:  2006-06       Impact factor: 1.351

  1 in total

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