Literature DB >> 17470464

Adjusted Clinical Groups use as a measure of the referrals efficiency from primary care to specialized in Spain.

Antoni Sicras-Mainar1, Josep Serrat-Tarrés, Ruth Navarro-Artieda, Rosa Llausí-Sellés, Ignasi Ruano-Ruano, Josep Antón González-Ares.   

Abstract

BACKGROUND: To determine the referral rate (RR) per centre, its main causes and the adjusted efficiency indexes, through the retrospective implementation of the Adjusted Clinical Groups (ACG) in a Spanish primary care setting.
METHODS: Design descriptive-retrospective study. Attended patients by five primary care teams (PCT) during the year 2004 were included. General parameters, age, gender, dependent (visits and episodes), and comorbidity of each patient relative to each ACG are used as measures. The RR was defined as the quotient between the number of referrals and the visits made. Efficiency Index (EI) was established dividing the observed by the expected referrals obtained by indirect standardization. Statistical significance P<0.05.
RESULTS: Studied patients 81,335 (use: 76.9%), 5.0+/-3.6 episodes and 7.9+/-7.8 visits/patient/year. Percentage of visits with a referral, adjusted for morbidity burden, was 7.5% (CI: 7.3-7.7); age: 48.3+/-22.7 years (women: 55.9%), P=0.000. The average of referrals was of 59.6 per 100 attended patients/year (P=0.000). Visits and episodes explain 34.1-68.1%, respectively (P=0.000), the explanatory power of the classification's variability was of 23.6% (P=0.0001). EI per centre were: 0.95 (CI: 0.82-1.08); 0.78 (CI: 0.63-0.93); 0.88 (CI: 0.73-1.03); 1.15 (CI: 1.03-1.27) and 1.08 (CI: 0.95-1.21), P=0.034 (family practice); and 0.83 (CI: 0.70-0.96); 0.83 (CI: 0.68-0.98); 0.84 (CI: 0.70-0.98); 1.24 (CI: 1.12-1.36) and 1.16 (CI: 1.03-1.29), P=0.041 (paediatrics), respectively.
CONCLUSIONS: Adjusted morbidity by ACG explains an important part of the referrals variability. The study results must be interpreted cautiously even after adjustment by age, gender and morbidity. Should the results be confirmed, it would allow an improvement in the measurement of referrals for clinical management in the PCT.

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Year:  2007        PMID: 17470464     DOI: 10.1093/eurpub/ckm044

Source DB:  PubMed          Journal:  Eur J Public Health        ISSN: 1101-1262            Impact factor:   3.367


  8 in total

1.  [Comparison of three methods for measuring multiple morbidity according to the use of health resources in primary healthcare].

Authors:  Antoni Sicras-Mainar; Soledad Velasco-Velasco; Ruth Navarro-Artieda; Milagrosa Blanca Tamayo; Alba Aguado Jodar; Amador Ruíz Torrejón; Alexandra Prados-Torres; Concepción Violan-Fors
Journal:  Aten Primaria       Date:  2011-10-19       Impact factor: 1.137

2.  Ambulatory care provided by office-based specialists in the United States.

Authors:  Jose M Valderas; Barbara Starfield; Christopher B Forrest; Bonnie Sibbald; Martin Roland
Journal:  Ann Fam Med       Date:  2009 Mar-Apr       Impact factor: 5.166

3.  Incentive-Based Primary Care: Cost and Utilization Analysis.

Authors:  Marcus J Hollander; Helena Kadlec
Journal:  Perm J       Date:  2015-08-05

4.  Adaptive capacity of the Adjusted Clinical Groups Case-Mix System to the cost of primary healthcare in Catalonia (Spain): a observational study.

Authors:  Antoni Sicras-Mainar; Soledad Velasco-Velasco; Ruth Navarro-Artieda; Alexandra Prados-Torres; Buenaventura Bolibar-Ribas; Concepción Violan-Fors
Journal:  BMJ Open       Date:  2012-06-25       Impact factor: 2.692

5.  Variability in Healthcare Expenditure According to the Stratification of Adjusted Morbidity Groups in the Canary Islands (Spain).

Authors:  Maria Consuelo Company-Sancho; Víctor M González-Chordá; María Isabel Orts-Cortés
Journal:  Int J Environ Res Public Health       Date:  2022-04-01       Impact factor: 3.390

6.  The relationship between effectiveness and costs measured by a risk-adjusted case-mix system: multicentre study of Catalonian population data bases.

Authors:  Antoni Sicras-Mainar; Ruth Navarro-Artieda; Milagrosa Blanca-Tamayo; Soledad Velasco-Velasco; Esperanza Escribano-Herranz; Josep Ramon Llopart-López; Concepción Violan-Fors; Josep Maria Vilaseca-Llobet; Encarna Sánchez-Fontcuberta; Jaume Benavent-Areu; Ferran Flor-Serra; Alba Aguado-Jodar; Daniel Rodríguez-López; Alejandra Prados-Torres; Jose Estelrich-Bennasar
Journal:  BMC Public Health       Date:  2009-06-25       Impact factor: 3.295

7.  Relationship between efficiency and clinical effectiveness indicators in an adjusted model of resource consumption: a cross-sectional study.

Authors:  Concepción Violán; Oleguer Plana-Ripoll; Quintí Foguet-Boreu; Bonaventura Bolíbar; Alba Aguado; Ruth Navarro-Artieda; Soledad Velasco-Velasco; Antoni Sicras-Mainar
Journal:  BMC Health Serv Res       Date:  2013-10-18       Impact factor: 2.655

Review 8.  A systematic review of risk stratification tools internationally used in primary care settings.

Authors:  Shelley-Ann M Girwar; Robert Jabroer; Marta Fiocco; Stephen P Sutch; Mattijs E Numans; Marc A Bruijnzeels
Journal:  Health Sci Rep       Date:  2021-07-23
  8 in total

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