ArticleBMC public health2009
Validation of ACG Case-mix for equitable resource allocation in Swedish primary health care.
Article in BMC public health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
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- Identifying individuals with complex and long-term health-care needs using the Johns Hopkins Adjusted Clinical Groups System: A comparison of data from primary and specialist health care.Scandinavian journal of public health · 2024Article
- Inequity in access to digital public primary healthcare in Sweden: a cross-sectional study of the effects of urbanicity and socioeconomic status on utilization.International journal for equity in health · 2024Article
- Measuring the geographic disparity of comorbidity in commercially insured individuals compared to the distribution of physicians in South Africa.BMC primary care · 2022Article
- A bias evaluation checklist for predictive models and its pilot application for 30-day hospital readmission models.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Weight of Risk Factors for Adjusting Capitation in Primary Health Care: A Systematic Review.Medical journal of the Islamic Republic of Iran · 2022Review
- Cannabis use, other drug use, and risk of subsequent acute care in primary care patients.Drug and alcohol dependence · 2020Article
- Development and validation of the Cambridge Multimorbidity Score.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020Article
- Modified-Chronic Disease Score (M-CDS): Predicting the individual risk of death using drug prescriptions.PloS one · 2020Article
- Active listing and more consultations in primary care are associated with shorter mean hospitalisation and interacting with psychiatric disorders when adjusting for multimorbidity, age and sex.Scandinavian journal of primary health care · 2018Article
- Article
- Indication for pharmacological treatment is often lacking: a cross-sectional study on the quality of drug therapy among the elderly.BMC geriatrics · 2015Article
- Is use of fall risk-increasing drugs in an elderly population associated with an increased risk of hip fracture, after adjustment for multimorbidity level: a cohort study.BMC geriatrics · 2014Article
- Drugs prescribed by general practitioners according to age, gender and socioeconomic status after adjustment for multimorbidity level.BMC family practice · 2014Article
- Association between fee-for-service expenditures and morbidity burden in primary care.The European journal of health economics : HEPAC : health economics in prevention and care · 2014Article
- Importance of healthcare utilization and multimorbidity level in choosing a primary care provider in Sweden.Scandinavian journal of primary health care · 2014Article
- Can gender difference in prescription drug use be explained by gender-related morbidity?: a study on a Swedish population during 2006.BMC public health · 2014Article
- Licit prescription drug use in a Swedish population according to age, gender and socioeconomic status after adjusting for level of multi-morbidity.BMC public health · 2012Article
- Co-morbidity and health care utilisation five years prior to diagnosis for depression. A register-based study in a Swedish population.BMC public health · 2011Article
- Does the pharmacy expenditure of patients always correspond with their morbidity burden? Exploring new approaches in the interpretation of pharmacy expenditure.BMC public health · 2010Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdequate resource allocation is an important factor to ensure equity in health care. Previous reimbursement models have been based on age, gender and socioeconomic factors. An explanatory model based on individual need of primary health care (PHC) has not yet been used in Sweden to allocate resources. The aim of this study was to examine to what extent the ACG case-mix system could explain concurrent costs in Swedish PHC.
methodsDiagnoses were obtained from electronic PHC records of inhabitants in Blekinge County (approx. 150,000) listed with public PHC (approx. 120,000) for three consecutive years, 2004-2006. The inhabitants were then classified into six different resource utilization bands (RUB) using the ACG case-mix system. The mean costs for primary health care were calculated for each RUB and year. Using linear regression models and log-cost as dependent variable the adjusted R2 was calculated in the unadjusted model (gender) and in consecutive models where age, listing with specific PHC and RUB were added. In an additional model the ACG groups were added.
resultsGender, age and listing with specific PHC explained 14.48-14.88% of the variance in individual costs for PHC. By also adding information on level of co-morbidity, as measured by the ACG case-mix system, to specific PHC the adjusted R2 increased to 60.89-63.41%.
conclusionThe ACG case-mix system explains patient costs in primary care to a high degree. Age and gender are important explanatory factors, but most of the variance in concurrent patient costs was explained by the ACG case-mix system.
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