ArticleInternational journal for equity in health2013
Targeting patients for multimorbid care management interventions: the case for equity in high-risk patient identification.
Article in International journal for equity in health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Screening for markers of frailty and perceived risk of adverse outcomes using the Risk Instrument for Screening in the Community (RISC).BMC geriatrics · 2014Trial
- Article
- When the Process Is the Problem: Racial/Ethnic and Language Disparities in Care Management.Journal of racial and ethnic health disparities · 2023Article
- Challenges in predicting future high-cost patients for care management interventions.BMC health services research · 2023Article
- Defining Complex Patient Populations: Implications for Population Size, Composition, Utilization, and Costs.Journal of general internal medicine · 2022Article
- Development and Evaluation of a Clinic for Elderly Patients with Rheumatoid Arthritis and Multimorbidity: A Pilot Study.ACR open rheumatology · 2021Article
- Personalized Health Systems-Past, Present, and Future of Research Development and Implementation in Real-Life Environment.Frontiers in medicine · 2019Review
- Identifying High-Cost, High-Risk Patients Using Administrative Databases in Tuscany, Italy.BioMed research international · 2017Article
- Investigating the feasibility, acceptability and appropriateness of outreach case management in an urban Aboriginal and Torres Strait Islander primary health care service: a mixed methods exploratory study.BMC health services research · 2016Article
- Improving the care of people with long-term conditions in primary care: protocol for the ENHANCE pilot trial.Journal of comorbidity · 2015Article
- A qualitative study on clinicians' perceptions about the implementation of a population risk stratification tool in primary care practice of the Basque health service.BMC family practice · 2014Article
- Multimorbidity and equity in health.International journal for equity in health · 2013Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Targeting patients for multimorbid care management interventions requires accurate and comprehensive assessment of patients' need in order to direct resources to those who need and can benefit from them the most. Multimorbid patient selection is complicated due to the lack of clear criteria--unlike disease management programs for which patients with a specific condition are identified. This ambiguity can potentially result in inequitable selection, as biases in selection may differentially affect patients from disadvantaged population groups. Patient selection could in principal be performed in three ways: physician referral, patient screening surveys, or by statistical prediction algorithms. This paper discusses equity issues related to each method. We conclude that each method may result in inequitable selection and bias, such as physicians' attentiveness or familiarity, or prediction models' reliance on prior resource use, potentially affected by socio-cultural and economic barriers. These biases should be acknowledged and dealt with. We recommend combining patient selection approaches to achieve high care sensitivity, efficiency and equity.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.