ArticleBMJ open2016
Proposals for enhanced health risk assessment and stratification in an integrated care scenario.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.
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Who cites it
44 citing papers in PubMed.
- A Practice-Proven Adaptive Case Management Approach for Innovative Health Care Services (Health Circuit): Cluster Randomized Clinical Pilot and Descriptive Observational Study.Journal of medical Internet research · 2023Trial
- Ten-year population-based assessment of multimorbidity burden progression in a regional cohort of 5.5 million adults.NPJ digital medicine · 2026Article
- A 25-Year Retrospective of Health IT Infrastructure Building: The Example of the Catalonia Region.Journal of medical Internet research · 2024Article
- Applicability of the adjusted morbidity groups algorithm for healthcare programming: results of a pilot study in Italy.BMC public health · 2024Article
- Multicentric Assessment of a Multimorbidity-Adjusted Disability Score to Stratify Depression-Related Risks Using Temporal Disease Maps: Instrument Validation Study.Journal of medical Internet research · 2024Article
- The value of admission avoidance: cost-consequence analysis of one-year activity in a consolidated service.Cost effectiveness and resource allocation : C/E · 2024Article
- Economic impact of inflammatory bowel disease in Catalonia: a population-based analysis.Therapeutic advances in gastroenterology · 2024Article
- Prevention of Unplanned Hospital Admissions in Multimorbid Patients Using Computational Modeling: Observational Retrospective Cohort Study.Journal of medical Internet research · 2023Observational
- Incidence and Determinants of COVID-19 in Patients Seeking Treatment for Substance Use Disorder: A Patient-Based Linkage Study.European addiction research · 2023Observational
- Evolving mortality and clinical outcomes of hospitalized subjects during successive COVID-19 waves in Catalonia, Spain.Global epidemiology · 2022Article
- Reduced humoral response 3 months following BNT162b2 vaccination in SARS-CoV-2 uninfected residents of long-term care facilities.Age and ageing · 2022Article
- Development and validation of a population-based risk stratification model for severe COVID-19 in the general population.Scientific reports · 2022Article
- Use of hospital care services by chronic patients according to their characteristics and risk levels by adjusted morbidity groups.PloS one · 2022Article
- Adjusted Morbidity Groups and Intracerebral Haemorrhage: A Retrospective Primary Care Cohort Study.International journal of environmental research and public health · 2021Article
- Observational
- Performance of quantitative measures of multimorbidity: a population-based retrospective analysis.BMC public health · 2021Article
- Characteristics and Service Utilization by Complex Chronic and Advanced Chronic Patients in Catalonia: A Retrospective Seven-Year Cohort-Based Study of an Implemented Chronic Care Program.International journal of environmental research and public health · 2021Article
- A systematic review of risk stratification tools internationally used in primary care settings.Health science reports · 2021Review
- Guided Internet-Based Cognitive Behavioral Therapy for Depression: Implementation Cost-Effectiveness Study.Journal of medical Internet research · 2021Article
- Clustering Complex Chronic Patients: A Cross-Sectional Community Study From the General Practitioner's Perspective.International journal of integrated care · 2021Article
Corrections and comments
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Authors and funding
27 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPopulation-based health risk assessment and stratification are considered highly relevant for large-scale implementation of integrated care by facilitating services design and case identification. The principal objective of the study was to analyse five health-risk assessment strategies and health indicators used in the five regions participating in the Advancing Care Coordination and Telehealth Deployment (ACT) programme (http://www.act-programme.eu). The second purpose was to elaborate on strategies toward enhanced health risk predictive modelling in the clinical scenario. SETTINGS: The five ACT regions: Scotland (UK), Basque Country (ES), Catalonia (ES), Lombardy (I) and Groningen (NL).
participantsResponsible teams for regional data management in the five ACT regions. PRIMARY AND SECONDARY OUTCOME MEASURES: We characterised and compared risk assessment strategies among ACT regions by analysing operational health risk predictive modelling tools for population-based stratification, as well as available health indicators at regional level. The analysis of the risk assessment tool deployed in Catalonia in 2015 (GMAs, Adjusted Morbidity Groups) was used as a basis to propose how population-based analytics could contribute to clinical risk prediction.
resultsThere was consensus on the need for a population health approach to generate health risk predictive modelling. However, this strategy was fully in place only in two ACT regions: Basque Country and Catalonia. We found marked differences among regions in health risk predictive modelling tools and health indicators, and identified key factors constraining their comparability. The research proposes means to overcome current limitations and the use of population-based health risk prediction for enhanced clinical risk assessment.
conclusionsThe results indicate the need for further efforts to improve both comparability and flexibility of current population-based health risk predictive modelling approaches. Applicability and impact of the proposals for enhanced clinical risk assessment require prospective evaluation.
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