Evidence map›Paper›PMID 27276172›Full record

Observational studyRevista espanola de salud publica2016

[Impact of Morbidity on Health Care Costs of a Department of Health through Clinical Risk Groups. Valencian Community, Spain].

Vicent Caballer Tarazona, Natividad Guadalajara Olmeda, David Vivas Consuelo, Antonio Clemente Collado

Abstract readObservational Study
In one paragraph

Observational study in Revista espanola de salud publica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Observational
  5. Observational
  6. Morbidity and health costs: Towards a Benchmarking?Revista espanola de salud publica · 2016
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Vicent Caballer TarazonaCentro de Ingeniería Económica. Universitat Politècnica de València. Valencia.
Natividad Guadalajara OlmedaCentro de Ingeniería Económica. Universitat Politècnica de València. Valencia.nguadala@omp.upv.es.
David Vivas ConsueloCentro de Ingeniería Económica. Universitat Politècnica de València. Valencia.
Antonio Clemente ColladoHospital Marina Salud. Denia. Alicante..

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRisk adjustment systems based on diagnosis stratify the population according to the observed morbidity. The aim of this study was to analyze the total health expenditure in a health area, relating to age, gender and morbidity observed in the population.

methodsObservational cross-sectional study of population and area of health care costs in the Health District of Denia-Marina Salud (Alicante) in 2013. Population (N=156,811) were stratified by Clinical Risk Groups into 9 states of health, state 1 being healthy, and state 9 the highest disease burden. Each inhabitant was charged with the hospital costs, primary care and outpatient pharmacy to obtain the total costs. Health status and severity by age and gender, as well as the costs of each group were analysed. The statistical tests, student t and χ2 were applied to verify the existence of significant differences between and intra groups.

resultsThe average cost per inhabitant was 983 euros which increased from 240 euros to 42,881 at the state 9 and severity level 6. Patients of health states 5 and 6 caused the largest expenditure by concentration of the population, but health states 8 and 9 had the highest average expenditure, with 80% of hospitalised cost.

conclusionsA different composition of health expenditure per individual morbidity was corroborated, with an exponential growth in hospital spending.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsChildChild, PreschoolCosts and Cost AnalysisCross-Sectional StudiesDelivery of Health CareFemaleHealth Care CostsHealth ExpendituresHealth StatusHospital CostsHumansCommunity Health PlanningCost analysisEconomics, PharmaceuticalEmergency Service, HospitalHealths EconomicsHospital CostsMorbidityPrimary health careRisk AdjustmentSpain

Identifiers

PMID27276172
PMCPMC11587373

What OpenQuestion holds

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Registered trials

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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.