ArticleRevista espanola de salud publica2019
[Health services utilization in Primary Care in patients with chronic conditions according to risk levels].
Article in Revista espanola de salud publica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Primary Care Utilization and Prehospital Emergency Demand Among Patients with Multimorbidity in Spain.Nursing reports (Pavia, Italy) · 2025Article
- A New Primary Care Model Based on Population Needs: A Nationwide Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2025Article
- Primary care utilisation in different patients' profiles with cardiovascular risk factors.BMC health services research · 2025Observational
- Discharge Follow-Up of Patients in Primary Care Does Not Meet Their Care Needs: Results of a Longitudinal Multicentre Study.Nursing reports (Pavia, Italy) · 2024Article
- Predicting healthcare expenditure based on Adjusted Morbidity Groups to implement a needs-based capitation financing system.Health economics review · 2024Article
- Prevalence of Steinert's Myotonic Dystrophy and Utilization of Healthcare Services: A Population-Based Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Use of health services and medication use, new comorbidities, and mortality in patients with chronic diseases who did not contract COVID-19 during the first year of the pandemic: a retrospective study and comparison by sex.BMC health services research · 2023Observational
- Differences in healthcare service utilization in patients with polypharmacy according to their risk level by adjusted morbidity groups: a population-based cross-sectional study.Journal of pharmaceutical policy and practice · 2023Article
- The effect of older population on public health spending: Evidence from Spain.Health care science · 2023Article
- Worsening of alcohol abuse disorder in a Spanish population during the first twelve months of the COVID-19 pandemic and associated factors: retrospective, ecological and community study.BMC psychiatry · 2023Observational
- Adjusted morbidity groups and survival: a retrospective cohort study of primary care patients with chronic conditions.BMC primary care · 2023Observational
- Situation of the Elderly Living Alone: Morbidity and Services Provided from the Field of Primary Health Care of Gran Canaria.Healthcare (Basel, Switzerland) · 2022Article
- Analysis of Clinical Parameters, Drug Consumption and Use of Health Resources in a Southern European Population with Diabetes That Did Not Contract COVID-19: A Longitudinal Big Data Study.International journal of environmental research and public health · 2022Observational
- How to Improve Healthcare for Patients with Multimorbidity and Polypharmacy in Primary Care: A Pragmatic Cluster-Randomized Clinical Trial of the MULTIPAP Intervention.Journal of personalized medicine · 2022Article
- Multicomponent, high-intensity, and patient-centered care intervention for complex patients in transitional care: SPICA program.Frontiers in medicine · 2022Article
- Use of hospital care services by chronic patients according to their characteristics and risk levels by adjusted morbidity groups.PloS one · 2022Article
- Association between the Use of Health Services, Cardiovascular Risk Factors and Metabolic Syndrome in Mexican Adults.International journal of environmental research and public health · 2021Article
- Chronic diseases in the geriatric population: morbidity and use of primary care services according to risk level.BMC geriatrics · 2021Observational
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveChronic patients suffer a greater number of health problems and have greater needs for assistance and care. The objective was to describe the use of health services in Primary Care in patients with chronic conditions according to risk level by adjusted morbidity groups (AMG) and analyze the associated factors.
methodsCross-sectional study. We included patients ≥18 years-old identified as chronic by the stratification tool according to AMG in a basic health area in the Community of Madrid with an assigned population of 18,107 inhabitants. Sociodemographic, clinical-care and use of services variables were collected and were classified according to the "behavioral" model in predisposing, need or facilitators factors. Univariate, bivariate and multiple linear regression adjusted with robust estimators was performed.
results9,443 chronic patients (52.1% of the population in the selected zone) were identified, mean age of 57.8 (SD=18.7); 62.1% women. According to their risk level 4.7% were high risk, 18.7% medium risk and 76.6% low risk. The mean number of contacts per year was 14.1 (SD=15.2); 34.4 (SD=27.9) in high risk; 21.8 (SD=17.2) in medium risk and 10.1 (SD=10.2) in low risk. 7.5 (SD=7.1) contacts were with the doctor and 12.9 (SD=12.9) were face-to-face. The factors associated with higher use of services were high risk (Coefficient B[CB]=12.6; IC95%=11-14.2), immobilization (CB=8.8; IC95%=7.3-10.4), polypharmacy (CB=6; IC95%=5-8.6), female sex (CB=1; IC95%=0.4-1.5), number of chronic diseases (CB=1; IC95%=0.8-1.2) and age (CB=0.03; IC95%=0.01-0.05).
conclusionsThe health services utilization in Primary Care in chronic patients is high and increased according with the risk level by AMG. The contact with the doctor is superior to nurse and the most frequent type is face-to-face. The greater utilization of services responds to predisposing factors (female sex and age) and above all to need factors (high risk, immobility, multimorbidity and polypharmacy).
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31488808PMC11583074What OpenQuestion holds
Registered trials
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