Observational studyJournal of general internal medicine2019
Chronic Diseases in High-Cost Users of Hospital, Primary Care, and Prescription Medication in the Capital Region of Denmark.
Observational study in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The trial behind it
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Who cites it
8 citing papers in PubMed.
- Use of general practitioner services among high-cost older patients in somatic hospitals - a Norwegian registry-based study.BMC health services research · 2026Observational
- Utilization of Municipal Healthcare Services Among High-Cost Older Patients in Norwegian Somatic Hospitals: A Cross-Sectional Registry Study.Health services insights · 2025Article
- Socioeconomic Inequalities in Out-of-Pocket and Catastrophic Health Expenditures in Pakistan.International journal of public health · 2024Article
- Older high-cost patients in Norwegian somatic hospitals: a register-based study of patient characteristics.BMJ open · 2023Observational
- Association between service scope of primary care facilities and prevalence of high-cost population: a retrospective study in rural Guizhou, China.BMC primary care · 2022Article
- High-Cost Users of Prescription Drugs: National Health Insurance Data from South Korea.Journal of general internal medicine · 2022Observational
- Predicting Individual Risk of Emergency Hospital Admissions - A Retrospective Validation Study.Risk management and healthcare policy · 2021Article
- Conditions and Co-production of Integrated Care for Patients with Multimorbidity.International journal of integrated careArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA small proportion of patients account for the majority of health care costs. This group is often referred to as high-cost users (HCU). A frequently described characteristic of HCU is chronic disease. Yet, there is a gap in understanding the economic burden of chronic diseases associated with HCU to different types of health care services.
objectiveTo analyze which frequent chronic diseases have the strongest association with HCU overall, and HCU in hospital, primary care, and prescription medication.
designThis is a register-based observational study on Danish health service costs for various diseases in different medical settings.
participantsA total of 1,350,677 individuals aged ≥ 18 years living in the Capital Region of Denmark by 1 January 2012 were included. MAIN MEASURES: Chronic diseases, costs, and sociodemographic data were extracted from the nationwide registers, including data from hospitals, primary care, and medicine consumption. These information were merged on an individual level. KEY
resultsCancer, mental disorders except depression, and heart diseases have the strongest association with HCU overall. Mental disorders except depression were in the three diseases most prevalent in HCU in all the three health care services.
conclusionsOur results show that the chronic diseases that have the strongest association with HCU differ between different types of health care services. Our findings may be helpful in informing future policies about health care organization and may guide to different prevention, treatment, and rehabilitation strategies that could lessen the burden in the hospital.
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