ArticleInternational journal of environmental research and public health2021
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.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Study of a Quasi-Experimental Trial to Compare Two Models of Home Care for the Elderly in an Urban Primary Care Setting in Spain: Results of Intermediate Analysis.International journal of environmental research and public health · 2022Trial
- Clinical Performance and Calibration of the PROFUND Index in Hospitalized and Ambulatory Complex Chronic Patients: A Real-World Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- [Impact of the Diagnostic and Therapeutic Assignment Model (MADiT) on the quality of care in institutionalized older adults: A quasi-experimental study].Atencion primaria · 2026Article
- Epidemiological evolution and healthcare services utilization in elderly dementia patients of Catalonia.BMC public health · 2025Article
- Evaluation of the epidemiological and economic impact of the ADLIFE intervention on medium- to long-term in patients with advanced chronic disease.Frontiers in public health · 2025Article
- A 25-Year Retrospective of Health IT Infrastructure Building: The Example of the Catalonia Region.Journal of medical Internet research · 2024Article
- Current Status and Factors Influencing Emergency Response Capability of Shared Nurses in the Internet + Nursing Service Model: A Descriptive Cross-Sectional Study.Risk management and healthcare policy · 2024Article
- Medication Assessment in an Older Population during Acute Care Hospitalization and Its Effect on the Anticholinergic Burden: A Prospective Cohort Study.International journal of environmental research and public health · 2023Article
- Prevention of Unplanned Hospital Admissions in Multimorbid Patients Using Computational Modeling: Observational Retrospective Cohort Study.Journal of medical Internet research · 2023Observational
- Transitions between degrees of multidimensional frailty among older people admitted to intermediate care: a multicentre prospective study.BMC geriatrics · 2022Observational
- Gender and Observed Complexity in Palliative Home Care: A Prospective Multicentre Study Using the HexCom Model.International journal of environmental research and public health · 2021Observational
- Evaluation of the Impact of a Coordinated Intervention Model for Complex Older Patients with Dementia.International journal of integrated careArticle
- Toward Adoption of Health Risk Assessment in Population-Based and Clinical Scenarios: Lessons From JADECARE.International journal of integrated careArticle
- Innovative Health and Social Integrated Care Model Effectiveness to Improve Quality Care for Chronic Patients: A Single Group Assignment Clinical Trial.International journal of integrated careArticle
- Impact of Integrating Social and Health Home Care Services in Catalonia: A Retrospective Cohort-Based Two-Year Study.International journal of integrated careArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Chronic Care Program introduced in Catalonia in 2011 focuses on improving the identification and management of complex chronic (CCPs) and advanced chronic patients (ACPs) by implementing an individualized care model. Its first stage is their identification based on chronicity, difficult clinical management (i.e., complexity), and, in ACPs, limited life prognosis. Subsequent stages are individual evaluation and implementation of a shared personalized care plan. This retrospective study, including all CCPs and ACPs identified in Catalonia between 2013 and 2019, was aimed at describing the characteristics and healthcare service utilization among these patients. Data were obtained from an administrative database and included sociodemographic, clinical, and service utilization variables and morbidity-associated risk according to the Adjusted Morbidity Groups (GMA) stratification. During the study period, CCPs' and ACPs' prevalence increased and was higher in lower-income populations; most cases were women. CCPs and ACPs had all comorbidities at higher frequencies, higher utilization of healthcare services, and were more frequently at high risk (63% and 71%, respectively) than age-, sex-, and income level-adjusted non-CCP (23%) and non-ACP populations (30%). These results show effective identification of the program's target population and demonstrate that CCPs and ACPs have a higher burden of multimorbidity and healthcare needs.
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