Evidence map›Paper›PMID 39420326›Full record

ArticleBMC public health2024

Applicability of the adjusted morbidity groups algorithm for healthcare programming: results of a pilot study in Italy.

Roberta Papa, Francesco Balducci, Giulia Franceschini, Marco Pompili, Marco De Marco, Josep Roca, Rubèn González-Colom, David Monterde

Abstract read
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Roberta PapaRegional Health Agency, Marche Region, via Gentile da Fabriano n.3, Ancona, 60125, Italy. roberta.papa@regione.marche.it.
Francesco BalducciRegional Health Agency, Marche Region, via Gentile da Fabriano n.3, Ancona, 60125, Italy.
Giulia FranceschiniRegional Health Agency, Marche Region, via Gentile da Fabriano n.3, Ancona, 60125, Italy.
Marco PompiliRegional Health Agency, Marche Region, via Gentile da Fabriano n.3, Ancona, 60125, Italy.
Marco De MarcoRegional Health Agency, Marche Region, via Gentile da Fabriano n.3, Ancona, 60125, Italy.
Josep RocaFundació de Recerca Clínic Barcelona - Institut d'Investigacions Biomèdiques August Pi i Sunyer (FRCB-IDIBAPS), Barcelona, Spain.
Rubèn González-ColomFundació de Recerca Clínic Barcelona - Institut d'Investigacions Biomèdiques August Pi i Sunyer (FRCB-IDIBAPS), Barcelona, Spain.
David MonterdeCatalan Institute of Health, Barcelona, Spain.

Funding

European Union's Health Programme (2014-2020) 951442
6 · The paper itself

Abstract

backgroundPopulation-based Health Risk Assessment (HRA) tools are strategic for the implementation of integrated care. Various HRA algorithms have been developed in the last decades worldwide. Their full adoption being limited by technical, functional, and economical factors. This study aims to apply the Adjusted Morbidity Groups (AMG) algorithm in the context of an Italian Region, and evaluate its performance to support decision-making processes in healthcare programming.

methodsThe pilot study used five Healthcare Administrative Databases (HADs) covering the period 2015-2021. An iterative semi-automated procedure was developed to extract, filter, check and merge the data. A technical manual was developed to describe the process, designed to be standardized, reproducible and transferable. AMG algorithm was applied and descriptive analysis performed. A dashboard structure was developed to exploit the results of the tool.

resultsAMG produced information on the health status of Marche citizens, highlighting the presence of chronic conditions from age 45 years. Persons with high and very high level of complexity showed elevated mortality rates and an increased use of healthcare resources. A visualization dashboard was intended to provide to relevant stakeholders accessible, updated and ready-to-use aggregated information on the health status of citizens and additional insight on the use of the healthcare services and resources by specific groups of citizens.

conclusionThe flexibility of the AMG, together with its ability to support policymakers and clinical sector, could favour its implementation in different scenarios across Europe. A clear strategy for the adoption of HRA tools and related key elements and lessons learnt for a successful transferability at the EU level were defined. HRA strategies should be considered a pillar of healthcare policies and programming to achieve person-centred care and promote the sustainability of the EU healthcare systems.

Indexed as

AlgorithmsAdolescentAdultAgedAged, 80 and overChildChild, PreschoolDatabases, FactualFemaleHumansInfantInfant, NewbornItalyMaleMiddle AgedMorbidityAdjusted morbidity groupsChronic diseasesHealthcare Administrative databasesHealth Risk AssessmentIntegrated CareMultimorbidity

Identifiers

PMID39420326
PMCPMC11488212

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.