ArticleHealth services insights2025
Utilization of Municipal Healthcare Services Among High-Cost Older Patients in Norwegian Somatic Hospitals: A Cross-Sectional Registry Study.
Article in Health services insights, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: High-cost older patients utilize a significant share of the economic resources in Norwegian somatic hospitals due to their complex healthcare needs and often require continued care beyond hospital settings. However, there is limited evidence on how they utilize municipal healthcare services. Objective: This study examines how high-cost older patients utilize municipal healthcare services, emphasizing variations across age categories, and comparisons with non-high-cost older patients. Design: Cross-sectional registry study using national registry data. Methods: The study population included 189 336 patients aged ⩾65 years with at least one unplanned contact with somatic hospitals in 2019, consisting of 18 933 (10%) high-cost and 170 403 (90%) non-high-cost older patients. High-cost status was defined as the top 10% of patients with the highest diagnosis-related group weights. Logistic regression was used to examine differences in the odds of receiving municipal healthcare services in the study population adjusted for individual characteristics. Among those who received services (n = 61 171), gamma regression was used to examine the duration of service use (hours/days). Both regression models were stratified by age categories (65-74, 75-84, ⩾85 years). Results: A higher proportion of high-cost than non-high-cost older patients received municipal healthcare services (54% vs 30%). This was also true after adjusting for patient characteristics (odds ratios 1.27-3.59, depending on age and type of healthcare service). High-cost patients had longer duration of service use (hours/days) than non-high-cost patients for institutional short-term treatment/examination (exp β = 1.12, Conclusion: High-cost older patients have substantial healthcare needs that extend from somatic hospitals into municipal healthcare, highlighting the importance of such transitional services in caring for these patients.
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