文章基本信息

标题：Understanding the morbidity burden of patients and populations can improve the integration of health care
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作者：Karen Kinder
期刊名称：International Journal of Integrated Care
电子版ISSN：1568-4156
出版年度：2017
卷号：17
期号：5
DOI：10.5334/ijic.3602
出版社：Utrecht University, Maastricht University, Groningen University
摘要：Introduction / Background : Worldwide interest in population based case-mix is increasing as populations age and health care needs rise. Simultaneously, new models of integrated care require a common language and information base to insure continuity and coordination of care. Unlike episodic case mix methodologies, population based case mix is focused on the entire population, the entire experience within the health care system, and the entire patient. Since the 1970s, population based case mix has evolved from a basic assessment describing the morbidity of populations to a comprehensive tool including predictive modelling taking into consideration multi-morbid patients. Population based case mix has been successfully applied across the globe by ministries of health, provincial health authorities, health plans, insurers, as well as researchers at universities and research organizations, to achieve numerous objectives, including: - Characterizing the use of health care services. - Comparing the illness burden as measured by case-mix with patient reported information. - Focusing limited resources on patients who can most benefit from intervention as well as the clinicians who care for them. - Assessing differences in access to care, continuity of care, and provision of comprehensive primary care, - Establishing clinical baseline indicator data for improved provision of care protocols and integrated health service plans, - Supporting morbidity based capitation systems and other payment methods - Monitoring mental health status amongst specific populations - Identifying and quantifying patterns of use of public services - Assessing performance of primary care providers - Detecting fraud and abuse within the provision of health care services. - Predicting mortality
关键词：multimorbidity ; population-based case-mix ; care management ; performance assessment ; resource allocation