FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2806711154> ?p ?o ?g. }

• W2806711154 abstract "Ageing is continuously increasing the prevalence of patients with chronic conditions, putting pressure on the sustainability of Healthcare Systems. Chronic Care Models (CCM) have been used to address the needs of frail people in the continuum of care, testifying to an improvement in health outcomes and more efficient access to healthcare services. The impact of CCM deployment has already been experienced in a selected cohort of patients affected by specific chronic illnesses. We have investigated its effects in a heterogeneous frail cohort included in a regional CCM-based program.a retrospective population-based cohort study was carried out involving a non-oncological cohort of adult subjects with chronic diseases included in the CCM-oriented program (Puglia Care). Individuals in usual care with comparable demographic and clinical characteristics were selected for matched pair analysis. Study cohorts were defined by using a record linkage analysis of administrative databases and electronic medical records, including data on the adult population in the 6 local area health authorities of Puglia in Italy (approximately 2 million people). The effects of Puglia Care on the utilizations of healthcare resources were evaluated both in a before-after and in a case-control analysis.There were 1074 subjects included in Puglia Care and 2126 matched controls. In before-after analysis of the Puglia Care cohort, 240 unplanned hospitalizations occurred in the pre-inclusion period, while 239 were registered during follow-up. The incidence of unplanned hospitalization was 10.3 per 100 person/year (95% CI, 9.1-11.7) during follow-up and 12.1 per 100 person/year (95% CI, 10.7-13.8) in the pre-inclusion period (IRR, 0.84; 95% CI, 0.80-0.99). During follow-up a significant reduction in costs related to unplanned hospitalizations (IRR, 0.92; 95% CI, 0.91-0.92) was registered, while costs related to drugs (IRR, 1.14; p < 0.01), out-patient specialist visits (IRR, 1.19; p < 0.01), and planned hospitalization (IRR 1.03; p < 0.01) increased significantly. These modifications can be related to the aging of the population and modifications to healthcare delivery; for this reason, a case-control analysis was performed. The results testify to a significantly lower number (IRR, 0.79; 95% CI, 0.68-0.91), length of hospital stay (IRR, 0.80; 95% CI, 0.76-0.84), and costs related to unplanned hospitalizations (IRR, 0.80; 95% CI, 0.80-0.80) during follow-up in the intervention group. However, there was a higher increase in costs of hospitalizations, drugs and out-patients specialist visits during follow-up in Puglia Care when compared with patients in usual care.In a population-based cohort, inclusion of chronic patients in a CCM-based program was significantly associated with a lower recourse to unplanned hospital admissions when compared with patients in usual care with comparable clinical and demographic characteristics." @default.
• W2806711154 created "2018-06-13" @default.
• W2806711154 creator A5003310814 @default.
• W2806711154 creator A5012074894 @default.
• W2806711154 creator A5019405727 @default.
• W2806711154 creator A5019634904 @default.
• W2806711154 creator A5022094962 @default.
• W2806711154 creator A5049984747 @default.
• W2806711154 creator A5051169823 @default.
• W2806711154 creator A5090800412 @default.
• W2806711154 date "2018-05-25" @default.
• W2806711154 modified "2023-10-18" @default.
• W2806711154 title "The effects of the introduction of a chronic care model-based program on utilization of healthcare resources: the results of the Puglia care program" @default.
• W2806711154 cites W1269323144 @default.
• W2806711154 cites W133634032 @default.
• W2806711154 cites W1590773783 @default.
• W2806711154 cites W1594583733 @default.
• W2806711154 cites W1752647852 @default.
• W2806711154 cites W1792264620 @default.
• W2806711154 cites W1835938452 @default.
• W2806711154 cites W1972732693 @default.
• W2806711154 cites W1976935233 @default.
• W2806711154 cites W1987796156 @default.
• W2806711154 cites W1988987558 @default.
• W2806711154 cites W1991663798 @default.
• W2806711154 cites W2001568207 @default.
• W2806711154 cites W2011882915 @default.
• W2806711154 cites W202007523 @default.
• W2806711154 cites W2028152235 @default.
• W2806711154 cites W2049568778 @default.
• W2806711154 cites W2071018839 @default.
• W2806711154 cites W2073946704 @default.
• W2806711154 cites W2076056904 @default.
• W2806711154 cites W2077473252 @default.
• W2806711154 cites W2078611708 @default.
• W2806711154 cites W2080798215 @default.
• W2806711154 cites W2081541380 @default.
• W2806711154 cites W2102388468 @default.
• W2806711154 cites W2103482818 @default.
• W2806711154 cites W2113994044 @default.
• W2806711154 cites W2118151104 @default.
• W2806711154 cites W2127960841 @default.
• W2806711154 cites W2129865739 @default.
• W2806711154 cites W2141344358 @default.
• W2806711154 cites W2156335643 @default.
• W2806711154 cites W2156348188 @default.
• W2806711154 cites W2165850729 @default.
• W2806711154 cites W2167755850 @default.
• W2806711154 cites W2169362019 @default.
• W2806711154 cites W2180394430 @default.
• W2806711154 cites W2275107469 @default.
• W2806711154 cites W2285404355 @default.
• W2806711154 cites W2465374486 @default.
• W2806711154 cites W2527367389 @default.
• W2806711154 doi "https://doi.org/10.1186/s12913-018-3075-0" @default.
• W2806711154 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/5970509" @default.
• W2806711154 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/29801489" @default.
• W2806711154 hasPublicationYear "2018" @default.
• W2806711154 type Work @default.
• W2806711154 sameAs 2806711154 @default.
• W2806711154 citedByCount "7" @default.
• W2806711154 countsByYear W28067111542018 @default.
• W2806711154 countsByYear W28067111542020 @default.
• W2806711154 countsByYear W28067111542021 @default.
• W2806711154 countsByYear W28067111542022 @default.
• W2806711154 countsByYear W28067111542023 @default.
• W2806711154 crossrefType "journal-article" @default.
• W2806711154 hasAuthorship W2806711154A5003310814 @default.
• W2806711154 hasAuthorship W2806711154A5012074894 @default.
• W2806711154 hasAuthorship W2806711154A5019405727 @default.
• W2806711154 hasAuthorship W2806711154A5019634904 @default.
• W2806711154 hasAuthorship W2806711154A5022094962 @default.
• W2806711154 hasAuthorship W2806711154A5049984747 @default.
• W2806711154 hasAuthorship W2806711154A5051169823 @default.
• W2806711154 hasAuthorship W2806711154A5090800412 @default.
• W2806711154 hasBestOaLocation W28067111541 @default.
• W2806711154 hasConcept C126322002 @default.
• W2806711154 hasConcept C137992405 @default.
• W2806711154 hasConcept C138816342 @default.
• W2806711154 hasConcept C141071460 @default.
• W2806711154 hasConcept C142210648 @default.
• W2806711154 hasConcept C145642194 @default.
• W2806711154 hasConcept C159110408 @default.
• W2806711154 hasConcept C160735492 @default.
• W2806711154 hasConcept C162324750 @default.
• W2806711154 hasConcept C167135981 @default.
• W2806711154 hasConcept C194828623 @default.
• W2806711154 hasConcept C195910791 @default.
• W2806711154 hasConcept C201903717 @default.
• W2806711154 hasConcept C2776807786 @default.
• W2806711154 hasConcept C2908647359 @default.
• W2806711154 hasConcept C2987552334 @default.
• W2806711154 hasConcept C50522688 @default.
• W2806711154 hasConcept C512399662 @default.
• W2806711154 hasConcept C518773536 @default.
• W2806711154 hasConcept C545542383 @default.
• W2806711154 hasConcept C71924100 @default.
• W2806711154 hasConcept C72563966 @default.
• W2806711154 hasConcept C99454951 @default.
• W2806711154 hasConceptScore W2806711154C126322002 @default.

• next