Matches in SemOpenAlex for { <https://semopenalex.org/work/W2892362855> ?p ?o ?g. }
- W2892362855 endingPage "e023113" @default.
- W2892362855 startingPage "e023113" @default.
- W2892362855 abstract "To investigate the characteristics and healthcare utilisation of high-cost patients and to compare high-cost patients across payers and countries.Systematic review.PubMed and Embase databases were searched until 30 October 2017.Our final search was built on three themes: 'high-cost', 'patients', and 'cost' and 'cost analysis'. We included articles that reported characteristics and utilisation of the top-X% (eg, top-5% and top-10%) patients of costs of a given population. Analyses were limited to studies that covered a broad range of services, across the continuum of care. Andersen's behavioural model was used to categorise characteristics and determinants into predisposing, enabling and need characteristics.The studies pointed to a high prevalence of multiple (chronic) conditions to explain high-cost patients' utilisation. Besides, we found a high prevalence of mental illness across all studies and a prevalence higher than 30% in US Medicaid and total population studies. Furthermore, we found that high costs were associated with increasing age but that still more than halve of high-cost patients were younger than 65 years. High costs were associated with higher incomes in the USA but with lower incomes elsewhere. Preventable spending was estimated at maximally 10% of spending. The top-10%, top-5% and top-1% high-cost patients accounted for respectively 68%, 55% and 24% of costs within a given year. Spending persistency varied between 24% and 48%. Finally, we found that no more than 30% of high-cost patients are in their last year of life.High-cost patients make up the sickest and most complex populations, and their high utilisation is primarily explained by high levels of chronic and mental illness. High-cost patients are diverse populations and vary across payer types and countries. Tailored interventions are needed to meet the needs of high-cost patients and to avoid waste of scarce resources." @default.
- W2892362855 created "2018-09-27" @default.
- W2892362855 creator A5015364949 @default.
- W2892362855 creator A5024455414 @default.
- W2892362855 creator A5040201541 @default.
- W2892362855 creator A5052961566 @default.
- W2892362855 creator A5073979515 @default.
- W2892362855 date "2018-09-01" @default.
- W2892362855 modified "2023-10-17" @default.
- W2892362855 title "Systematic review of high-cost patients’ characteristics and healthcare utilisation" @default.
- W2892362855 cites W134646214 @default.
- W2892362855 cites W1483632999 @default.
- W2892362855 cites W1485082355 @default.
- W2892362855 cites W1499894111 @default.
- W2892362855 cites W1591347182 @default.
- W2892362855 cites W1662557517 @default.
- W2892362855 cites W1965434753 @default.
- W2892362855 cites W1969496965 @default.
- W2892362855 cites W1976600937 @default.
- W2892362855 cites W1980988016 @default.
- W2892362855 cites W1992146749 @default.
- W2892362855 cites W1993522567 @default.
- W2892362855 cites W1997184745 @default.
- W2892362855 cites W2012408091 @default.
- W2892362855 cites W2012624939 @default.
- W2892362855 cites W2037842918 @default.
- W2892362855 cites W2037912234 @default.
- W2892362855 cites W2039184544 @default.
- W2892362855 cites W2060338161 @default.
- W2892362855 cites W2065948395 @default.
- W2892362855 cites W2068155640 @default.
- W2892362855 cites W2095173802 @default.
- W2892362855 cites W2095176672 @default.
- W2892362855 cites W2100219821 @default.
- W2892362855 cites W2111657513 @default.
- W2892362855 cites W2119101349 @default.
- W2892362855 cites W2123117470 @default.
- W2892362855 cites W2126586836 @default.
- W2892362855 cites W2129781472 @default.
- W2892362855 cites W2130199455 @default.
- W2892362855 cites W2132265184 @default.
- W2892362855 cites W2133735222 @default.
- W2892362855 cites W2134833483 @default.
- W2892362855 cites W2139188058 @default.
- W2892362855 cites W2139971036 @default.
- W2892362855 cites W2143960461 @default.
- W2892362855 cites W2147421729 @default.
- W2892362855 cites W2147570947 @default.
- W2892362855 cites W2149389691 @default.
- W2892362855 cites W2153628973 @default.
- W2892362855 cites W2155060023 @default.
- W2892362855 cites W2156098321 @default.
- W2892362855 cites W2169192944 @default.
- W2892362855 cites W2174509032 @default.
- W2892362855 cites W2222933325 @default.
- W2892362855 cites W2232857057 @default.
- W2892362855 cites W2274247688 @default.
- W2892362855 cites W2288208328 @default.
- W2892362855 cites W2307117288 @default.
- W2892362855 cites W2323531818 @default.
- W2892362855 cites W2330442131 @default.
- W2892362855 cites W2338354421 @default.
- W2892362855 cites W2346915478 @default.
- W2892362855 cites W2347054602 @default.
- W2892362855 cites W2403497163 @default.
- W2892362855 cites W2410045339 @default.
- W2892362855 cites W2462512045 @default.
- W2892362855 cites W2465765700 @default.
- W2892362855 cites W2467704614 @default.
- W2892362855 cites W2472524194 @default.
- W2892362855 cites W2486597411 @default.
- W2892362855 cites W2488769594 @default.
- W2892362855 cites W2488810890 @default.
- W2892362855 cites W2508835746 @default.
- W2892362855 cites W2519944581 @default.
- W2892362855 cites W2522497373 @default.
- W2892362855 cites W2529547422 @default.
- W2892362855 cites W2557574586 @default.
- W2892362855 cites W2577592800 @default.
- W2892362855 cites W2613628791 @default.
- W2892362855 cites W2724304093 @default.
- W2892362855 cites W2725290634 @default.
- W2892362855 cites W2765199849 @default.
- W2892362855 cites W2768919196 @default.
- W2892362855 cites W2991792334 @default.
- W2892362855 cites W2994424468 @default.
- W2892362855 cites W313353112 @default.
- W2892362855 cites W4238016511 @default.
- W2892362855 cites W4250741066 @default.
- W2892362855 doi "https://doi.org/10.1136/bmjopen-2018-023113" @default.
- W2892362855 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6129088" @default.
- W2892362855 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30196269" @default.
- W2892362855 hasPublicationYear "2018" @default.
- W2892362855 type Work @default.
- W2892362855 sameAs 2892362855 @default.
- W2892362855 citedByCount "145" @default.
- W2892362855 countsByYear W28923628552018 @default.
- W2892362855 countsByYear W28923628552019 @default.