Patterns of multimorbidity in primary care patients at high risk of future hospitalization
Care management is seen as a promising approach to address the complex care needs of patients with multimorbidity. Predictive modeling based on insurance claims data is an emerging concept to identify patients likely to benefit from care management interventions. We aimed to identify and explore pat...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
16 Apr 2012
|
| In: |
Population health management
Year: 2012, Volume: 15, Issue: 2, Pages: 119-124 |
| ISSN: | 1942-7905 |
| DOI: | 10.1089/pop.2011.0026 |
| Online Access: | Verlag, Volltext: http://dx.doi.org/10.1089/pop.2011.0026 Verlag, Volltext: https://www.liebertpub.com/doi/abs/10.1089/pop.2011.0026 
|
| Author Notes: | Tobias Freund, Cornelia Ursula Kunz, Dominik Ose, Joachim Szecsenyi, Frank Peters-Klimm |
MARC
| LEADER | 00000caa a22000002c 4500 | ||
|---|---|---|---|
| 001 | 1572634480 | ||
| 003 | DE-627 | ||
| 005 | 20220814131841.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 180504s2012 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1089/pop.2011.0026 |2 doi | |
| 035 | |a (DE-627)1572634480 | ||
| 035 | |a (DE-576)502634480 | ||
| 035 | |a (DE-599)BSZ502634480 | ||
| 035 | |a (OCoLC)1341008032 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Freund, Tobias |d 1978- |e VerfasserIn |0 (DE-588)134216997 |0 (DE-627)564810266 |0 (DE-576)300382502 |4 aut | |
| 245 | 1 | 0 | |a Patterns of multimorbidity in primary care patients at high risk of future hospitalization |c Tobias Freund, Cornelia Ursula Kunz, Dominik Ose, Joachim Szecsenyi, Frank Peters-Klimm |
| 264 | 1 | |c 16 Apr 2012 | |
| 300 | |a 6 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 04.05.2018 | ||
| 520 | |a Care management is seen as a promising approach to address the complex care needs of patients with multimorbidity. Predictive modeling based on insurance claims data is an emerging concept to identify patients likely to benefit from care management interventions. We aimed to identify and explore patterns of multimorbidity in primary care patients with high predicted risk of future hospitalizations in order to develop a primary care-based care management intervention. We conducted a retrospective cohort study to assess insurance claims data of 6026 patients from 10 primary care practices in Germany. We stratified the population by the predicted likelihood of hospitalization (LOH) using a diagnostic cost group-based case-finding software. Co-occurrence of chronic conditions in multimorbid patients with an upper-quartile LOH score was explored by extraction of mutually exclusive patterns. Predictive modeling identified multimorbid elderly patients with a high number of co-occurring chronic conditions (mean number 7.8 [SD 3.1]). Assessing co-occurrence of highly prevalent chronic conditions in 1407 multimorbid patients with upper-quartile LOH revealed 471 mutually exclusive patterns with low single frequencies. The observed prevalence significantly exceeded expected prevalence for patterns with causal comorbidity. Additionally, chronic pain (related to osteoarthritis) or depression could be identified as discordant co-occurring conditions in 80% (12/15) of the most common multimorbidity patterns. High-risk primary care patients suffer from heterogeneous individual patterns of co-occurring chronic conditions. Care management interventions will have to account for discordant co-occurring conditions such as osteoarthritis and depression. (Population Health Management 2012;15:119-124) | ||
| 700 | 1 | |a Kunz, Cornelia Ursula |d 1979- |e VerfasserIn |0 (DE-588)1024218112 |0 (DE-627)719391911 |0 (DE-576)368162435 |4 aut | |
| 700 | 1 | |a Ose, Dominik |d 1975- |e VerfasserIn |0 (DE-588)1049160657 |0 (DE-627)781264820 |0 (DE-576)274312247 |4 aut | |
| 700 | 1 | |a Szecsenyi, Joachim |d 1953- |e VerfasserIn |0 (DE-588)172913756 |0 (DE-627)697841537 |0 (DE-576)133768430 |4 aut | |
| 700 | 1 | |a Peters-Klimm, Frank |d 1970- |e VerfasserIn |0 (DE-588)1049160819 |0 (DE-627)781265215 |0 (DE-576)348126530 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Population health management |d Larchmont, NY : Liebert, 2008 |g 15(2012), 2, Seite 119-124 |h Online-Ressource |w (DE-627)582025370 |w (DE-600)2456899-5 |w (DE-576)334967791 |x 1942-7905 |7 nnas |a Patterns of multimorbidity in primary care patients at high risk of future hospitalization |
| 773 | 1 | 8 | |g volume:15 |g year:2012 |g number:2 |g pages:119-124 |g extent:6 |a Patterns of multimorbidity in primary care patients at high risk of future hospitalization |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1089/pop.2011.0026 |x Verlag |x Resolving-System |3 Volltext |
| 856 | 4 | 0 | |u https://www.liebertpub.com/doi/abs/10.1089/pop.2011.0026 |x Verlag |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20180504 | ||
| 993 | |a Article | ||
| 994 | |a 2012 | ||
| 998 | |g 1049160819 |a Peters-Klimm, Frank |m 1049160819:Peters-Klimm, Frank |d 910000 |d 910100 |e 910000PP1049160819 |e 910100PP1049160819 |k 0/910000/ |k 1/910000/910100/ |p 5 |y j | ||
| 998 | |g 172913756 |a Szecsenyi, Joachim |m 172913756:Szecsenyi, Joachim |d 910000 |d 910100 |e 910000PS172913756 |e 910100PS172913756 |k 0/910000/ |k 1/910000/910100/ |p 4 | ||
| 998 | |g 1049160657 |a Ose, Dominik |m 1049160657:Ose, Dominik |d 910000 |d 910100 |e 910000PO1049160657 |e 910100PO1049160657 |k 0/910000/ |k 1/910000/910100/ |p 3 | ||
| 998 | |g 1024218112 |a Kunz, Cornelia Ursula |m 1024218112:Kunz, Cornelia Ursula |d 50000 |e 50000PK1024218112 |k 0/50000/ |p 2 | ||
| 998 | |g 134216997 |a Freund, Tobias |m 134216997:Freund, Tobias |d 910000 |d 910100 |e 910000PF134216997 |e 910100PF134216997 |k 0/910000/ |k 1/910000/910100/ |p 1 |x j | ||
| 999 | |a KXP-PPN1572634480 |e 3007924391 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"language":["eng"],"title":[{"title":"Patterns of multimorbidity in primary care patients at high risk of future hospitalization","title_sort":"Patterns of multimorbidity in primary care patients at high risk of future hospitalization"}],"origin":[{"dateIssuedKey":"2012","dateIssuedDisp":"16 Apr 2012"}],"relHost":[{"physDesc":[{"extent":"Online-Ressource"}],"pubHistory":["11.2008,4 -"],"id":{"issn":["1942-7905"],"zdb":["2456899-5"],"eki":["582025370"]},"recId":"582025370","type":{"media":"Online-Ressource","bibl":"periodical"},"title":[{"title":"Population health management","title_sort":"Population health management"}],"titleAlt":[{"title":"PHM"}],"origin":[{"publisher":"Liebert","publisherPlace":"Larchmont, NY","dateIssuedKey":"2008","dateIssuedDisp":"2008-"}],"part":{"text":"15(2012), 2, Seite 119-124","pages":"119-124","extent":"6","volume":"15","year":"2012","issue":"2"},"disp":"Patterns of multimorbidity in primary care patients at high risk of future hospitalizationPopulation health management","language":["eng"]}],"type":{"bibl":"article-journal","media":"Online-Ressource"},"id":{"eki":["1572634480"],"doi":["10.1089/pop.2011.0026"]},"recId":"1572634480","name":{"displayForm":["Tobias Freund, Cornelia Ursula Kunz, Dominik Ose, Joachim Szecsenyi, Frank Peters-Klimm"]},"person":[{"roleDisplay":"VerfasserIn","role":"aut","display":"Freund, Tobias","given":"Tobias","family":"Freund"},{"roleDisplay":"VerfasserIn","display":"Kunz, Cornelia Ursula","role":"aut","given":"Cornelia Ursula","family":"Kunz"},{"roleDisplay":"VerfasserIn","display":"Ose, Dominik","role":"aut","family":"Ose","given":"Dominik"},{"given":"Joachim","family":"Szecsenyi","roleDisplay":"VerfasserIn","role":"aut","display":"Szecsenyi, Joachim"},{"given":"Frank","family":"Peters-Klimm","display":"Peters-Klimm, Frank","role":"aut","roleDisplay":"VerfasserIn"}],"physDesc":[{"extent":"6 S."}],"note":["Gesehen am 04.05.2018"]} | ||
| SRT | |a FREUNDTOBIPATTERNSOF1620 | ||