Performance of an ambulatory casemix measurement system in primary care in Spain: Ambulatory care groups (ACGs)

European Journal of Public Health

Volumn 9, Issue 1, 1999, Pages 27-35

  Juncosa, Sebastián ^a   Bolíbar, Bonaventura ^b   Roset, Montserrat ^a   Tomás, Rosa ^b  

^a INSTITUT CATALÀ DE LA SALUT   (Spain)

^b NONE

Author keywords

Ambulatory care; Ambulatory care groups; Casemix; Primary care

Indexed keywords

AMBULATORY CARE; ARTICLE; HEALTH CARE SYSTEM; HEALTH SERVICE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; SPAIN;

EID: 0344096576     PISSN: 11011262     EISSN: None     Source Type: Journal    
DOI: 10.1093/eurpub/9.1.27     Document Type: Article

References (42)

1. Kimberly JR, de Pouvourville G. The migration of managerial innovation: diagnosis related groups and health care administration in Western Europe. San Francisco, CA: Jossey-Bass Publishers, 1993.
2. Duffy SQ, Farley DE. Patterns of decline among inpatient procedures. Public Health Rep 1995;110:674-81.
3. Ortún V, Gérvas J. Fundamentos y eficiencia de la atención médica primaria. Med Clin (Barc) 1996;106:97-102.
4. Starfield B. Primary care. Concept, evaluation and policy. New York: Oxford University Press, 1992.
5. Hutchinson A, Parkin D, Phillips P. Case mix measures for ambulatory care. J Public Health Med 1991;13(2):189-97.
6. Mennerat F. Les clasifications du case-mix pour les soins ambulatorires: une revue de l'existant. J Écon Méd 1991;9(2):69-83.
7. Juncosa S, Carrillo E, Bolibar B, et al. Sistemas de clasificación en grupos iso-consumo (casemix) en atención ambulatoria: perspectivas para nuestra atención primaria. Aten Primaria 1996;17(1):76-84.
8. Georgoulakis JM, Akins SE, Richards JD , et al. A comparison of ambulatory classification systems: a preliminary report. J Ambulat Care Manage 1990;13(3):39-49.
9. Stimson DH, Charles G, Rogerson CL. Ambulatory care classification systems. Health Serv Res 1986;20(6):683-703.
10. Smithline N, Arbitman DB. Ambulatory case mix classification systems: an overview. J Ambulat Care Manage 1988;11(3):V-X.
11. Weiner JP. Ambulatory case-mix methodologies: application to primary care research. In: Grady M, (editor). Primary care research: theory and method. Rockville:USDHHS, US, Agency for Health Care Policy and Research, 1991.
12. Goldfield N. Ambulatory encounter systems: implications for payment and quality. J Ambulat Care Manage 1993;16(2):33-49.
13. Gold M. Common sense on extending DRG concepts to pay for ambulatory care. Inquiry 1988;25:281-9.
14. Fein O, Hoffman S, Barzel E. Looking at the patient in the mix: is casemix methodology unfair to the hospital outpatient department? J Gen Intern Med 1988;3:471-5.
15. Boerma W, de Jong F, Mulder P. Health care and general practice across Europe. Utrecht: Netherlands Institute of Primary Health Care, 1993.
16. Gérvas J, Pérez Fernández MM, Starfield B. Primary care, financing and gatekeeping in Western Europe. Family Pract 1994;11:307-17.
17. Rubin HR, Wu AW. The risk of adjustment. Med Care 1992:30:973-5.
18. Starfield B, Weiner J, Mumford L, et al. Ambulatory care groups: a categorization of diagnoses for research and management. Health Serv Res 1991;25:990-1015.
19. Weiner JP, Starfield BH, Steinwachs DM, et al. Development and application of a population-oriented measure of ambulatory care case-mix. Med Care 1991;29:452-72.
20. Kolb DS, Clay SP. Ambulatory care groupings: when, how, and the impact on managed care. J Ambulat Care Manage, 1994;17(1):29-38.
21. Carlsson L, Holmström S, Edeland C. Monitoring primary health care in Sweden. The appropriateness of ACG. In: Abstracts of the Ninth International PCS/E Working Conference. Munich: Patient Classification System / Europe, 1993: 155-61.
22. Weiner JP, Starfield BH, Lieberman RN. Johns Hopkins ambulatory care groups (ACGs): a case-mix system for UR, QA, and capitation adjustment. HMO Pract 1992;6(1):13-19.
23. Johns Hopkins Health Services Research and Development Center. A clinician's guide to the Johns Hopkins case-mix system, Version 2.0. Baltimore, MD: Johns Hopkins University, 1993.
24. Johns Hopkins Health Services Research and Development Center. The Johns Hopkins ACG case-mix system applications manual, 2nd edn. Baltimore, MD: Johns Hopkins University, 1993.
25. Johns Hopkins Health Services Research and Development Center. Ambulatory care group case-mix assignment software, "ACG Grouper" installation and reference manual. Version 2.0. Baltimore, MD: Johns Hopkins University, 1993.
26. Kelley JB. Health care in the Spanish social security system: public-private relationships. Int J Health Serv 1984;14(2):309-20.
27. Hart JT. Primary medical care in Spain. Br J Gen Pract 1990;40:255-8.
28. Hornbrook MC, Hurtado AV, Johnson RE. Health care episodes: definition, measurement and use. Med Care Rev 1985;42:163-218.
29. Solon JA, Feeney JJ, Jones LW, et al. Delineating episodes of care. Am J Public Health 1967;57:402-8.
30. Rosell M, Bolíbar B, Juncosa S, et al. Episodio: concepto y utilidad en la atención primaria. Aten Primaria 1995;10(16):633-640.
31. García Cardona F, Molins Pérez G, Farré Pradell J. La contabilidad de costes en atención primaria y cartera de servicios. Aten Primaria 1995;16(3):141-5.
32. Orden de 22 de diciembre de 1995 de la Generalitat de Catalunya, por la que se fijan para el an̄o 1995 los valores de las unidades de pago por la contraprestación de los servicios de cirugía mayor ambulatoria, realizados por los centros y establecimientos sanitarios contratados en régimen de concierto con el Servei Català de la Salut. DOGC no 2148 de 29 de diciembre de 1995.
33. Orden de 1 de junio de 1995 de la Generalitat de Catalunya, por la que se fijan para el año 1995 los valores de las unidades de pago por la contraprestación de los realizados por los centros hospitalarios contratados en régimen de concierto con el Servei Català de la Salut. DOGC no 2068 de 28 de junio de 1995.
34. Salem-Schatz S, Moore G, Rucker M, et al. The for -mix adjustment in practice profiling: when good apples look bad. JAMA 1994;272(11):871-4.
35. Mennerat F. Tentative clarification of the underlying concepts with ambulatory care groups. In: Proceedings of the Tenth PCS/E International Conference. Budapest: Patient Classification System / Europe 1994: 81-8.
36. McKee M. What can we learn from the British fundholding experience? Eur J Public Health 1995;5(4):231-2.
37. Shepard DS, Neutra R. A pitfall in sampling medical visits. Am J Public Health 1977;67:743-50.
38. Hornbrook MC. Hospital casemix: its definition, measurement and use. Part 1: the conceptual framework. Med Care Rev 1982:39:1-43.
39. Arbitman DB. A primer on patient classification systems and their relevance to ambulatory care. J Ambulat Care Manage 1986;9(1):58-81.
40. Sanderson H. Measuring case mix. Essential for managing resources; of less use for managing patients. BMJ 1992;304:1067-8.
41. Van Weel C, Bolibar B, Carrillo E, et al. Primary care registration system in Europe: in search of a standardised framework. A case study on three European data systems. Int J Health Sci 1993;2(4):51-60.
42. Lamberts H, Wood M. Clasificación Internacional de la Atención Primaria (CIAP). Barcelona: Masson/SG, 1990.