메뉴 건너뛰기




Volumn 15, Issue 6, 2014, Pages 599-610

Association between fee-for-service expenditures and morbidity burden in primary care

Author keywords

Expenditure variation; Fee for services (FFS); General practice; Resource utilisation band (RUB); The Johns Hopkins Adjusted Clinical Groups (ACG ) system

Indexed keywords

ADOLESCENT; ADULT; AGED; AMBULATORY CARE; ARTICLE; CHILD; CONSULTATION; FEMALE; FEMALE PHYSICIAN; GENERAL PRACTICE; HEALTH CARE COST; HEALTH CARE NEED; HUMAN; INFANT; MAJOR CLINICAL STUDY; MALE; MEDICAL FEE; MORBIDITY; NATIONAL HEALTH SERVICE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; RESOURCE ALLOCATION; AGE; COST OF ILLNESS; ECONOMICS; GENERAL PRACTITIONER; MIDDLE AGED; PRIMARY HEALTH CARE; SEX DIFFERENCE; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA;

EID: 84905572331     PISSN: 16187598     EISSN: 16187601     Source Type: Journal    
DOI: 10.1007/s10198-013-0499-7     Document Type: Article
Times cited : (7)

References (46)
  • 1
    • 84861726906 scopus 로고    scopus 로고
    • Reasons for encounter and disease patterns in Danish primary care: Changes over 16 years
    • Moth, G., Olesen, F., Vedsted, P.: Reasons for encounter and disease patterns in Danish primary care: changes over 16 years. Scand. J. Prim. Health Care 30(2), 70-75 (2012)
    • (2012) Scand. J. Prim. Health Care , vol.30 , Issue.2 , pp. 70-75
    • Moth, G.1    Olesen, F.2    Vedsted, P.3
  • 2
    • 84861912165 scopus 로고    scopus 로고
    • Chronic care management in Danish general practice-a crosssectional study of workload and multimorbidity
    • Moth, G., Vestergaard, M., Vedsted, P.: Chronic care management in Danish general practice-a crosssectional study of workload and multimorbidity. BMC Fam. Pract. 13(1), 52 (2012)
    • (2012) BMC Fam. Pract. , vol.13 , Issue.1 , pp. 52
    • Moth, G.1    Vestergaard, M.2    Vedsted, P.3
  • 3
    • 80054791482 scopus 로고    scopus 로고
    • Multimorbidity and its measurement
    • Starfield, B., Kinder, K.: Multimorbidity and its measurement. Health Policy 103(1), 3-8 (2011)
    • (2011) Health Policy , vol.103 , Issue.1 , pp. 3-8
    • Starfield, B.1    Kinder, K.2
  • 4
    • 0026164569 scopus 로고
    • Development and application of a population-oriented measure of ambulatory care case-mix
    • Weiner, J.P., Starfield, B.H., Steinwachs, D.M., Mumford, L.M.: Development and application of a population-oriented measure of ambulatory care case-mix. Med. Care 29(5), 452-472 (1991)
    • (1991) Med. Care , vol.29 , Issue.5 , pp. 452-472
    • Weiner, J.P.1    Starfield, B.H.2    Steinwachs, D.M.3    Mumford, L.M.4
  • 5
    • 0025779766 scopus 로고
    • Ambulatory care groups-a categorization of diagnoses for research and management
    • Starfield, B., Weiner, J., Mumford, L., Steinwachs, D.: Ambulatory care groups-a categorization of diagnoses for research and management. Health Serv. Res. 26(1), 53-74 (1991)
    • (1991) Health Serv. Res. , vol.26 , Issue.1 , pp. 53-74
    • Starfield, B.1    Weiner, J.2    Mumford, L.3    Steinwachs, D.4
  • 6
    • 43449084063 scopus 로고    scopus 로고
    • Explanatory ability of the ACG system regarding the utilization and expenditure of the National Health Insurance population in Taiwan - A 5-year analysis
    • Lee, W.C., Huang, T.P.: Explanatory ability of the ACG system regarding the utilization and expenditure of the National Health Insurance population in Taiwan - a 5-year analysis. J. Chin. Med. Assoc. 71(4), 191-199 (2008)
    • (2008) J. Chin. Med. Assoc. , vol.71 , Issue.4 , pp. 191-199
    • Lee, W.C.1    Huang, T.P.2
  • 8
    • 41949104678 scopus 로고    scopus 로고
    • Variability in prescription drug expenditures explained by adjusted clinical groups (ACG) case-mix: A cross-sectional study of patient electronic records in primary care
    • doi:10.1186/1472-6963-8-53. Available at
    • Aguado, A., Guino, E., Mukherjee, B., Sicras, A., Serrat, J., Acedo, M., et al.: Variability in prescription drug expenditures explained by adjusted clinical groups (ACG) case-mix: a cross-sectional study of patient electronic records in primary care. BMC Health Serv. Res. 8, 53 (2008). doi:10.1186/1472-6963-8-53. Available at http://www.biomedcentral.com/1472-6963/ 8/53
    • (2008) BMC Health Serv. Res. , vol.8 , pp. 53
    • Aguado, A.1    Guino, E.2    Mukherjee, B.3    Sicras, A.4    Serrat, J.5    Acedo, M.6
  • 9
    • 79960910222 scopus 로고    scopus 로고
    • How payment systems affect physicians' provision behaviour - An experimental investigation
    • Hennig-Schmidt, H., Selten, R., Wiesen, D.: How payment systems affect physicians' provision behaviour - an experimental investigation. J. Health Econ. 30(4), 637-646 (2011)
    • (2011) J. Health Econ. , vol.30 , Issue.4 , pp. 637-646
    • Hennig-Schmidt, H.1    Selten, R.2    Wiesen, D.3
  • 10
    • 0036630155 scopus 로고    scopus 로고
    • Patient based 'burden-of-illness' in Swedish Primary Health Care. Applying the Johns Hopkins ACG Case-mix System in a retrospective study of electronic patient records
    • Carlsson, L., Börjesson, U., Edgren, L.: Patient based 'burden-of-illness' in Swedish Primary Health Care. Applying the Johns Hopkins ACG Case-mix System in a retrospective study of electronic patient records. Int. J. Health Plann. Manage. 17, 269-282 (2002)
    • (2002) Int. J. Health Plann. Manage. , vol.17 , pp. 269-282
    • Carlsson, L.1    Börjesson, U.2    Edgren, L.3
  • 11
    • 70350365824 scopus 로고    scopus 로고
    • Validation of ACG case-mix for equitable resource allocation in Swedish primary health care
    • doi:10.1186/1471-2458-9-347. Available at
    • Zielinski, A., Kronogard, M., Lenhoff, H., Halling, A.: Validation of ACG case-mix for equitable resource allocation in Swedish primary health care. BMC Public Health 9, 347 (2009). doi:10.1186/1471-2458-9-347. Available at http://www.biomedcentral.com/1471-2458/9/347
    • (2009) BMC Public Health , vol.9 , pp. 347
    • Zielinski, A.1    Kronogard, M.2    Lenhoff, H.3    Halling, A.4
  • 12
    • 45149105550 scopus 로고    scopus 로고
    • Danish General Medicine Database - Future tool! The Danish Society of General Medicine
    • Schroll, H., Christensen, B., Andersen, J.S., Sondergaard, J.: Danish General Medicine Database - future tool! The Danish Society of General Medicine. Ugeskr. Laeger 170(12), 1013 (2008)
    • (2008) Ugeskr. Laeger , vol.170 , Issue.12 , pp. 1013
    • Schroll, H.1    Christensen, B.2    Andersen, J.S.3    Sondergaard, J.4
  • 13
    • 67049087716 scopus 로고    scopus 로고
    • Data collection perspectives from patient care in general practice
    • Schroll, H.: Data collection perspectives from patient care in general practice. Ugeskr. Laeger 171(20), 1681-1684 (2009)
    • (2009) Ugeskr. Laeger , vol.171 , Issue.20 , pp. 1681-1684
    • Schroll, H.1
  • 18
    • 77954792053 scopus 로고    scopus 로고
    • Cost variation in diabetes care delivered in English hospitals
    • Kristensen, T., Laudicella, M., Ejersted, C., Street, A.: Cost variation in diabetes care delivered in English hospitals. Diabet. Med. 27(8), 949-957 (2010)
    • (2010) Diabet. Med. , vol.27 , Issue.8 , pp. 949-957
    • Kristensen, T.1    Laudicella, M.2    Ejersted, C.3    Street, A.4
  • 19
    • 0033991762 scopus 로고    scopus 로고
    • The "supply hypothesis" and medical practice variation in primary care: Testing economic and clinical models of inter-practitioner variation
    • Davis, P., Gribben, B., Scott, A., Lay-Yee, R.: The "supply hypothesis" and medical practice variation in primary care: testing economic and clinical models of inter-practitioner variation. Soc. Sci. Med. 50(3), 407-418 (2000)
    • (2000) Soc. Sci. Med. , vol.50 , Issue.3 , pp. 407-418
    • Davis, P.1    Gribben, B.2    Scott, A.3    Lay-Yee, R.4
  • 20
    • 0031449961 scopus 로고    scopus 로고
    • Multilevel models and health economics
    • Rice, N., Jones, A.: Multilevel models and health economics. Health Econ. 6(6), 561-575 (1997)
    • (1997) Health Econ. , vol.6 , Issue.6 , pp. 561-575
    • Rice, N.1    Jones, A.2
  • 21
    • 78049295129 scopus 로고    scopus 로고
    • Examining cost variation across hospital departments - A two-stage multi-level approach using patient-level data
    • Laudicella, M., Olsen, K.R., Street, A.: Examining cost variation across hospital departments - a two-stage multi-level approach using patient-level data. Soc. Sci. Med. 71(10), 1872-1881 (2010)
    • (2010) Soc. Sci. Med. , vol.71 , Issue.10 , pp. 1872-1881
    • Laudicella, M.1    Olsen, K.R.2    Street, A.3
  • 22
    • 84896293731 scopus 로고    scopus 로고
    • The Health Services Research & Development Center at The Johns Hopkins University The Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD December
    • The Health Services Research & Development Center at The Johns Hopkins University. The Johns Hopkins ACG® system, Technical Reference Guide Version 9.0. The Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD (December 2009)
    • (2009) The Johns Hopkins ACG® System, Technical Reference Guide Version 9.0
  • 23
    • 0033093553 scopus 로고    scopus 로고
    • Application of the ambulatory care groups in the primary care of European national health care system: Does it work?
    • Orueta, J.F., Lopez-De-Munain, J., Báez, K., Aiarzaguena, J.M., Aranguren, J.I., Pedrero, E.: Application of the ambulatory care groups in the primary care of European national health care system: does it work? Med. Care 37 (3), 238-248 (1999)
    • (1999) Med. Care , vol.37 , Issue.3 , pp. 238-248
    • Orueta, J.F.1    Lopez-De-Munain, J.2    Báez, K.3    Aiarzaguena, J.M.4    Aranguren, J.I.5    Pedrero, E.6
  • 25
    • 49949088057 scopus 로고    scopus 로고
    • The coming of age of ICPC: Celebrating the 21st birthday of the International Classification of Primary Care
    • Soler, J.K., Okkes, I., Wood, M., Lamberts, H.: The coming of age of ICPC: celebrating the 21st birthday of the International Classification of Primary Care. Fam. Pract. 25(4), 312-317 (2008)
    • (2008) Fam. Pract. , vol.25 , Issue.4 , pp. 312-317
    • Soler, J.K.1    Okkes, I.2    Wood, M.3    Lamberts, H.4
  • 26
    • 85040408683 scopus 로고    scopus 로고
    • Efficiency barriers to the consolidation of the European financial services industry
    • Berger, A.N., DeYong, R., Udell, G.: Efficiency barriers to the consolidation of the European financial services industry. Eur. Financ. Manag. 7(1), 117-130 (2001)
    • (2001) Eur. Financ. Manag. , vol.7 , Issue.1 , pp. 117-130
    • Berger, A.N.1    DeYong, R.2    Udell, G.3
  • 28
    • 0030138272 scopus 로고    scopus 로고
    • The sex of the general practitioner: A comparison of characteristics, patients, and medical conditions managed
    • Britt, H., Bhasale, A., Miles, D.A., Meza, A., Sayer, G.P., Angelis, M.: The sex of the general practitioner: a comparison of characteristics, patients, and medical conditions managed. Med. Care 34(5), 403-415 (1996)
    • (1996) Med. Care , vol.34 , Issue.5 , pp. 403-415
    • Britt, H.1    Bhasale, A.2    Miles, D.A.3    Meza, A.4    Sayer, G.P.5    Angelis, M.6
  • 29
    • 0029667894 scopus 로고    scopus 로고
    • Sex differences in morbidity: A case of discrimination in general practice
    • Sayer, G.P., Britt, H.: Sex differences in morbidity: a case of discrimination in general practice. Soc. Sci. Med. 42(2), 257-264 (1996)
    • (1996) Soc. Sci. Med. , vol.42 , Issue.2 , pp. 257-264
    • Sayer, G.P.1    Britt, H.2
  • 31
    • 33644651102 scopus 로고    scopus 로고
    • Patients with a psychiatric disorder in general practice: Determinants of general practitioners' psychological diagnosis
    • Verhaak, P.F., Schellevis, F.G., Nuijen, J., Volkers, A.C.: Patients with a psychiatric disorder in general practice: determinants of general practitioners' psychological diagnosis. Gen. Hosp. Psychiatry 28(2), 125-132 (2006)
    • (2006) Gen. Hosp. Psychiatry , vol.28 , Issue.2 , pp. 125-132
    • Verhaak, P.F.1    Schellevis, F.G.2    Nuijen, J.3    Volkers, A.C.4
  • 32
    • 34250212854 scopus 로고    scopus 로고
    • Do longer consultations improve the management of psychological problems in general practice? A systematic literature review
    • Hutton, C., Gunn, J.: Do longer consultations improve the management of psychological problems in general practice? A systematic literature review. BMC Health Serv. Res. 7, 71 (2007)
    • (2007) BMC Health Serv. Res. , vol.7 , pp. 71
    • Hutton, C.1    Gunn, J.2
  • 33
    • 0034365095 scopus 로고    scopus 로고
    • Using heteroscedasticity consistent standard errors in the linear regression model
    • Long, J.S., Ervin, L.H.: Using heteroscedasticity consistent standard errors in the linear regression model. Am. Stat. 54, 217-224 (2000)
    • (2000) Am. Stat. , vol.54 , pp. 217-224
    • Long, J.S.1    Ervin, L.H.2
  • 34
    • 84872648215 scopus 로고    scopus 로고
    • The Danish model for improvement of diabetes care in general practice: Impact of automated collection and feedback of patient data
    • Schroll, H., Christensen, R.D., Thomsen, J.L., Andersen, M., Friborg, S., Sondergaard, J.: The Danish model for improvement of diabetes care in general practice: impact of automated collection and feedback of patient data. Int. J. Fam. Med. 2012, 208123 (2012)
    • (2012) Int. J. Fam. Med. , vol.2012 , pp. 208123
    • Schroll, H.1    Christensen, R.D.2    Thomsen, J.L.3    Andersen, M.4    Friborg, S.5    Sondergaard, J.6
  • 35
    • 84863697496 scopus 로고    scopus 로고
    • Adaptive capacity of the Adjusted Clinical Groups Case-Mix System to the cost of primary healthcare in Catalonia (Spain): A observational study
    • doi:10.1136/bmjopen-2012-000941
    • Sicras-Mainar, A., Velasco-Velasco, S., Navarro-Artieda, R., Prados-Torres, A., Bolibar-Ribas, B., Violan-Fors, C.: Adaptive capacity of the Adjusted Clinical Groups Case-Mix System to the cost of primary healthcare in Catalonia (Spain): a observational study. BMJ Open. 2, e000941 (2012). doi:10.1136/bmjopen-2012-000941
    • (2012) BMJ Open. , vol.2
    • Sicras-Mainar, A.1    Velasco-Velasco, S.2    Navarro-Artieda, R.3    Prados-Torres, A.4    Bolibar-Ribas, B.5    Violan-Fors, C.6
  • 36
    • 33646556994 scopus 로고    scopus 로고
    • The importance of comorbidity in analysing patient costs in Swedish primary care
    • doi:10.1186/1471-2458-6-36. Available at
    • Engstrom, S.G., Carlsson, L., Ostgren, C.J., Nilsson, G.H., Borgquist, L.A.: The importance of comorbidity in analysing patient costs in Swedish primary care. BMC Public Health 6, 36 (2006). doi:10.1186/1471-2458-6-36. Available at http://www.biomedcentral.com/1471-2458/6/36
    • (2006) BMC Public Health , vol.6 , pp. 36
    • Engstrom, S.G.1    Carlsson, L.2    Ostgren, C.J.3    Nilsson, G.H.4    Borgquist, L.A.5
  • 37
    • 4344680814 scopus 로고    scopus 로고
    • Risk selection and the specification of the conventional risk adjustment formula
    • Schokkaert, E., Van de Voorde, C.: Risk selection and the specification of the conventional risk adjustment formula. J. Health Econ. 23, 1237-1259 (2004)
    • (2004) J. Health Econ. , vol.23 , pp. 1237-1259
    • Schokkaert, E.1    Van De Voorde, C.2
  • 38
    • 84855579684 scopus 로고    scopus 로고
    • Evaluation of the equity of age-sex adjusted primary care capitation payments in Ontario, Canada
    • Sibley, L.M., Glazier, R.H.: Evaluation of the equity of age-sex adjusted primary care capitation payments in Ontario, Canada. Health Policy 104(2), 186-192 (2012)
    • (2012) Health Policy , vol.104 , Issue.2 , pp. 186-192
    • Sibley, L.M.1    Glazier, R.H.2
  • 39
    • 0842312029 scopus 로고    scopus 로고
    • Applying a risk-adjustment framework to primary care: Can we improve on existing measures?
    • Rosen, A.K., Reid, R., Broemeling, A.M., Rakovski, C.C.: Applying a risk-adjustment framework to primary care: can we improve on existing measures? Ann. Fam. Med. 1(1), 44-51 (2003)
    • (2003) Ann. Fam. Med. , vol.1 , Issue.1 , pp. 44-51
    • Rosen, A.K.1    Reid, R.2    Broemeling, A.M.3    Rakovski, C.C.4
  • 40
    • 84863813826 scopus 로고    scopus 로고
    • Risk-adjusted capitation in an era of personalized medicine: A dangerous opportunity to bend the health care cost curve
    • Horner, R.D.: Risk-adjusted capitation in an era of personalized medicine: a dangerous opportunity to bend the health care cost curve. Med. Care 50(8), 633-634 (2012)
    • (2012) Med. Care , vol.50 , Issue.8 , pp. 633-634
    • Horner, R.D.1
  • 41
    • 84863846013 scopus 로고    scopus 로고
    • Risk-adjusted payment and performance assessment for primary care
    • Ash, A.S., Ellis, R.P.: Risk-adjusted payment and performance assessment for primary care. Med. Care 50(8), 643-653 (2012)
    • (2012) Med. Care , vol.50 , Issue.8 , pp. 643-653
    • Ash, A.S.1    Ellis, R.P.2
  • 42
    • 0020320483 scopus 로고
    • Professional uncertainty and the problem of supplier-induced demand
    • Wennberg, J.E., Barnes, B.A., Zubkoff, M.: Professional uncertainty and the problem of supplier-induced demand. Soc. Sci. Med. 16(7), 811-824 (1982)
    • (1982) Soc. Sci. Med. , vol.16 , Issue.7 , pp. 811-824
    • Wennberg, J.E.1    Barnes, B.A.2    Zubkoff, M.3
  • 43
    • 0642278950 scopus 로고    scopus 로고
    • Differences in general practitioners' use of International Classification for Primary Care diagnoses. The interobserver and intraobserver variation
    • Schroll, H., Stovring, H., Kragstrup, J.: Differences in general practitioners' use of International Classification for Primary Care diagnoses. The interobserver and intraobserver variation. Ugeskr. Laeger 165(43), 4104-4107 (2003)
    • (2003) Ugeskr. Laeger , vol.165 , Issue.43 , pp. 4104-4107
    • Schroll, H.1    Stovring, H.2    Kragstrup, J.3
  • 44
    • 0036229167 scopus 로고    scopus 로고
    • A typology for provider payment systems in health care
    • Jegers, M., Kesteloot, K., De, G.D., Gilles, W.: A typology for provider payment systems in health care. Health Policy 60(3), 255-273 (2002)
    • (2002) Health Policy , vol.60 , Issue.3 , pp. 255-273
    • Jegers, M.1    Kesteloot, K.2    De, G.D.3    Gilles, W.4
  • 45
    • 28944437166 scopus 로고    scopus 로고
    • The barriers to clinical coding in general practice: A literature review
    • De Lusignan, S.: The barriers to clinical coding in general practice: a literature review. Med. Inform. Internet Med. 30(2), 89-97 (2005)
    • (2005) Med. Inform. Internet Med. , vol.30 , Issue.2 , pp. 89-97
    • De Lusignan, S.1
  • 46
    • 2142659427 scopus 로고    scopus 로고
    • The effects of payment method on clinical decision-making - Physician responses to clinical scenarios
    • Shen, J., Andersen, R., Brook, R., Kominski, G., Albert, P.S., Wenger, N.: The effects of payment method on clinical decision-making - physician responses to clinical scenarios. Med. Care 42(3), 297-302 (2004)
    • (2004) Med. Care , vol.42 , Issue.3 , pp. 297-302
    • Shen, J.1    Andersen, R.2    Brook, R.3    Kominski, G.4    Albert, P.S.5    Wenger, N.6


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.