A 3-year study of high-cost users of health care

CMAJ

Volumn 188, Issue 3, 2016, Pages 182-188

  Wodchis, Walter P ^a,b   Austin, Peter C ^a,b   Henry, David A ^a,b  

^a UNIVERSITY OF TORONTO   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE DISEASE; ARTICLE; CANADA; CHRONIC DISEASE; FUNDING; HEALTH CARE COST; HEALTH CARE NEED; HEALTH SERVICE; HOSPITAL ADMISSION; HUMAN; INFECTION; INTERNAL CONSISTENCY; MEDICAL RESEARCH; PALLIATIVE THERAPY; RETROSPECTIVE STUDY; TOTAL QUALITY MANAGEMENT; ADOLESCENT; ADULT; AGED; AMBULATORY CARE; CHILD; COHORT ANALYSIS; ECONOMICS; FEMALE; FINANCIAL MANAGEMENT; HOSPITALIZATION; INFANT; MALE; MIDDLE AGED; NATIONAL HEALTH SERVICE; NEWBORN; ONTARIO; PRESCHOOL CHILD; STATISTICS AND NUMERICAL DATA; UTILIZATION; VERY ELDERLY; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; AMBULATORY CARE; CANADA; CHILD; CHILD, PRESCHOOL; CHRONIC DISEASE; COHORT STUDIES; FEMALE; FINANCING, GOVERNMENT; HEALTH CARE COSTS; HEALTH EXPENDITURES; HEALTH SERVICES; HOSPITALIZATION; HUMANS; INFANT; INFANT, NEWBORN; MALE; MIDDLE AGED; ONTARIO; RETROSPECTIVE STUDIES; STATE MEDICINE; YOUNG ADULT;

EID: 84958720937     PISSN: 08203946     EISSN: 14882329     Source Type: Journal    
DOI: 10.1503/cmaj.150064     Document Type: Article

References (20)

1. Cohen S, Yu W. The concentration and persistence in the level of health expenditures over time: estimates for the US population, 2008-2009. Statistical brief no. 354; Medical Expenditures Panel Survey. Rockville (MD): Agency for Healthcare Research and Quality; 2012. Available: http://meps.ahrq.gov/mepsweb/data-files/publications/st354/stat354.pdf (accessed 2013 Dec. 15).
2. Roos NP, Shapiro E, Tate R. Does a small minority of elderly account for a majority of health care expenditures? A sixteeen-year perspective. Milbank Q 1989;67:347-69.
3. Reid R, Evans R, Barer M, et al. Conspicuous consumption: characterizing high users of physician services in one Canadian province. J Health Serv Res Policy 2003;8:215-24.
4. Ideas and opportunities for bending the health care cost curve: advice for the Government of Ontario. Toronto: Ontario Hospital Association/Ontario Federation of Community Mental Health and Addiction Programs/Ontario Association for Community Care Access Centres; 2010.
5. Deaths and mortality rate, by selected grouped causes, age group and sex, Canada, annual, CANSIM [Table 102-0551]. Ottawa: Statistics Canada; 2015.
6. Hirth RA, Gibson TB, Levy HG, et al. New evidence on the persistence of health spending. Med Care Res Rev 2015;72:277-97.
7. Johnson TL, Rinehart DJ, Durfee J, et al. For many patients who use large amounts of health care services, the need is intense yet temporary. Health Affairs 2015;34:1312-9.
8. Bronskill SE, Anderson GM, Sykora K, et al. Neuroleptic drug therapy in older adults newly admitted to nursing homes: incidence, dose and specialist contact. J Am Geriatr Soc 2004;52: 749-55.
9. Wodchis W, Bushmeneva K, Nikitovic M, et al. Guidelines on person-level costing using administrative databases in Ontario: working paper series volume 1 May 2013. Toronto: Health System Performance Research Network; 2013.
10. Henry D, Schultz S, Glazier R, et al. Payments to Ontario physicians from Ministry of Health and Long-Term Care sources, 1992/93 to 2009/10. Toronto: Institute for Clinical Evaluative Sciences; 2012.
11. Forget EL, Roos L, Deber R, et al. Variations in lifetime healthcare costs across a population. Healthc Policy 2008;4:e148-67.
12. Public services for Ontarians: a path to sustainability and excellence. Toronto: Commission on the Reform of Ontario's Public Services; 2012:161-2.
13. Counsell SR, Callahan C, Clark D, et al. Geriatric care management for low-income seniors: a randomized controlled trial. JAMA 2007;298:2623-33.
14. Counsell SR, Callahan CM, Buttar AB, et al. Geriatric Resources for Assessment and Care of Elders (GRACE): a new model of primary care for low-income seniors. J Am Geriatr Soc 2006; 54:1136-41.
15. Béland F, Bergman H, Lebel P, et al. Integrated services for frail elders (SIPA): a trial of a model for Canada. Can J Aging 2006; 25:5-42.
16. Boult C, Reider L, Leff B, et al. The effect of guided care teams on the use of health services: results from a cluster-randomized trial. Arch Intern Med 2011;171:460-6.
17. Transforming Ontario's health care system: Community Health Links provide coordinated, efficient and effective care to patients with complex needs. Toronto: Ontario Ministry of Health and Long-Term Care; 2014. Available: www.health.gov.on.ca/en/pro/programs/transformation/community.aspx (accessed 2015 Jan. 16).
18. Emanuel EJ. Where are the health care cost savings? JAMA 2012;307:39-40.
19. Keresteci M. Health Links: physician leadership as a key to success: finding from OMA jurisdictional research. Ont Med Rev 2013;80:14-7.
20. Evidence of value: D2D 2.0 report release: AFHTO members advance primary care measurement. Toronto: Association of Family Health Teams of Ontario; 2015. Available: www.afhto.ca/highlights/key-issues/d2d-2-0-report-release (accessed 2015 Dec. 21).