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oai:recercat.cat:10230/583452025-12-19T23:00:48Zcom_2072_6col_2072_452952

Analysing the costs of integrated care: a case on model selection for chronic care purposes Carreras, Marc Sánchez-Pérez, Inma Ibern Regàs, Pere Coderch, Jordi Inoriza, José María Costs and cost analysis Delivery of health care Integrated Risk assessment Background: The objective of this study is to investigate whether the algorithm proposed by Manning and Mullahy, a consolidated health economics procedure, can also be used to estimate individual costs for different groups of healthcare services in the context of integrated care. Methods: A cross-sectional study focused on the population of the Baix Empordà (Catalonia-Spain) for the year 2012 (N = 92,498 individuals). A set of individual cost models as a function of sex, age and morbidity burden were adjusted and individual healthcare costs were calculated using a retrospective full-costing system. The individual morbidity burden was inferred using the Clinical Risk Groups (CRG) patient classification system. Results: Depending on the characteristics of the data, and according to the algorithm criteria, the choice of model was a linear model on the log of costs or a generalized linear model with a log link. We checked for goodness of fit, accuracy, linear structure and heteroscedasticity for the models obtained. Conclusion: The proposed algorithm identified a set of suitable cost models for the distinct groups of services integrated care entails. The individual morbidity burden was found to be indispensable when allocating appropriate resources to targeted individuals. 2023-11-21T06:54:30Z 2023-11-21T06:54:30Z 2016 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Carreras M, Sánchez-Pérez I, Ibern P, Coderch J, Inoriza JM. Analysing the costs of integrated care: a case on model selection for chronic care purposes. International Journal of Integrated Care. 2016 Aug 19;16(3):10. DOI: 10.5334/ijic.2422 1568-4156 http://hdl.handle.net/10230/58345 http://dx.doi.org/10.5334/ijic.2422 eng International Journal of Integrated Care. 2016 Aug 19;16(3):10 © 2016 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/. http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess application/pdf application/pdf Ubiquity Press