14 results on '"Inoriza, José M."'
Search Results
2. A 14-Year Longitudinal Analysis of Healthcare Expenditure on Dementia and Related Factors (DEMENCOST Study)
- Author
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Inoriza, José M., primary, Carreras, Marc, additional, Coderch, Jordi, additional, Turro-Garriga, Oriol, additional, Sáez, Marc, additional, and Garre-Olmo, Josep, additional
- Published
- 2023
- Full Text
- View/download PDF
3. Predicción del riesgo individual de alto coste sanitario para la identificación de pacientes crónicos complejos
- Author
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Coderch, Jordi, Sánchez-Pérez, Inma, Ibern, Pere, Carreras, Marc, Pérez-Berruezo, Xavier, and Inoriza, José M.
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- 2014
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- View/download PDF
4. La medida de la morbilidad atendida en una organización sanitaria integrada
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Inoriza, José M., Coderch, Jordi, Carreras, Marc, Vall-llosera, Laura, García-Goñi, Manuel, Lisbona, Josep M., and Ibern, Pere
- Published
- 2009
- Full Text
- View/download PDF
5. Assessment of the effectiveness of a proactive and integrated healthcare programme for chronic complex patients
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Coderch, Jordi, Pérez-Berruezo, Xavier, Sánchez-Pérez, Inma, Sánchez, Elvira, Ibern, Pere, Pérez, Marc, Carreras, Marc, and Inoriza, José M.
- Subjects
Enfermedad crónica ,Effectiveness ,Evaluación de programas ,Health resources ,Morbilidad ,Gestión de casos ,Program evaluation ,Frail elderly ,Integrated delivery of health care ,Chronic disease ,Case management ,Efectividad ,Recursos en salud ,Morbidity ,Prestación integrada de atención de salud ,Anciano frágil - Abstract
Resumen Objetivo: Evaluar la efectividad de un programa de atención integrada y proactiva para adecuar el uso de recursos sanitarios en pacientes crónicos complejos con riesgo de alto consumo según un modelo predictivo basado en morbilidad y utilización previa. Métodos: Ensayo clínico controlado aleatorizado con grupo control enmascarado, grupo de intervención parcial informado en la historia clínica y grupo de intervención total informado además a atención primaria, en una organización sanitaria integrada con 128.281 residentes en 2011. Variables dependientes: visitas de atención primaria, urgencias hospitalarias, hospitalización, coste farmacéutico y muerte. Variables independientes: grupo de intervención, edad, sexo, área básica, morbilidad (según grupo de riesgo clínico) y recurrencia como paciente crónico complejo. Análisis bivariado con ANOVA y t de Student, y multivariado mediante regresión logística y regresión lineal múltiple, con un nivel de confianza del 95%. Resultados: Se incluyeron 4.236 y 4.223 pacientes crónicos complejos en el primer y el segundo año de intervención, respectivamente. El 72% eran recurrentes. Edad media: 73,2 años. El 54,2% eran mujeres. Más del 70% tenían al menos dos enfermedades crónicas. El número de visitas a atención primaria fue significativamente mayor en el grupo de intervención total respecto al grupo de intervención parcial y el grupo control. La intervención solo tuvo un efecto significativo independiente en las estancias hospitalarias, que fueron menos en el grupo de intervención parcial. Este efecto diferencial se dio en el primer año y en los pacientes crónicos complejos nuevos del segundo año. Los indicadores asistenciales generales de la organización sanitaria integrada eran buenos, antes y durante la intervención. Conclusiones: Una buena situación general previa y mantenida, y una inevitable contaminación entre grupos, dificultaron la demostración de efectividad marginal del programa. Abstract Objective: To assess the effectiveness of a proactive and integrated care programme to adjust the use of health resources by chronic complex patients (CCP) identified as potential high consumers according to a predictive model based on prior use and morbidity. Methods: Randomized controlled clinical trial with three parallel groups of CCP: a blinded control group (GC), usual care; a partial intervention group (GIP) reported in the EMR; a total intervention group (GIT), also reported to primary care (PC). Conducted in an integrated health care organization (IHCO), N = 128,281 individuals in 2011. Dependent variables: PC visits, emergency attention, hospitalizations, pharmaceutical cost and death. Independent variables: intervention group, age, sex, area of residence, morbidity (by clinical risk group) and recurrence as CCP. Statistical analysis: ANOVA, student's t test; logistic and multiple linear regressions at the 95% confidence level. Results: 4,236 CCP included for the first intervention year and 4,223 for the second; recurrence as CCP 72%. Mean age 73.2 years, 54.2% women and over 70% with 2 or more chronic diseases. The number of PC visits was significantly higher for GIT than for GIP and GC. The hospital stays were significantly lower in GIP. This effect was observed in the first year and in the second year only in the new CCP. The general indicators of the IHCO were good, before and during the intervention. Conclusions: A high standard of quality, previous and during the study, and the inevitable contamination between groups, hindered the assessment of the marginal effectiveness of the program.
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- 2018
6. Morbilidad y costes sanitarios: hacia un benchmarking ?
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Inoriza, José M, Pérez Berruezo, Xavier, Carreras, Marc, and Coderch, Jordi
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- 2016
7. An economic evaluation of a programme for chronic complex patients in a context of integration
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Sánchez, Elvira, primary, Coderch, Jordi, additional, Carreras, Marc, additional, Inoriza, José M, additional, Sánchez, Inma, additional, and Pérez, Xavier, additional
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- 2016
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- View/download PDF
8. Evaluación de la efectividad de un programa de atención integrada y proactiva a pacientes crónicos complejos
- Author
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Coderch, Jordi, Pérez-Berruezo, Xavier, Sánchez-Pérez, Inma, Sánchez, Elvira, Ibern, Pere, Pérez, Marc, Carreras, Marc, and Inoriza, José M.
- Abstract
Evaluar la efectividad de un programa de atención integrada y proactiva para adecuar el uso de recursos sanitarios en pacientes crónicos complejos con riesgo de alto consumo según un modelo predictivo basado en morbilidad y utilización previa.
- Published
- 2024
- Full Text
- View/download PDF
9. Measurement of morbidity attended in an integrated health care organization
- Author
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Inoriza, José M., Coderch, Jordi, Carreras, Marc, Vall-llosera, Laura, García-Goñi, Manuel, Lisbona, Josep M., and Ibern, Pere
- Subjects
Integrated healthcare organization ,Chronic diseases ,Investigación servicios de salud ,Clinical risk groups ,Health services research ,Enfermedades crónicas ,Organizaciones sanitarias integradas ,Ajuste de riesgo ,Risk adjustment - Abstract
Introducción: La comprensión de la calidad, los costes y los resultados de los servicios de salud obliga a conocer con precisión la morbilidad de la población. La medida de la morbilidad atendida en una población y su relación con los servicios recibidos es una tarea pendiente. El objetivo de este artículo es presentar la experiencia de utilización de los grupos de riesgo clínico (clinical risk groups [CRG]) como sistema de medida de la morbilidad atendida en una organización sanitaria integrada (OSI). Métodos: Se estudia la población de una comarca (unas 120.000 personas) atendida por una OSI durante los años 2002-2005. Se utilizan los CRG como sistema de medida de la morbilidad poblacional. Se efectúa un análisis descriptivo de las diferentes posibilidades de utilización que ofrece este sistema. Resultados: El 15,5% de la población presenta una o más enfermedades crónicas dominantes, un 9% presenta enfermedades agudas significativas, un 7% presenta enfermedades crónicas menores y un 0,5% enfermedades muy graves. Entre 2002 y 2005, en un 8% de la población se identifica la aparición de alguna enfermedad crónica. La carga de enfermedad se incrementa con la edad, pero en cualquier grupo de edad al menos un 40% de las personas permanecen sanas. La comorbilidad en enfermedades crónicas es un factor determinante en la explicación del consumo de recursos sanitarios. Conclusiones: Los CRG son una herramienta que facilita el análisis a diferentes niveles para la gestión clínica y, por su configuración, permiten una mejor comprensión de la utilización, los costes y la calidad del conjunto de servicios recibidos por una población. Introduction: Understanding the quality, costs and outcomes of healthcare services requires precise determination of the morbidity in a population. Measurement of morbidity in a population and its association with the services provided remains to be performed. The aim of this article was to present our experience of using clinical risk groups (CRGs) to measure morbidity in an integrated healthcare organization (IHO). Methods: We studied the population attended by an IHO in a county (approximately 120,000 patients) from 2002 to 2005. CRGs were used to measure morbidity. A descriptive analysis was performed of the population's distribution in CRG categories and utilization rates. Results: One or more chronic diseases was found in 15.5% of the population, significant acute illness was found in 9%, minor chronic diseases was found in 7% and very severe diseases was found in 0.5%. Between 2002 and 2005, the number of individuals with chronic disease increased by 8%. The burden of illness increased with age. However, at all ages, at least 40% of the population remained healthy. Comorbidity in chronic illnesses was a crucial factor in explaining healthcare resource utilization. Conclusions: The CRG grouping system aids analysis at different levels for clinical administration. Due to its composition, this system allows better understanding of the use, costs and quality of the set of services received by a population.
- Published
- 2009
10. Análisis de la población diabética de una comarca: perfil de morbilidad, utilización de recursos, complicaciones y control metabólico
- Author
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Inoriza, José M., primary, Pérez, Marc, additional, Cols, Montse, additional, Sánchez, Inma, additional, Carreras, Marc, additional, and Coderch, Jordi, additional
- Published
- 2013
- Full Text
- View/download PDF
11. [Assessment of the effectiveness of a proactive and integrated healthcare programme for chronic complex patients].
- Author
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Coderch J, Pérez-Berruezo X, Sánchez-Pérez I, Sánchez E, Ibern P, Pérez M, Carreras M, and Inoriza JM
- Subjects
- Aged, Aged, 80 and over, Drug Costs statistics & numerical data, Emergencies epidemiology, Female, Hospitalization statistics & numerical data, Humans, Male, Models, Organizational, Morbidity, Mortality, Office Visits statistics & numerical data, Primary Health Care organization & administration, Program Evaluation, Recurrence, Spain, Chronic Disease therapy, Delivery of Health Care, Integrated, Health Resources statistics & numerical data
- Abstract
Objective: To assess the effectiveness of a proactive and integrated care programme to adjust the use of health resources by chronic complex patients (CCP) identified as potential high consumers according to a predictive model based on prior use and morbidity., Methods: Randomized controlled clinical trial with three parallel groups of CCP: a blinded control group (GC), usual care; a partial intervention group (GIP) reported in the EMR; a total intervention group (GIT), also reported to primary care (PC). Conducted in an integrated health care organization (IHCO), N=128,281 individuals in 2011. Dependent variables: PC visits, emergency attention, hospitalizations, pharmaceutical cost and death., Independent Variables: intervention group, age, sex, area of residence, morbidity (by clinical risk group) and recurrence as CCP., Statistical Analysis: ANOVA, student's t test; logistic and multiple linear regressions at the 95% confidence level., Results: 4,236 CCP included for the first intervention year and 4,223 for the second; recurrence as CCP 72%. Mean age 73.2 years, 54.2% women and over 70% with 2 or more chronic diseases. The number of PC visits was significantly higher for GIT than for GIP and GC. The hospital stays were significantly lower in GIP. This effect was observed in the first year and in the second year only in the new CCP. The general indicators of the IHCO were good, before and during the intervention., Conclusions: A high standard of quality, previous and during the study, and the inevitable contamination between groups, hindered the assessment of the marginal effectiveness of the program., (Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.)
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- 2018
- Full Text
- View/download PDF
12. Morbidity and health costs: Towards a Benchmarking?
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Inoriza JM, Pérez Berruezo X, Carreras MC, and Coderch J
- Subjects
- Humans, Morbidity, Spain, Benchmarking, Health Care Costs
- Published
- 2016
13. [An analysis of the diabetic population in a Spanish rural are: morbidity profile, use of resources, complications and metabolic control].
- Author
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Inoriza JM, Pérez M, Cols M, Sánchez I, Carreras M, and Coderch J
- Subjects
- Adolescent, Adult, Aged, Blood Glucose, Cross-Sectional Studies, Diabetes Complications metabolism, Diabetes Mellitus metabolism, Female, Health Resources statistics & numerical data, Humans, Male, Middle Aged, Retrospective Studies, Rural Health, Spain, Young Adult, Diabetes Complications epidemiology, Diabetes Mellitus epidemiology, Diabetes Mellitus therapy
- Abstract
Objective: To describe the characteristics of a diabetic population, morbidity profile, resource consumption, complications and degree of metabolic control., Design: Cross-sectional study during 2010., Location: Four Health Areas (91.301 people) where the integrated management organization Serveis de Salut integrated Baix Empordà completely provide healthcare assistance., Participants: 4.985 diabetic individuals, identified through clinical codes using the ICD-9-MC classification and the 3M? Clinical Risk Groups software., Main Measurements: Morbidity profile, related complications and degree of metabolic control were obtained for the target diabetic population. We analyzed the consumption of healthcare resources, pharmaceutical and blood glucose reagent strips. All measurements obtained at individual level., Results: 99.3% of the diabetic population were attended at least once at a primary care center (14.9% of visits). 39.5% of primary care visits and less than 10% of the other scanned resources were related to the management of diabetes. The pharmaceutical expenditure was 25.4% of the population consumption (average cost ?1.014,57). 36.5% of diabetics consumed reagents strips (average cost ?120,65). The more frequent CRG are 5424-Diabetes (27%); 6144-Diabetes and Hypertension (25,5%) and 6143-Diabetes and Other Moderate Chronic Disease (17,2%). The degree of disease control is better in patients not consumers of antidiabetic drugs or treated with oral antidiabetic agents not secretagogues., Conclusions: Comorbidity is decisive in the consumption of resources. Just a few part of this consumption is specifically related to the management of diabetes. Results obtained provide a whole population approach to the main existing studies in our national and regional context., (Copyright © 2012 Elsevier España, S.L. All rights reserved.)
- Published
- 2013
- Full Text
- View/download PDF
14. [Measurement of morbidity attended in an integrated health care organization].
- Author
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Inoriza JM, Coderch J, Carreras M, Vall-Llosera L, García-Goñi M, Lisbona JM, and Ibern P
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Female, Humans, Infant, Male, Middle Aged, Young Adult, Delivery of Health Care, Integrated statistics & numerical data, Morbidity trends
- Abstract
Introduction: Understanding the quality, costs and outcomes of healthcare services requires precise determination of the morbidity in a population. Measurement of morbidity in a population and its association with the services provided remains to be performed. The aim of this article was to present our experience of using clinical risk groups (CRGs) to measure morbidity in an integrated healthcare organization (IHO)., Methods: We studied the population attended by an IHO in a county (approximately 120,000 patients) from 2002 to 2005. CRGs were used to measure morbidity. A descriptive analysis was performed of the population's distribution in CRG categories and utilization rates., Results: One or more chronic diseases was found in 15.5% of the population, significant acute illness was found in 9%, minor chronic diseases was found in 7% and very severe diseases was found in 0.5%. Between 2002 and 2005, the number of individuals with chronic disease increased by 8%. The burden of illness increased with age. However, at all ages, at least 40% of the population remained healthy. Comorbidity in chronic illnesses was a crucial factor in explaining healthcare resource utilization., Conclusions: The CRG grouping system aids analysis at different levels for clinical administration. Due to its composition, this system allows better understanding of the use, costs and quality of the set of services received by a population.
- Published
- 2009
- Full Text
- View/download PDF
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