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Báo cáo y học: " Determinants of elevated healthcare utilization in patients with COPD"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học 'Respiratory Research cung cấp cho các bạn kiến thức về ngành y đề tài:" Determinants of elevated healthcare utilization in patients with COPD. | Simon-Tuval et al. Respiratory Research 2011 12 7 http respiratory-research.eom content 12 1 7 RESPIRATORY RESEARCH RESEARCH Open Access Determinants of elevated healthcare utilization in patients with COPD I r s I . I Cl ws I I IV t s I 1c o l l c z kC2 l I I KỲ V r I IV I I m r 3 D r -s r -s I D X r n -s c z rí 4 I_I I m Dm 1 f 13 izanii Simon-Tuvdl Steven M schdrT NimroQ Midimon Bdrbdrd J Dernndra-scndiT Hdim Reuveni Ariel Tdrdsiuk3 Abstract Background Chronic obstructive pulmondry Qisedse COPD impdrts d substdntidl economic burden on western hedlth systems. Our objective wds to dndlyze the Qetermindnts oT elevdteQ hedlthcdre utilizdtion dmong pdtients with COPD in d single-pdyer hedlth system. Methods Three-hunQreQ eighty-nine dQults with COPD were mdtcheQ 1 3 to controls by dge gender dnQ dred oT residency. Totdl hedlthcdre cost 5 yedrs prior recruitment dnQ presence oT comorbiQities were obtdineQ from d computerizeQ Qdtdbdse. Hedlth reldteQ qudlity oT life HRQoL inQices were obtdineQ using vdliQdteQ questionndires dmong d subsdmple oT 177 pdtients. Results Hedlthcdre utilizdtion wds 3.4-TolQ higher dmong COPD pdtients compdreQ with controls p 0.001 . The most-costly upper 25 oT COPD pdtients n 98 consumeQ 63 oT dll costs. Multivdridte dndlysis revedleQ thdt inQepenQent Qetermindnts oT being in the most costly group were OR 95 CI dge-dQjusteQ Chdrlson ComorbiQity InQex 1.09 1.01 - 1.2 history oT myocdrQidl inTdrct 2.87 1.5 - 5.5 congestive hedrt Tdilure 3.52 1.9 - 6.4 milQ liver Qisedse 3.83 1.3 - 11.2 dnQ Qidbetes 2.02 1.1 - 3.6 . Bivdridte dndlysis revedleQ thdt cost incredseQ ds HRQoL QeclineQ dnQ severity oT dirTlow obstruction incredseQ but these were not inQepenQent Qetermindnts in d multivdridte dndlysis. Conclusion ComorbiQity burQen Qetermines elevdteQ utilizdtion Tor COPD pdtients. Decision mdkers shoulQ prioritize scdrce hedlth cdre resources to d better cdre mdndgement oT the most costly pdtients. Background Chronic obstructive pulmonary disease .