Identifying patterns of clinical conditions among high-cost older adult health care users using claims data: a latent class approach
Abstract Objectives To identify patterns of clinical conditions among high-cost older adults health care users and explore the associations between characteristics of high-cost older adults and patterns of clinical conditions. Methods We analyzed data from the Shanghai Basic Social Medical Insurance...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-06-01
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| Series: | International Journal for Equity in Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12939-022-01688-3 |
| _version_ | 1818545874020597760 |
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| author | Xiaolin He Danjin Li Wenyi Wang Hong Liang Yan Liang |
| author_facet | Xiaolin He Danjin Li Wenyi Wang Hong Liang Yan Liang |
| author_sort | Xiaolin He |
| collection | DOAJ |
| description | Abstract Objectives To identify patterns of clinical conditions among high-cost older adults health care users and explore the associations between characteristics of high-cost older adults and patterns of clinical conditions. Methods We analyzed data from the Shanghai Basic Social Medical Insurance Database, China. A total of 2927 older adults aged 60 years and over were included as the analysis sample. We used latent class analysis to identify patterns of clinical conditions among high-cost older adults health care users. Multinomial logistic regression models were also used to determine the associations between demographic characteristics, insurance types, and patterns of clinical conditions. Results Five clinically distinctive subgroups of high-cost older adults emerged. Classes included “cerebrovascular diseases” (10.6% of high-cost older adults), “malignant tumor” (9.1%), “arthrosis” (8.8%), “ischemic heart disease” (7.4%), and “other sporadic diseases” (64.1%). Age, sex, and type of medical insurance were predictors of high-cost older adult subgroups. Conclusions Profiling patterns of clinical conditions among high-cost older adults is potentially useful as a first step to inform the development of tailored management and intervention strategies. |
| first_indexed | 2024-12-12T07:45:41Z |
| format | Article |
| id | doaj.art-47f80f04f76e4360953eac17cb7b3898 |
| institution | Directory Open Access Journal |
| issn | 1475-9276 |
| language | English |
| last_indexed | 2024-12-12T07:45:41Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal for Equity in Health |
| spelling | doaj.art-47f80f04f76e4360953eac17cb7b38982022-12-22T00:32:36ZengBMCInternational Journal for Equity in Health1475-92762022-06-012111910.1186/s12939-022-01688-3Identifying patterns of clinical conditions among high-cost older adult health care users using claims data: a latent class approachXiaolin He0Danjin Li1Wenyi Wang2Hong Liang3Yan Liang4Department of Social Policy, Shanghai Administration InstituteSchool of Nursing, Fudan UniversitySchool of Social Development and Public Policy, Fudan UniversitySchool of Social Development and Public Policy, Fudan UniversitySchool of Nursing, Fudan UniversityAbstract Objectives To identify patterns of clinical conditions among high-cost older adults health care users and explore the associations between characteristics of high-cost older adults and patterns of clinical conditions. Methods We analyzed data from the Shanghai Basic Social Medical Insurance Database, China. A total of 2927 older adults aged 60 years and over were included as the analysis sample. We used latent class analysis to identify patterns of clinical conditions among high-cost older adults health care users. Multinomial logistic regression models were also used to determine the associations between demographic characteristics, insurance types, and patterns of clinical conditions. Results Five clinically distinctive subgroups of high-cost older adults emerged. Classes included “cerebrovascular diseases” (10.6% of high-cost older adults), “malignant tumor” (9.1%), “arthrosis” (8.8%), “ischemic heart disease” (7.4%), and “other sporadic diseases” (64.1%). Age, sex, and type of medical insurance were predictors of high-cost older adult subgroups. Conclusions Profiling patterns of clinical conditions among high-cost older adults is potentially useful as a first step to inform the development of tailored management and intervention strategies.https://doi.org/10.1186/s12939-022-01688-3Health care costsOlder adultsSegmentationHigh-cost usersHealth service use |
| spellingShingle | Xiaolin He Danjin Li Wenyi Wang Hong Liang Yan Liang Identifying patterns of clinical conditions among high-cost older adult health care users using claims data: a latent class approach International Journal for Equity in Health Health care costs Older adults Segmentation High-cost users Health service use |
| title | Identifying patterns of clinical conditions among high-cost older adult health care users using claims data: a latent class approach |
| title_full | Identifying patterns of clinical conditions among high-cost older adult health care users using claims data: a latent class approach |
| title_fullStr | Identifying patterns of clinical conditions among high-cost older adult health care users using claims data: a latent class approach |
| title_full_unstemmed | Identifying patterns of clinical conditions among high-cost older adult health care users using claims data: a latent class approach |
| title_short | Identifying patterns of clinical conditions among high-cost older adult health care users using claims data: a latent class approach |
| title_sort | identifying patterns of clinical conditions among high cost older adult health care users using claims data a latent class approach |
| topic | Health care costs Older adults Segmentation High-cost users Health service use |
| url | https://doi.org/10.1186/s12939-022-01688-3 |
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