Matches in UGent Biblio for { <https://biblio.ugent.be/publication/4303678#aggregation> ?p ?o. }
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- aggregation classification "A1".
- aggregation creator B441692.
- aggregation creator B441693.
- aggregation creator B441694.
- aggregation creator B441695.
- aggregation creator B441696.
- aggregation creator B441697.
- aggregation creator person.
- aggregation date "2013".
- aggregation format "application/pdf".
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- aggregation isPartOf urn:issn:0025-7079.
- aggregation language "eng".
- aggregation rights "I have transferred the copyright for this publication to the publisher".
- aggregation subject "Medicine and Health Sciences".
- aggregation title "Medical homes versus individual practice in primary care impact on health care expenditures".
- aggregation abstract "Background: The medical home (MH) model has prompted increasing attention given its potential to improve quality of care while reducing health expenditures. Objectives: We compare overall and specific health care expenditures in Belgium, from the third-party payer perspective (compulsory social insurance), between patients treated at individual practices (IP) and at MHs. We compare the sociodemographic profile of MH and IP users. Research Design: This is a retrospective study using public insurance claims data. Generalized linear models estimate the impact on health expenditures of being treated at a MH versus IP, controlling for individual, and area-based sociodemographic characteristics. The choice of primary care setting is modeled using logistic regressions. Subjects: A random sample of 43,678 persons followed during the year 2004. Measures: Third-party payer expenditures for primary care, secondary care consultations, pharmaceuticals, laboratory tests, acute and long-term inpatient care. Results: Overall third-party payer expenditures do not differ significantly between MH and IP users ((sic)+27). Third-party payer primary care expenditures are higher for MH than for IP users ((sic)+129), but this difference is offset by lower expenditures for secondary care consultations ((sic)-11), drugs ((sic)-40), laboratory tests ((sic)-5) and acute and long-term inpatient care ((sic)-53). MHs attract younger and more underprivileged populations. Conclusions: MHs induce a shift in expenditures from secondary care, drugs, and laboratory tests to primary care, while treating a less economically favored population. Combined with positive results regarding quality, MH structures are a promising way to tackle the challenges of primary care.".
- aggregation authorList BK770810.
- aggregation endPage "688".
- aggregation issue "8".
- aggregation startPage "682".
- aggregation volume "51".
- aggregation aggregates 4304065.
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