000151987 001__ 151987
000151987 005__ 20250321155444.0
000151987 0247_ $$2doi$$a10.1111/1475-6773.13739
000151987 0248_ $$2sideral$$a127473
000151987 037__ $$aART-2021-127473
000151987 041__ $$aeng
000151987 100__ $$aPapanicolas I.
000151987 245__ $$aDifferences in health care spending and utilization among older frail adults in high-income countries: ICCONIC hip fracture persona
000151987 260__ $$c2021
000151987 5060_ $$aAccess copy available to the general public$$fUnrestricted
000151987 5203_ $$aObjective: This study explores differences in spending and utilization of health care services for an older person with frailty before and after a hip fracture. Data Sources: We used individual-level patient data from five care settings. Study Design: We compared utilization and spending of an older person aged older than 65 years for 365 days before and after a hip fracture across 11 countries and five domains of care as follows: acute hospital care, primary care, outpatient specialty care, post–acute rehabilitative care, and outpatient drugs. Utilization and spending were age and sex standardized. Data Collection/Extraction Methods: The data were compiled by the International Collaborative on Costs, Outcomes, and Needs in Care (ICCONIC) across 11 countries as follows: Australia, Canada, England, France, Germany, the Netherlands, New Zealand, Spain, Sweden, Switzerland, and the United States. Principal Findings: The sample ranged from 1859 patients in Spain to 42, 849 in France. Mean age ranged from 81.2 in Switzerland to 84.7 in Australia. The majority of patients across countries were female. Relative to other countries, the United States had the lowest inpatient length of stay (11.3), but the highest number of days were spent in post–acute care rehab (100.7) and, on average, had more visits to specialist providers (6.8 per year) than primary care providers (4.0 per year). Across almost all sectors, the United States spent more per person than other countries per unit ($13, 622 per hospitalization, $233 per primary care visit, $386 per MD specialist visit). Patients also had high expenditures in the year prior to the hip fracture, mostly concentrated in the inpatient setting. Conclusion: Across 11 high-income countries, there is substantial variation in health care spending and utilization for an older person with frailty, both before and after a hip fracture. The United States is the most expensive country due to high prices and above average utilization of post–acute rehab care.
000151987 536__ $$9info:eu-repo/grantAgreement/ES/REDISSEC/RD16-0001-0007
000151987 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000151987 590__ $$a3.734$$b2021
000151987 591__ $$aHEALTH POLICY & SERVICES$$b21 / 88 = 0.239$$c2021$$dQ1$$eT1
000151987 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b35 / 110 = 0.318$$c2021$$dQ2$$eT1
000151987 592__ $$a1.655$$b2021
000151987 593__ $$aHealth Policy$$c2021$$dQ1
000151987 594__ $$a6.1$$b2021
000151987 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000151987 700__ $$aFigueroa J.F.
000151987 700__ $$aSchoenfeld A.J.
000151987 700__ $$aRiley K.
000151987 700__ $$aAbiona O.
000151987 700__ $$aArvin M.
000151987 700__ $$aAtsma F.
000151987 700__ $$0(orcid)0000-0002-0961-3298$$aBernal-Delgado E.
000151987 700__ $$aBowden N.
000151987 700__ $$aBlankart C.R.
000151987 700__ $$aDeeny S.
000151987 700__ $$aEstupiñán-Romero F.
000151987 700__ $$aGauld R.
000151987 700__ $$aHaywood P.
000151987 700__ $$aJanlov N.
000151987 700__ $$aKnight H.
000151987 700__ $$aLorenzoni L.
000151987 700__ $$aMarino A.
000151987 700__ $$aOr Z.
000151987 700__ $$aPenneau A.
000151987 700__ $$aShatrov K.
000151987 700__ $$aStafford M.
000151987 700__ $$avan de Galien O.
000151987 700__ $$avan Gool K.
000151987 700__ $$aWodchis W.
000151987 700__ $$aJha A.K.
000151987 773__ $$g56, S3 (2021), 1335-1346$$pHealth serv. res.$$tHEALTH SERVICES RESEARCH$$x0017-9124
000151987 8564_ $$s2249731$$uhttps://zaguan.unizar.es/record/151987/files/texto_completo.pdf$$yVersión publicada
000151987 8564_ $$s2245788$$uhttps://zaguan.unizar.es/record/151987/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000151987 909CO $$ooai:zaguan.unizar.es:151987$$particulos$$pdriver
000151987 951__ $$a2025-03-21-14:41:20
000151987 980__ $$aARTICLE