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Population Health Needs Assessment and Healthcare Services Use in a 3 Years Follow-Up on Administrative and Clinical Data: Results from the Brisighella Heart Study
- Source :
- High Blood Pressure & Cardiovascular Prevention. 21:45-51
- Publication Year :
- 2013
- Publisher :
- Springer Science and Business Media LLC, 2013.
-
Abstract
- INTRODUCTION: A large number of epidemiological trials clearly show the impact of the main cardiovascular disease risk factors in term of hospitalization and related cost, but relatively less frequently if this reflect the health needs of a given population. AIM: To develop a model for the health needs-assessment that will be applied to verify if and how the prevalence of some classical risk factors for cardiovascular disease predicts mortality and hospitalisation episodes at 3 years, and if it could express the health need of that population. The long-life clinical record of 1,704 subjects, recruited during the 2004 Brisighella Heart Study survey, has been monitored. We defined the health profile of these subjects at 2004 (based on clinical history, smoking and dietary habits, physical activity, drug use, anthropometric data, blood pressure, and hematological data) and then sampled data relative to their hospitalisations, mortality, and general medical assistance. RESULTS: Our results shows that age over 65 years (OR 4.08; 95 % CI 2.74-6.08), hypertension (OR 3.44; 95 % CI 2.36-5.01) and hypercholesterolemia (OR 1.33; 95 % CI 0.92-1.94) increase the probability to get hospitalised. Furthermore, the burden of care was defined and computed for our sample. Vascular and respiratory diseases [Burden of health care (Bc) = 24.5 and 36.5, respectively] are the most costly DRGs which means that the biggest part of our resources directed to cardiovascular patients were provided for these diagnoses. CONCLUSION: The application of the proposed model could help policy makers and researchers in directing resources and workforce in the treatment of cardiovascular diseases.
- Subjects :
- Adult
Male
medicine.medical_specialty
Hypercholesterolemia
Population
Disease
Population health
Diabetes Complications
Risk Factors
Environmental health
Health care
Epidemiology
Internal Medicine
Humans
Medicine
Longitudinal Studies
Obesity
Prospective Studies
education
Quality of Health Care
Aged
Aged, 80 and over
education.field_of_study
Models, Statistical
business.industry
Public health
Health Services
Middle Aged
Hospitalization
Survival Rate
Italy
Cardiovascular Diseases
Hypertension
Needs assessment
Population study
Female
Cardiology and Cardiovascular Medicine
business
Needs Assessment
Follow-Up Studies
Subjects
Details
- ISSN :
- 11791985 and 11209879
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- High Blood Pressure & Cardiovascular Prevention
- Accession number :
- edsair.doi.dedup.....960a7b583361bfd5e83fdb20e3ef8c62