Los grupos de morbilidad ajustados: nuevo agrupador de morbilidad poblacional de utilidad en el ámbito de la atención primaria

Abstract

The Adjusted Morbidity Groups (GMA) is a new morbidity measurement developed and adapted to the Spanish healthcare System. It enables the population to be classified into 6 morbidity groups, and in turn divided into 5 levels of complexity, along with one healthy population group. Consequently, the population is divided into 31 mutually exclusive categories. The results of the stratification in Catalonia are presented. GMA is a method for grouping morbidity that is comparable to others in the field, but has been developed with data from the Spanish health system. It can be used to stratify the population and to identify target populations. It has good explanatory and predictive results in the use of health resources indicators. The Spanish Ministry of Health is promoting the introduction of the GMA into the National Health System.

Multimorbidity as a predictor of health service utilization in primary care: a registry-based study of the Catalan population

“…Moreover, as this information is used for provider payment purposes, external audits are performed periodically to ensure the quality and reliability of the data. The CHSS is also used to elaborate, on a six-month basis, the regional population-based health risk assessment tool, known as GMA (Adjusted Morbidity Groups), which generates the health risk strata pyramid of the general population of Catalonia [18,19].…”

“…The study compared the predictive power of four different measures assessing multimorbidity: the Charlson index [21], number of chronic diseases, Clinical Risk Groups (CRG) [22], and GMA [18,19,23].…”

“…Finally, we assessed the role of the morbidity grouper developed in Catalonia (GMA) [18,19]. GMA classifies the population into 31 mutually exclusive categories based on both multimorbidity and levels of patient complexity (see detailed information on the GMA's algorithm and validation in Additional file 1: Figures S1-S3).…”

¿Podemos integrar la atención nutricional en los distintos niveles asistenciales? Reflexiones desde la cronicidad y la complejidad clínica

“…Son lo que se conoce como sistemas de estratificación poblacional (42). Actualmente, los sistemas estratificadores de uso más habitual en nuestro entorno son los Clinical Risk Grupos (CRG) (43) y los Grupo de Morbilidad Ajustada (GMA) (44).…”

O contexto de exercício clínico do médico de família tem determinantes que influenciam a prestação de cuidados de saúde

“…Por sua vez, o contexto social e os recursos da comunidade são fundamentais na prática clínica do médico de família, [10][11][12] pelo que a localização geodemográfica da unidade de saúde, o seu estado de desenvolvimento, os constrangimentos de instalação, as limitações estruturais, a forma de constituição da equipa multiprofissional e a sua consolidação, as lideranças, a participação da comunidade e a sua literacia e a capacitação e estado de saúde da população são determinantes que devem ser considerados e incluídos na definição da métrica das listas de utentes.…”