Types of morbidity and categories of patients in a Swedish countyApplying the Johns Hopkins adjusted clinical groups system to encounter data in primary health care

Carlsson, Lennart; Strender, Lars-Erik; Fridh, Gerd; Nilsson, Gunnar

doi:10.1080/02813430410006567

Cited by 26 publications

(18 citation statements)

References 7 publications

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“…The ACG groups were collapsed into categories of resource-utilization bands. Previous studies (e.g., Carlsson, Strender, Fridh, & Nilsson, 2004) have shown that this measure of comorbidity is reliable and valid.…”

Section: Methodsmentioning

confidence: 80%

Depression and Exercise in Elderly Men and Women: Findings from the Swedish National Study on Aging and Care

Lindwall¹,

Rennemark²,

Halling³

et al. 2007

Journal of Aging and Physical Activity

119

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This study investigated the relationship between light and strenuous exercise and depression, as well as gender differences in this relationship, in a representative sample of 860 elderly Swedish suburb-dwelling men and women in age cohorts from 60 to 96 years, drawn from among participants in the Swedish National Aging and Care study. The relationship between depression and self-reported changes in exercise status over time was also examined. Exercise activities were measured with four survey questions, and depression, with the Montgomery Asberg Depression Rating Scale. The inactive elderly had higher depression scores than more active individuals, both in terms of light and strenuous exercise. The continuously active group had lower depression scores than both continuously inactive individuals and individuals reporting a shift from activity to inactivity during the preceding year. Light exercise had a somewhat stronger effect on depression for women.

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Section: Methodsmentioning

confidence: 80%

Depression and Exercise in Elderly Men and Women: Findings from the Swedish National Study on Aging and Care

Lindwall¹,

Rennemark²,

Halling³

et al. 2007

Journal of Aging and Physical Activity

119

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“…Because ACG was not used for reimbursement in the county in 2006, the probability of up-coding is unlikely. ACG has previously been shown as a useful tool to measure and study comorbidity [12,20,21]. …”

Section: Discussionmentioning

confidence: 99%

Distance to hospital and socioeconomic status influence secondary health care use

Zieliński

Borgqúist

Halling

2013

Scandinavian Journal of Primary Health Care

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ObjectiveThe aim of this study was to investigate how distance to hospital and socioeconomic status (SES) influence the use of secondary health care (SHC) when taking comorbidity into account.Design and settingA register-based study in Östergötland County.SubjectsThe adult population of Östergötland County.Main outcome measuresOdds of SHC use in the population and rates of SHC use by patients were studied after taking into account comorbidity level assigned using the Adjusted Clinical Groups (ACG) Case-Mix System. The baseline for analysis of SES was individuals with the lowest education level (level 1) and the lowest income (1st quartile).ResultsThe study showed both positive and negative association between SES and use of SHC. The risk of incurring SHC costs was 12% higher for individuals with education level 1. Individuals with income in the 2nd quartile had a 4% higher risk of incurring SHC costs but a 17% lower risk of emergency department visits. Individuals with income in the 4th quartile had 9% lower risk of hospitalization. The risk of using SHC services for the population was not associated with distance to hospital. Patients living over 40 km from hospital and patients with higher SES had lower use of SHC services.ConclusionsIt was found that distance to hospital and SES influence SHC use after adjusting for comorbidity level, age, and gender. These results suggest that GPs and health care managers should pay a higher degree of attention to this when planning primary care services in order to minimize the potentially redundant use of SHC.

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“…In this study only 1.7 Á/4.0% of all reported days with infectious symptoms and about 13% of the symptom episodes in the youngest children led to physician consultations. We have not found any other directly comparable studies but earlier Swedish studies have shown that roughly 10% of selfperceived health problems lead to some contact with a physician the healthcare facilities and at least 40% of the population makes one physician visit a year [6,12,20,21]. For most of the episodes there was no need to contact healthcare facilities, a pattern that has not changed noticeably during the last 20 years.…”

Section: Discussionmentioning

confidence: 49%

Infections in families with small children: Use of social insurance and healthcare

Hedin

André

Mölstad

et al. 2006

Scandinavian Journal of Primary Health Care

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Types of morbidity and categories of patients in a Swedish countyApplying the Johns Hopkins adjusted clinical groups system to encounter data in primary health care

Cited by 26 publications

References 7 publications

Depression and Exercise in Elderly Men and Women: Findings from the Swedish National Study on Aging and Care

Depression and Exercise in Elderly Men and Women: Findings from the Swedish National Study on Aging and Care

Distance to hospital and socioeconomic status influence secondary health care use

Infections in families with small children: Use of social insurance and healthcare

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