A5086817051- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- COVID-19 Clinical Research Studies
- Heart Failure Treatment and Management
- Frailty in Older Adults
- COVID-19 and healthcare impacts
- Potassium and Related Disorders
- Medical Coding and Health Information
- Emergency and Acute Care Studies
- Geriatric Care and Nursing Homes
- Healthcare cost, quality, practices
- Membrane-based Ion Separation Techniques
- Aging, Health, and Disability
- Healthcare Systems and Practices
- Healthcare Systems and Public Health
- Pharmaceutical Practices and Patient Outcomes
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Nursing care and research
- Machine Learning in Healthcare
- Clinical Reasoning and Diagnostic Skills
- Healthcare Systems and Technology
- Cardiac Health and Mental Health
- Health and Medical Education
- Sepsis Diagnosis and Treatment
- COVID-19 epidemiological studies
Institut d'Investigació Biomédica de Bellvitge
2022-2024
Institut Català de la Salut
2007-2024
Government of Catalonia
2016-2024
Departament de Salut
2024
Servei de Salut de les Illes Balears
2020-2021
Catalan Society of Family and Community Medicine
2020
Departamento de Salud
2016-2019
Universidad de Zaragoza
2013
The Adjusted Morbidity Groups (GMA) is a new morbidity measurement developed and adapted to the Spanish healthcare System. It enables population be classified into 6 groups, in turn divided 5 levels of complexity, along with one healthy group. Consequently, 31 mutually exclusive categories. results stratification Catalonia are presented. GMA method for grouping that comparable others field, but has been data from health system. can used stratify identify target populations. good explanatory...
Multimorbidity is highly relevant for both service commissioning and clinical decision-making. Optimization of variables assessing multimorbidity in order to enhance chronic care management an unmet need. To this end, we have explored the contribution predict use healthcare resources at community level by comparing predictive power four different measures.A population health study including all citizens ≥18 years (n = 6,102,595) living Catalonia (ES) on 31 December 2014 was done using...
Objectives Population-based health risk assessment and stratification are considered highly relevant for large-scale implementation of integrated care by facilitating services design case identification. The principal objective the study was to analyse five health-risk strategies indicators used in regions participating Advancing Care Coordination Telehealth Deployment (ACT) programme ( http://www.act-programme.eu ). second purpose elaborate on toward enhanced predictive modelling clinical...
To assess coronary mortality and morbidity secular trends in Spain.Acute events occurring both sexes at ages 35-74 years between 1985 1997, were monitored a geographical area of Catalonia, through population-based registry. Information was collected from annual discharge lists 78 hospitals death certificates, validated following the methods quality control World Health Organization MONItoring Trends Determinants CArdiovascular Disease Project (MONICA). Registration included 19 119 valid (14...
Abstract Background Multimorbidity measures are useful for resource planning, patient selection and prioritization, factor adjustment in clinical practice, research, benchmarking. We aimed to compare the explanatory performance of adjusted morbidity group (GMA) index predicting relevant healthcare outcomes with that other quantitative multimorbidity. Methods The multimorbidity was retrospectively assessed on anonymized records entire adult population Catalonia (North-East Spain). Five were...
Comprehensive assessment of integrated care deployment constitutes a major challenge to ensure quality, sustainability and transferability both healthcare policies services in the transition toward coordinated service delivery scenario. To this end, manuscript articulates four different protocols aiming at assessing large-scale implementation care, which are being developed within umbrella regional project Nextcare (2016-2019), undertaken foster innovation technologically-supported for...
The shortage of recently approved vaccines against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has highlighted need for evidence-based tools to prioritize healthcare resources people at higher risk disease (COVID-19). Although age been identified as most important factor (particularly mortality), contribution underlying comorbidities is often assessed using a pre-defined list chronic conditions. Furthermore, count individual factors limited applicability population-based...
Enhanced management of multimorbidity constitutes a major clinical challenge. Multimorbidity shows well-established causal relationships with the high use health care resources and, specifically, unplanned hospital admissions. patient stratification is vital for achieving effectiveness through personalized postdischarge service selection.
Introduction: Health risk assessment (HRA) strategies are cornerstone for health systems transformation toward value-based patient-centred care. However, steps HRA adoption undefined. This article analyses the process of transference Adjusted Morbidity Groups (AMG) algorithm from Catalan Good Practice to Marche region (IT) and Viljandi Hospital (EE), within JADECARE initiative (2020–2023). Description: The implementation research approach involved a twelve-month pre-implementation period...
Comparar el rendimiento referente a la bondad de ajuste y poder explicativo 2 agrupadores morbilidad en ámbito atención primaria (AP): los grupos ajustados (GMA) clinical risk groups (CRG). Estudio transversal. Ámbito AP del Instituto Catalán Salud (ICS), Cataluña, España. Población asignada centros ICS para año 2014. Se analizan 3 indicadores interés, como son ingreso urgente, número visitas gasto farmacia. aplica un análisis estratificado por ajustando modelos lineales generalizados partir...
Background Clinical management of patients with chronic obstructive pulmonary disease (COPD) shows potential for improvement provided that patients’ heterogeneities are better understood. The study addresses the impact comorbidities and its role in health risk assessment. Objective To explore registry information to enhance clinical assessment stratification. Design Fixed cohort including all registered COPD Catalonia (Spain) (7.5 million citizens) at 31 December 2014 1-year (2015)...
Accurate risk adjustment is crucial for healthcare management and benchmarking.We aimed to compare the performance of classic comorbidity functions (Charlson's Elixhauser's), All Patients Refined Diagnosis Related Groups (APR-DRG), Queralt Indices, a family novel, comprehensive indices prediction key clinical outcomes in hospitalized patients.We conducted an observational, retrospective cohort study using administrative data from 156,459 hospital discharges Catalonia (Spain) during 2018....
Comorbidity burden has been identified as a relevant predictor of critical illness in patients hospitalized with coronavirus disease 2019 (COVID-19). However, comorbidity is often represented by simple count few conditions that may not fully capture patients' complexity.
To assess the contribution of age and comorbidity to risk critical illness in hospitalized COVID-19 patients using increasingly exhaustive tools for measuring burden.
Abstract Background Hospital services are typically reimbursed using case-mix tools that group patients according to diagnoses and procedures. We recently developed a tool (i.e., the Queralt system) aimed at supporting clinicians in patient management. In this study, we compared performance of broadly used APR-DRG) with system. Methods Retrospective analysis all admissions occurred any eight hospitals Catalan Institute Health approximately, 30% hospitalizations Catalonia) during 2019. Costs...
Rupture of atherosclerotic plaque, which is related to maximal stress conditions in the plaque among others, a major cause mortality. More careful examination distributions plaques reports that it could be due local behaviors at critical sites caused by cap thinning, inflammation, macroscopic heterogeneity, and recently, presence microcalcifications. However, role microcalcifications not yet fully understood, most finite element models blood vessels with atheroma ignore heterogeneity...
Adjusted Morbidity Groups (GMAs) and the Clinical Risk (CRGs) are population morbidity based stratification tools which classify patients into mutually exclusive categories.
ABSTRACT OBJECTIVE To identify the different subpopulations that are susceptible for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and hospitalisation or death due to disease 2019 (COVID-19) in Catalonia, Spain. DESIGN Cross-sectional study. SETTING Data collected from Catalan Health Surveillance System (CatSalut) a region of PARTICIPANTS Using data between 1 March June 2020, we conducted following comparative analyses: people infected by SARS-CoV-2 (328 892) vs...
Background: The aims of the present analysis are to estimate prevalence five key chronic cardiovascular, metabolic and renal conditions at population level, renin–angiotensin–aldosterone system inhibitor (RAASI) medication use magnitude potassium (K + ) derangements among RAASI users. Methods Results: We used data from more than 375,000 individuals, 55 years age or older, included in population-based healthcare database Catalan Institute Health between 2015 2017. interest were heart failure...
Comorbidities in patients with chronic obstructive pulmonary disease (COPD) generate a major burden on healthcare. Identification of cost-effective strategies aiming at preventing and enhancing management comorbid conditions COPD requires deeper knowledge epidemiological patterns shared biological pathways explaining co-occurrence diseases.The study assesses the several using two different datasets: Catalan Healthcare Surveillance System (CHSS) (ES, 1.4 million registries) Medicare (USA, 13...