Publications by authors named "Montserrat Bustins"
Objective: To examine health services use on the basis of alcohol consumption.
Material And Methods: A cross-sectional study was carried out on patients visiting the Primary Health Care (PHC) settings in Catalonia during 2011 and 2012; these patients had a history of alcohol consumption. Information about outpatient visits in the PHC setting, hospitalizations, specialists' visits and emergency room visits for the year 2013 was obtained from 2 databases (the Information System for the Development of Research in PHC and the Catalan Health Surveillance System).
Background: Most cost of illness studies are based on models where information on exposure is combined with risk information from meta-analyses, and the resulting attributable fractions are applied to the number of cases.
Methods: This study presents data on alcohol and tobacco use for 2011 and 2012 obtained from a routine medical practice in Catalonia of 606 947 patients, 18 years of age and older, as compared with health care costs for 2013 (all costs from the public health care system: primary health care visits, hospital admissions, laboratory and medical tests, outpatient visits to specialists, emergency department visits and pharmacy expenses). Quasi-Poisson regressions were used to assess the association between alcohol consumption and smoking status and health care costs (adjusted for age and socio-economic status).
Aims: To examine the association between drinking levels and inpatient health service utilization in people with a lifetime diagnosis of alcohol dependence.
Methods: A longitudinal prospective study was conducted in a cohort of patients with alcohol dependence who had undergone treatment in 1987. Current results refer to the association between drinking patterns at 20-year follow-up and subsequent inpatient health service utilization.
Article Synopsis
- Chronic kidney disease affects about 10 to 14% of people in Western countries, making it a serious health concern that can lead to death.
- Treating patients with severe kidney disease is expensive and takes a lot of medical resources.
- To improve health and reduce costs, it's important to focus on preventing the disease, managing it early, and providing the best care for those affected.
Introduction And Objectives: The efficacy of heart failure programs has been demonstrated in clinical trials but their applicability in the real world practice setting is more controversial. This study evaluates the feasibility and efficacy of an integrated hospital-primary care program for the management of patients with heart failure in an integrated health area covering a population of 309,345.
Methods: For the analysis, we included all patients consecutively admitted with heart failure as the principal diagnosis who had been discharged alive from all of the hospitals in Catalonia, Spain, from 2005 to 2011, the period when the program was implemented, and compared mortality and readmissions among patients exposed to the program with the rates in the patients of all the remaining integrated health areas of the Servei Català de la Salut (Catalan Health Service).
Unlabelled: Hospital mortality secondary to cirrhosis is high.
Aim: To evaluate hospital mortality in patients admitted for specific complications of cirrhosis over time.
Material And Methods: Registry-data from Administrative Inpatient Dataset of acute care hospitals were collected at discharge from 2003 to 2010.