Relationship between efficiency and clinical effectiveness indicators in an adjusted model of resource consumption: a cross-sectional study.

Background: Adjusted clinical groups (ACG®) have been widely used to adjust resource distribution; however, the relationship with effectiveness has been questioned. The purpose of the study was to measure the relationship between efficiency assessed by ACG® and a clinical effectiveness indicator in adults attended in Primary Health Care Centres (PHCs).

Research Design: cross-sectional study.

Adaptive capacity of the Adjusted Clinical Groups Case-Mix System to the cost of primary healthcare in Catalonia (Spain): a observational study.

Objectives: To describe the adaptive capacity of the Adjusted Clinical Groups (ACG) system to the cost of care in primary healthcare centres in Catalonia (Spain).

Design: Retrospective study (multicentres) conducted using computerised medical records.

Setting: 13 primary care teams in 2008 were included.

Obtaining the mean relative weights of the cost of care in Catalonia (Spain): retrospective application of the adjusted clinical groups case-mix system in primary health care.

Objective: The study aims to obtain the mean relative weights (MRWs) of the cost of care through the retrospective application of the adjusted clinical groups (ACGs) in several primary health care (PHC) centres in Catalonia (Spain) in routine clinical practice.

Methods: This is a retrospective study based on computerized medical records. All patients attended by 13 PHC teams in 2008 were included.

[Comparison of three methods for measuring multiple morbidity according to the use of health resources in primary healthcare].

Objective: To compare three methods of measuring multiple morbidity according to the use of health resources (cost of care) in primary healthcare (PHC).

Design: Retrospective study using computerized medical records.

Setting: Thirteen PHC teams in Catalonia (Spain).

The relationship between effectiveness and costs measured by a risk-adjusted case-mix system: multicentre study of Catalonian population data bases.

Background: The main objective of this study is to measure the relationship between morbidity, direct health care costs and the degree of clinical effectiveness (resolution) of health centres and health professionals by the retrospective application of Adjusted Clinical Groups in a Spanish population setting. The secondary objectives are to determine the factors determining inadequate correlations and the opinion of health professionals on these instruments.

Methods/design: We will carry out a multi-centre, retrospective study using patient records from 15 primary health care centres and population data bases.

[Influence of morbidity, metabolic control, and use of resources in subjects with cardiovascular risk in the primary care setting].

Objective: To determine the comorbidity, the therapeutic objectives, and economic impact in subjects with cardiovascular risk in primary care (PC).

Design: Multicentre, cross-sectional study.

Setting: Five urban PC centres, Spain.

[Relationship among the degree of control of arterial hypertension, comorbidity and costs in individuals over age 30 during 2006].

Background: Arterial hypertension is one of the main reasons for primary care consultations. This study is aimed at determining the relationship among the degree to which arterial hypertension is controlled, comorbidity and the direct costs in primary care.

Methods: Retrospective, multi-centre design.

[Calculation of morbidity, use of resources and costs of patients treated with tiotropium bromide for COPD in a Spanish population].

Objective: To determine the co-morbidity and economic impact of treatment with tiotropium bromide (TB) for COPD, in a population cared for by Spanish primary care teams (PCTs) and specialist physicians, in the context of routine clinical practice.

Design: Retrospective multi-centre study.

Setting: Four PCTs and 2 urban hospitals.