Longitudinal trajectories of healthcare costs among high-need high-cost patients: a population-based retrospective cohort study in British Columbia, Canada.

ABSTRACT:

Objectives

We sought to identify groups of high-need high-cost (HNHC) patients with distinct cost trajectories and describe the sociodemographic and clinical characteristics associated with group membership.

Design

A population-based retrospective cohort study, using administrative health data.

Setting

British Columbia, Canada.

Participants

People who were HNHC in 2017, defined as incurring health system costs in the top 5% of the population, and were continuously registered in the Medical Service Plan from January 2015 to December 2019 and alive at the end of the study period.

Outcome measures

The primary objective was to identify longitudinal patterns of healthcare costs using group-based trajectory modelling. Adopting a health sector perspective, we c

SUBMITTER: Trenaman L 

PROVIDER: S-EPMC12035471 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature