Systematic review of high-cost patients' characteristics and healthcare utilisation.

ABSTRACT:

Objectives

To investigate the characteristics and healthcare utilisation of high-cost patients and to compare high-cost patients across payers and countries.

Design

Systematic review.

Data sources

PubMed and Embase databases were searched until 30 October 2017.

Eligibility criteria and outcomes

Our final search was built on three themes: 'high-cost', 'patients', and 'cost' and 'cost analysis'. We included articles that reported characteristics and utilisation of the top-X% (eg, top-5% and top-10%) patients of costs of a given population. Analyses were limited to studies that covered a broad range of services, across the continuum of care. Andersen's behavioural model was used to categorise characteristics and determinants into predisposing, enabling and need ch

SUBMITTER: Wammes JJG 

PROVIDER: S-EPMC6129088 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature