Multiple chronic conditions at a major urban health system: a retrospective cross-sectional analysis of frequencies, costs and comorbidity patterns.

ABSTRACT: OBJECTIVE:To (1) examine the burden of multiple chronic conditions (MCC) in an urban health system, and (2) propose a methodology to identify subpopulations of interest based on diagnosis groups and costs. DESIGN:Retrospective cross-sectional study. SETTING:Mount Sinai Health System, set in all five boroughs of New York City, USA. PARTICIPANTS:192 085 adult (18+) plan members of capitated Medicaid contracts between the Healthfirst managed care organisation and the Mount Sinai Health System in the years 2012 to 2014. METHODS:We classified adults as having 0, 1, 2, 3, 4 or 5+ chronic conditions from a list of 69 chronic conditions. After summarising the demographics, geography and prevalence of MCC within this population, we then described groups of patients (segments) using a novel methodol

SUBMITTER: Majumdar UB 

PROVIDER: S-EPMC6797368 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature