Cluster Analysis of the Highest Users of Medical, Behavioral Health, and Social Services in San Francisco.

ABSTRACT:

Background

In the City and County of San Francisco, frequent users of emergent and urgent services across different settings (i.e., medical, mental health (MH), substance use disorder (SUD) services) are referred to as high users of multiple systems (HUMS). While often grouped together, frequent users of the health care system are likely a heterogenous population composed of subgroups with differential management needs.

Objective

To identify subgroups within this HUMS population using a cluster analysis.

Design

Cross-sectional study of HUMS patients for the 2019-2020 fiscal year using the Coordinated Care Management System (CCMS), San Francisco Department of Public Health's integrated data system.

Participants

We calculated use scores based on nine types of urg

SUBMITTER: Hewlett MM 

PROVIDER: S-EPMC9708142 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature