Review: health care utilization and costs of elderly persons with multiple chronic conditions.
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Review: health care utilization and costs of elderly persons with multiple chronic conditions. / Lehnert, Thomas; Heider, Dirk; Leicht, Hanna; Heinrich, Sven; Corrieri, Sandro; Luppa, Melanie; Riedel-Heller, Steffi; König, Hans-Helmut.
In: MED CARE RES REV, Vol. 68, No. 4, 4, 2011, p. 387-420.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Review: health care utilization and costs of elderly persons with multiple chronic conditions.
AU - Lehnert, Thomas
AU - Heider, Dirk
AU - Leicht, Hanna
AU - Heinrich, Sven
AU - Corrieri, Sandro
AU - Luppa, Melanie
AU - Riedel-Heller, Steffi
AU - König, Hans-Helmut
PY - 2011
Y1 - 2011
N2 - This systematic literature review identified and summarized 35 studies that investigated the relationship between multiple chronic conditions (MCCs) and health care utilization outcomes (i.e. physician use, hospital use, medication use) and health care cost outcomes (medication costs, out-of-pocket costs, total health care costs) for elderly general populations. Although synthesis of studies was complicated because of ambiguous definitions and measurements of MCCs, and because of the multitude of outcomes investigated, almost all studies observed a positive association of MCCs and use/costs, many of which found that use/costs significantly increased with each additional condition. Several studies indicate a curvilinear, near exponential relationship between MCCs and costs. The rising prevalence, substantial costs, and the fear that current care arrangements may be inappropriate for many patients with MCCs, bring about a multitude of implications for research and policy, of which the most important are presented and discussed.
AB - This systematic literature review identified and summarized 35 studies that investigated the relationship between multiple chronic conditions (MCCs) and health care utilization outcomes (i.e. physician use, hospital use, medication use) and health care cost outcomes (medication costs, out-of-pocket costs, total health care costs) for elderly general populations. Although synthesis of studies was complicated because of ambiguous definitions and measurements of MCCs, and because of the multitude of outcomes investigated, almost all studies observed a positive association of MCCs and use/costs, many of which found that use/costs significantly increased with each additional condition. Several studies indicate a curvilinear, near exponential relationship between MCCs and costs. The rising prevalence, substantial costs, and the fear that current care arrangements may be inappropriate for many patients with MCCs, bring about a multitude of implications for research and policy, of which the most important are presented and discussed.
KW - Humans
KW - Aged
KW - United States
KW - Health Care Costs/statistics & numerical data
KW - Chronic Disease/economics
KW - Delivery of Health Care/economics/utilization
KW - Humans
KW - Aged
KW - United States
KW - Health Care Costs/statistics & numerical data
KW - Chronic Disease/economics
KW - Delivery of Health Care/economics/utilization
M3 - SCORING: Journal article
VL - 68
SP - 387
EP - 420
JO - MED CARE RES REV
JF - MED CARE RES REV
SN - 1077-5587
IS - 4
M1 - 4
ER -
