2026-06-30T03:03:18Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/73642025-04-10T14:33:33Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19619

00925njm 22002777a 4500 dc Carmona, Montserrat author García-Olmos, Luis M author Garcia-Sagredo, Pilar author Alberquilla, Angel author López-Rodríguez, Fernando author Pascual-Carrasco, Mario author Muñoz Carrero, Adolfo author Hernandez-Salvador, Carlos author Monteagudo, Jose Luis author Otero-Puime, Ángel author 2013-10 Background: In order to ensure proper management of primary care (PC) services, the efficiency of the health professionals tasked with such services must be known. Patients with heart failure (HF) are characterized by advanced age, high co-morbidity and high resource utilization. Objective: To ascertain PC resource utilization by HF patients and variability in the management of such patients by GPs. Methods: Descriptive, cross-sectional study targeting a population attended by 129 GPs over the course of 1 year. All patients with diagnosis of HF in their clinical histories were included, classified using the Adjusted Clinical Group system and then grouped into six resource utilization bands (RUBs). Resource utilization and Efficiency Index were both calculated. Results: One hundred per cent of patients with HF were ranked in RUBs 3, 4 and 5. The highest GP visit rate was 20 and the lowest in excess of 10 visits per year. Prescription drug costs for these patients ranged from €885 to €1422 per patient per year. Health professional efficiency varied notably, even after adjustment for co-morbidity (Efficiency Index Variation Ratio of 28.27 for visits and 404.29 for prescription drug cost). Conclusions: Patients with HF register a high utilization of resources, and there is great variability in the management of such patients by health professionals, which cannot be accounted for by the degree of case complexity. Fam Pract. 2013 Oct;30(5):520-4. 10.1093/fampra/cmt024 1460-2229 0263-2136 Family practice 23776041 http://hdl.handle.net/20.500.12105/7364 ACG Co-morbidity Heart failure Primary care Resource utilization Heart failure in primary care: co-morbidity and utilization of health care resources