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dc.contributor.authorLønhaug-Næss, Morten
dc.contributor.authorJakobsen, Monika Dybdahl
dc.contributor.authorBlix, Bodil Hansen
dc.contributor.authorBergmo, Trine Strand
dc.contributor.authorHoben, Matthias
dc.contributor.authorMoholt, Jill-Marit
dc.date.accessioned2023-11-14T09:51:57Z
dc.date.available2023-11-14T09:51:57Z
dc.date.issued2023-10-04
dc.description.abstractObjective Two-thirds of the economic resources in Norwegian hospitals are used on 10% of the patients. Most of these high-cost patients are older adults, which experience more unplanned hospital admissions, longer hospital stays and higher readmission rates than other patients. This study aims to examine the individual and clinical characteristics of older patients with unplanned admissions to Norwegian somatic hospitals and how these characteristics differ between high-cost and low-cost older patients.<p> <p>Design Observational cross-sectional study. <p>Setting Norwegian somatic hospitals. <p>Participants National registry data of older Norwegian patients (≥65 years) with ≥1 unplanned contact with somatic hospitals in 2019 (n=2 11 738). <p>Primary outcome measure High-cost older patients were defined as those within the 10% of the highest diagnosis-related group weights in 2019 (n=21 179). We compared high-cost to low-cost older patients using bivariate analyses and logistic regression analysis. <p>Results Men were more likely to be high-cost older patients than women (OR=1.25, 95% CI 1.21 to 1.29) and the oldest (90+ years) compared with the youngest older adults (65–69 years) were less likely to cause high costs (OR=0.47, 95%CI 0.43 to 0.51). Those with the highest level of education were less likely to cause high costs than those with primary school degrees (OR=0.74, 95%CI 0.69 to 0.80). Main diagnosis group (OR=3.50, 95%CI 3.37 to 3.63) and dying (OR=4.13, 95%CI 3.96 to 4.30) were the clinical characteristics most strongly associated with the likelihood of being a high-cost older patient. <p>Conclusion Several of the observed patient characteristics in this study may warrant further investigation as they might contribute to high healthcare costs. For example, MDGs, reflecting comprehensive healthcare needs and lower education, which is associated with poorer health status, increase the likelihood of being high-cost older patients. Our results indicate that Norwegian hospitals function according to the intentions of those having the highest needs receiving most services.en_US
dc.identifier.citationLønhaug-Næss MLN, Jakobsen MDJ, Blix BH, Bergmo TS, Hoben M, Moholt J. Older high-cost patients in Norwegian somatic hospitals: A register-based study of patient characteristics. BMJ Open. 2023;13(10)en_US
dc.identifier.cristinIDFRIDAID 2181927
dc.identifier.doi10.1136/bmjopen-2023-074411
dc.identifier.issn2044-6055
dc.identifier.urihttps://hdl.handle.net/10037/31757
dc.language.isoengen_US
dc.publisherBMJen_US
dc.relation.journalBMJ Open
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0en_US
dc.rightsAttribution-NonCommercial 4.0 International (CC BY-NC 4.0)en_US
dc.titleOlder high-cost patients in Norwegian somatic hospitals: A register-based study of patient characteristicsen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)