SciELO - Scientific Electronic Library Online

vol.20 issue2Incidence of type 2 diabetes and its diagnosis process in the decade 1991-2000 in a primary health care centreGender based violence in the Spanish parlamentary agenda [1979-2004] author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Gaceta Sanitaria

Print version ISSN 0213-9111


SICRAS-MAINAR, Antoni  and  SERRAT-TARRES, Josep. Measurement of relative cost weights as an effect of the retrospective application of adjusted clinical groups in primary care. Gac Sanit [online]. 2006, vol.20, n.2, pp.132-141. ISSN 0213-9111.

Objective: The objective of the study is to obtain the cost's relative average weights of the assistance with the retrospective application of the Adjusted Clinical Groups (ACG's) in four teams of Primary Care with an attended population in the habitual clinical practice situation. Methods: Descriptive study of retrospective character. It was included in the study all attended patients by four teams of Primary Care during year 2003. The main measures were: universal variables (age and gender), dependents (visits and costs) and casuistic and co morbidity. The model of cost per each patient was established differencing the fix costs and the variable ones. Was effected a multiple lineal regression analysis for the prediction of models. The relative cost of each ACG was obtained dividing the average cost of each category among the average cost of each population of reference. Results: The total number of the studied patients was 62,311 (intensity of use: 76.7%), with an average 4.8 ± 3.2 episodes and 7.8 ± 7.5 visits/patient/year. The distribution of costs was 24,135,236.41 €, 28.9% for fix. The total unitary cost per visit/year was 49.62 ± 24.71 € and the average of the total cost per patient/year 387.34 ± 145.87 € (relative weights of reference). The explicative power of the classification of ACG was 50.1% in visits and 54.9% for total costs. Conclusions: The ACG are an acceptable system of classification of patients in situation of habitual clinic practice. In case results were confirmed will make possible an improvement in the practice application of ACG as a possible tool for the clinical management in Primary Care centers.

Keywords : Adjusted clinical groups; Relative weights; Resources utilization; Primary care.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License