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Further studies with larger samples and mix methodologies should be conducted.
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The present work is an effort towards obtaining a new mix methodology for the design of high strength self compacting metakaolin concretes based on the efficiency concept.
Specifically, the 'Case Mix' methodology was used to generate cost.
Other case-mix methodologies could be applied in a similar way to population-based samples.
The implications of these results are that emergent status should be considered for future case-mix methodologies where length of stay and cost estimation is of paramount importance.
Current case-mix methodologies in Ontario for the acute inpatient population make very limited use of the emergent status of patients (whether the patient was admitted from the emergency room).
The purpose of this paper is to demonstrate how existing case-mix methodologies can be applied for funding of subpopulations of patients, taking as an example a suggested funding model for trauma.
The inclusion of emergent status into current case-mix methodologies would significantly improve the accuracy of length of stay and cost, as well as predictions of survival rates that are used to compare the efficiency of facilities.
Since emergent status is easily auditable, and has an apparent impact above and beyond the comorbidity system in use in Canada, it could be used as a proxy for patient severity to increase the predictive power of case-mix methodologies in countries or jurisdictions where reliable comorbidity reporting is unavailable.
This aim is achieved through a mixed-methodology.
To propose a case-mix methodology for primary care, based on chronicity, type and age.
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