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The first evaluation consisted of fitting the model developed using utilisation and demographic data from 2011, along with historical variables based on 2004 2010 data, and outcomes (hospitalisation or death) from 2012 and then computing a C-statistic to evaluate how the models performed at predicting those outcomes on which the models were conditioned.
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Expected uptake of services was calculated using the utilisation rates observed in the NHDS which was implemented in 2013 (Yemen NHDS 2015).
8 Access is a complex concept leading to several previous studies using service utilisation as a proxy end point.
To take advantage of the fact that the RER database includes multiple years of data, we created history variables using the utilisation for each year of data available.
These variables captured resource use, utilisation patterns, diagnostic history, test results and prescription history in the 2 years prior to the predictive period.
Because individuals are charged user fees at the point of use, utilisation of health services is often linked with high and partly unexpected costs for the average household in disadvantaged populations.
The CPU time used and utilisation rates are typically the most influential factor.
Historically, most systems have used actual utilisation data of specific groups as a measure of future resource need.
The fifth measure of multimorbidity used Resource Utilisation Bands (RUBs), which are an aggregation of ACGs into six ordinal categories, based solely on expected health care resource demands.
Service utilisation during the follow-up period will be compared with baseline rates of service utilisation using a subset of self-report questions extracted from instrumentation as used in the previous (2007) Australian National Survey of Mental Health and Wellbeing.
The net effect is a drop in utilisation using combined-pricing compared to on-demand only pricing.
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