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. 2021 Feb;16(3):51-66.
doi: 10.12927/hcpol.2021.26433.

Estimating Population Benefits of Prevention Approaches Using a Risk Tool: High Resource Users in Ontario, Canada

Meghan O'Neill  1 , Kathy Kornas  1 , Walter P Wodchis  2 , Laura C Rosella  3
Affiliations

Estimating Population Benefits of Prevention Approaches Using a Risk Tool: High Resource Users in Ontario, Canada

Meghan O'Neill et al. Healthc Policy. 2021 Feb.

Abstract
in English, French

Background: Healthcare spending is concentrated, with a minority of the population accounting for the majority of healthcare costs.

Methods: The authors modelled the impact of high resource user (HRU) prevention strategies within five years using the validated High Resource User Population Risk Tool.

Results: The authors estimated 758,000 new HRUs in Ontario from 2013-2014 to 2018-2019, resulting in $16.20 billion in healthcare costs (Canadian dollars 2016). The prevention approach that had the largest reduction in HRUs was targeting health-risk behaviours.

Conclusions: This study demonstrates the use of a policy tool by decision makers to support prevention approaches that consider the impact on HRUs and estimated healthcare costs.

Contexte:: Les dépenses de santé sont concentrées, une minorité de la population représente la majorité des coûts de santé.

Méthode:: Les auteurs ont modélisé l'impact des stratégies de prévention des grands utilisateurs de ressources (GUR) sur une période de cinq ans à l'aide de l'outil d'évaluation de risque des grands utilisateurs de ressources.

Résultats:: Les auteurs estiment qu'il y a eu 758 000 nouveaux GRU en Ontario de 2013–2014 à 2018–2019, ce qui a entraîné des coûts de santé de 16,20 milliards de dollars (dollars canadiens, 2016). Le type de prévention qui a entraîné la plus forte réduction des GRU ciblait les comportements à risque pour la santé.

Conclusion:: Cette étude fait état de l'utilisation d'un outil par les décideurs pour soutenir les démarches de prévention qui prennent en compte l'impact sur les GRU et les coûts de santé estimés.

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Figures

Figure 1.
Figure 1.
Baseline scenario of healthcare costs attributable to HRUs and corresponding costs associated with each prevention scenario, Ontario, 2011–2012 to 2018–2019
See this image and copyright information in PMC

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