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A person-centred segmentation study in elderly care: towards efficient demand-driven care
M R Eissens van der Laan1, M A G van Offenbeek2, H Broekhuis1
1Department of Operations Management, Faculty of Economics and Business, University of Groningen, The Netherlands.
Social Science & Medicine (1982)
|May 24, 2014
Summary
This study introduces a person-centered approach to segmenting older adults based on experienced difficulties, moving beyond disease-based models for more efficient healthcare delivery. It identifies five distinct segments to guide demand-driven resource allocation.
Area of Science:
- Gerontology
- Health Services Research
- Sociology
Background:
- Healthcare systems often segment populations by disease, hindering person-centered care delivery.
- A person-centered approach, focusing on experienced needs, is crucial for efficient, demand-driven healthcare.
- Older adults face complex, interrelated biopsychosocial functioning difficulties, necessitating tailored care strategies.
Purpose of the Study:
- To develop and validate a person-centered segmentation of older adults based on experienced difficulties in biopsychosocial functioning.
- To demonstrate the utility of this segmentation in aligning healthcare needs with utilization.
- To provide a foundation for demand-driven resource allocation in elderly care.
Main Methods:
- A Factor Mixture Model was employed to categorize 2019 older adults from diverse Dutch organizations based on experienced difficulties.
- Data collection occurred between March 2010 and January 2011, with sampling based on living conditions.
- The person-centered segmentation was validated through replication in two independent population-based samples.
Main Results:
- Older adults were empirically categorized into five distinct segments: feeling vital, psychosocial coping difficulties, physical/mobility complaints, multiple domain difficulties, and extreme frailty.
- The identified segmentation proved robust and replicable across different samples.
- An evaluation demonstrated the alignment between segment-specific needs and current healthcare utilization patterns.
Conclusions:
- Person-centered segmentation offers a more comprehensive initial triage step than traditional disease-based methods.
- This segmentation provides valuable data for policymakers and care providers to optimize resource allocation for older adults.
- Implementing person-centered segmentation can lead to more focused and efficient healthcare delivery, improving outcomes for the elderly.
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