AJMC September 27, 2021
This paper utilizes latent class analysis to identify subgroups of complex conditions and of super-utilizers among health center patients to inform clinically tailored efforts.
ABSTRACT
Objectives: Existing literature indicates that multimorbidity, mental health (MH) conditions, substance use disorders (SUDs), and social determinants of health are hallmarks of high-need, high-cost patients. Health Resources and Services Administration–funded health centers (HCs) provide care to nearly 30 million patients, but data on their patients’ complexity and utilization patterns are limited. We identified subgroups of HC patients based on latent concepts of complexity and utilization.
Study Design: We used cross-sectional national data from the 2014 Health Center Patient Survey and latent class analyses to identify distinct and homogenous groups of complex high-utilizing patients aged 18...