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Performance of the ACG Case-Mix System in Two Canadian Provinces


  • Reid, R.J.
  • MacWilliam, l.
  • Verhulst, L.
  • Roos, N.
  • Atkinson, M.


While the adjusted clinical group (ACG) system has been extensively validated in the United States, its use in other developed nations has been limited. This article examines the performance of the system in 2 Canadian provinces and accesses the extent to which ACGs can account for some-year and next-year health care expenditures.

Suggested Citation

  • Reid, R.J. & MacWilliam, l. & Verhulst, L. & Roos, N. & Atkinson, M., 2001. "Performance of the ACG Case-Mix System in Two Canadian Provinces," Centre for Health Services and Policy Research 2001:1r, University of British Columbia - Centre for Health Services and Policy Research..
  • Handle: RePEc:fth:brichs:2001:1r

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    Cited by:

    1. Hanley, Gillian E. & Morgan, Steve, 2009. "Chronic catastrophes: Exploring the concentration and sustained nature of ambulatory prescription drug expenditures in the population of British Columbia, Canada," Social Science & Medicine, Elsevier, vol. 68(5), pages 919-924, March.
    2. Brilleman, Samuel L. & Gravelle, Hugh & Hollinghurst, Sandra & Purdy, Sarah & Salisbury, Chris & Windmeijer, Frank, 2014. "Keep it simple? Predicting primary health care costs with clinical morbidity measures," Journal of Health Economics, Elsevier, vol. 35(C), pages 109-122.
    3. Leslie Roos & Brett Hiebert & Phongsack Manivong & Jason Edgerton & Randy Walld & Leonard MacWilliam & Janelle Rocquigny, 2013. "What is Most Important: Social Factors, Health Selection, and Adolescent Educational Achievement," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 110(1), pages 385-414, January.
    4. Coyle, Natalie & Strumpf, Erin & Fiset-Laniel, Julie & Tousignant, Pierre & Roy, Yves, 2014. "Characteristics of physicians and patients who join team-based primary care practices: Evidence from Quebec's Family Medicine Groups," Health Policy, Elsevier, vol. 116(2), pages 264-272.
    5. Sibley, Lyn M. & Glazier, Richard H., 2012. "Evaluation of the equity of age–sex adjusted primary care capitation payments in Ontario, Canada," Health Policy, Elsevier, vol. 104(2), pages 186-192.
    6. John Robinson & Scott Zeger & Christopher Forrest, 2004. "Studying Effects of Primary Care Physicians and Patients on the Trade-Off Between Charges for Primary Care and Specialty Care Using a Hierarchical Multivariate Two-Part Model," Johns Hopkins University Dept. of Biostatistics Working Paper Series 1051, Berkeley Electronic Press.
    7. Amy Tawfik & Walter P. Wodchis & Petros Pechlivanoglou & Jeffrey Hoch & Don Husereau & Murray Krahn, 2016. "Using Phase-Based Costing of Real-World Data to Inform Decision–Analytic Models for Atrial Fibrillation," Applied Health Economics and Health Policy, Springer, vol. 14(3), pages 313-322, June.
    8. repec:eee:jhecon:v:55:y:2017:i:c:p:76-94 is not listed on IDEAS
    9. Lavergne, Miriam Ruth & Barer, Morris & Law, Michael R. & Wong, Sabrina T. & Peterson, Sandra & McGrail, Kimberlyn, 2016. "Examining regional variation in health care spending in British Columbia, Canada," Health Policy, Elsevier, vol. 120(7), pages 739-748.
    10. Orueta, Juan-Francisco & Urraca, Javier & Berraondo, Inaki & Darpon, Jon & Aurrekoetxea, Juan-Jose, 2006. "Adjusted Clinical Groups (ACGs) explain the utilization of primary care in Spain based on information registered in the medical records: A cross-sectional study," Health Policy, Elsevier, vol. 76(1), pages 38-48, March.

    More about this item



    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health


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