Resources allocations in healthcare for cancer

A case study using generalised additive mixed models

Monica Musio, Erik-A. Sauleau, Nicole Augustin

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Our aim is to develop a method for helping resources re-allocation in healthcare linked to cancer, in order to replan the allocation of providers. Ageing of the population has a considerable impact on the use of health resources because aged people require more specialised medical care due notably to cancer. We propose a method useful to monitor changes of cancer incidence in space and time taking into account two age categories, according to healthcar general organisation. We use generalised additive mixed models with a Poisson response, according to the methodology presented in Wood, Generalised additive models: an introduction with R. Chapman and Hall/CRC, 2006. Besides one-dimensional smooth functions accounting for non-linear effects of covariates, the space-time interaction can be modelled using scale invariant smoothers. Incidence data collected by a general cancer registry between 1992 and 2007 in a specific area of France is studied. Our best model exhibits a strong increase of the incidence of cancer along time and an obvious spatial pattern for people more than 70 years with a higher incidence in the central band of the region. This is a strong argument for re-allocating resources for old people cancer care in this sub-region.
Original languageEnglish
Pages (from-to)83-89
Number of pages7
JournalGeospatial Health
Volume7
Issue number1
Publication statusPublished - 2013

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Resource Allocation
resource allocation
health care
cancer
Delivery of Health Care
incidence
resources
Neoplasms
Incidence
resource
Health Resources
medical care
France
Registries
Organizations
methodology
interaction
health
Population
time

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Resources allocations in healthcare for cancer : A case study using generalised additive mixed models. / Musio, Monica; Sauleau, Erik-A.; Augustin, Nicole.

In: Geospatial Health, Vol. 7, No. 1, 2013, p. 83-89.

Research output: Contribution to journalArticle

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