An Epidemiological Model of the Natural History of a Disease Within a Multilevel Care System

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Abstract
Detailed epidemiological data on the entire course and treatment of illness requiring a variety of forms of management and various levels of institutionalization are scarce, probably due to the difficulty of assembling such data from a multiplicity of sources, particularly within complex and fragmented health care delivery systems. This paper describes several analytic approaches to, and applicaions of such a body of date, taken from a retrospective cohort study of 552 fractured hip cases incident in on e year in an upstate New York county. Examples of six analytic application of the data are presented, and emphasis is placed on the potential for practical use of some of the results.

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