From: Population segmentation based on healthcare needs: a systematic review
Segmentation tool | Segment formulation | Segmentation base type | Peer-reviewed validation | Proprietary | Need for comprehensive electronic medical record | Number of segments |
---|---|---|---|---|---|---|
Lynn et al.’s Bridges to Health model | Expert driven | Medical | No | No | No | 8 |
Hewner et al.’s Complexedex | Expert driven | Medical, lifestyle | No | Yes | Yes | 4 |
Kaiser Permanente’s Senior Segmentation Algorithm (SSA) | Expert driven | Medical | Yes | Yes | Yes | 4 |
Delaware Population Grouping | Expert driven | Medical | No | No | Yes | 20 |
Lombardy Segmentation | Expert driven | Medical, demographic, utilization | No | No | Yes | 8 |
3M’s Clinical Risk Group (CRG) | Expert driven | Medical, demographic | Yes | Yes | Yes | 6–269 |
Joynt et al.’s Medicare claims-based segmentation | Expert driven | Medical, frailty indicators, demographic | Yes | No | Yes | 6 |
British Columbia Health System Matrix | Expert driven | Medical, demographic, utilization | No | No | Yes | 14 |
Singapore MOH (Ministry of Health) Segmentation framework | Expert driven | Medical, utilization | Yes | No | Yes | 6 |
Northwest London Segmentation Scheme | Data, expert driven | Medical, demographic, functional | No | No | Yes | 10 |
John Hopkins Adjusted Clinical Group (ACG) | Data, expert driven | Medical, demographic | Yes | Yes | Yes | 92 |
Van der Laan et al.’s Demand-driven segmentation model | Data driven | Medical, functional, social | Yes | No | No | 5 |
Liu et al.’s Latent Class Analysis (LCA) of Taiwan National Health Interview Survey (NHIS) | Data driven | Medical, functional, socio-demographic | Yes | No | No | 4 |
Lafortune et al.’s LCA of SIPA (French acronym for System of Integrated Care for the frail elderly) Trial | Data driven | Medical, functional, socio-demographic | Yes | No | No | 4 |
Vuik et al.’s utilization-based segmentation | Data driven | Utilization | No | No | Yes | 8 |
Low et al.’s utilization-based segmentation | Data driven | Utilization, demographic | Yes | No | Yes | 5 |