Abstract
•High heterogeneity exists in health care use by patients with heart failure for various services. •A small subgroup of high users utilized the majority of acute and ambulatory care resources. •High outpatient use was associated with high acute-care use. •Faster change in the severity of illness increased the likelihood of high use. •Group-based trajectory modeling complements 30-day readmission rate as a means of improving care for those with heart failure.
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