ArticleAnnals of family medicine
Applying a risk-adjustment framework to primary care: can we improve on existing measures?
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Risk Adjustment in Capitation Payments to Primary Care Providers: Does It Matter How We Account for Patients' Socioeconomic Status?Medical care · 2025Article
- High and Sustained Participation in a Multi-year Voluntary Performance Measurement Initiative Among Primary Care Teams.International journal of health policy and management · 2022Observational
- Factors Associated with Practice-Level Performance Indicators in Primary Health Care in Hungary: A Nationwide Cross-Sectional Study.International journal of environmental research and public health · 2019Article
- Article
- Influence of patient characteristics on preventive service delivery and general practitioners' preventive performance indicators: A study in patients with hypertension or diabetes mellitus from Hungary.The European journal of general practice · 2018Article
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- Identifying complexity in infectious diseases inpatient settings: An observation study.Journal of biomedical informatics · 2017Article
- The Association Between Neighborhood Environment and Mortality: Results from a National Study of Veterans.Journal of general internal medicine · 2017Observational
- Defining Team Effort Involved in Patient Care from the Primary Care Physician's Perspective.Journal of general internal medicine · 2017Article
- Appointment "no-shows" are an independent predictor of subsequent quality of care and resource utilization outcomes.Journal of general internal medicine · 2015Article
- The impact of exclusion criteria on a physician's adenoma detection rate.Gastrointestinal endoscopy · 2015Article
- The Origin of Variation in Primary Care Process and Outcome Indicators: Patients, Professionals, Centers, and Health Districts.Medicine · 2015Observational
- Observational
- Association between fee-for-service expenditures and morbidity burden in primary care.The European journal of health economics : HEPAC : health economics in prevention and care · 2014Article
- Characteristics of primary care practices associated with high quality of care.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2013Article
- Predictive risk modelling in the Spanish population: a cross-sectional study.BMC health services research · 2013Article
- Burden of morbidity in a patient perspective: the case of sick-leave certified patients in primary care.BMC public health · 2009Article
- Seniors' self-reported multimorbidity captured biopsychosocial factors not incorporated into two other data-based morbidity measures.Journal of clinical epidemiology · 2009Article
- Fundamental reform of payment for adult primary care: comprehensive payment for comprehensive care.Journal of general internal medicine · 2007Article
- Multimorbidity is common to family practice: is it commonly researched?Canadian family physician Medecin de famille canadien · 2005Review
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Outcome-based performance measurement and prospective payment are common features of the current managed care environment. Increasingly, primary care clinicians and health care organizations are being asked to assume financial risk for enrolled patients based on negotiated capitation rates. Therefore, the need for methods to account for differences in risk among patients enrolled in primary care organizations has become critical. Although current risk-adjustment measures represent significant advances in the measurement of morbidity in primary care populations, they may not adequately capture all the dimensions of patient risk relevant to primary care. We propose a risk-adjustment framework for primary care that incorporates clinical features related to patients' health status and nonclinical factors related to patients' health behaviors, psychosocial factors, and social environment. Without this broad perspective, clinicians with more unhealthy and more challenging populations are at risk of being inadequately compensated and inequitably compared with peers. The risk-adjustment framework should also be of use to health care organizations that have been mandated to deliver high-quality primary care but are lacking the necessary tools.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.