Evidence map›Paper›PMID 18783456›Full record

ArticleHealth services research2008

Case-mix adjustment of consumer reports about managed behavioral health care and health plans.

Laura L Eselius, Paul D Cleary, Alan M Zaslavsky, Haiden A Huskamp, Susan H Busch

Open access · greenAbstract read
In one paragraph

Article in Health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 29 citations in OpenAlex.

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  7. Patient Activation and Mental Health Care Experiences Among Women Veterans.Administration and policy in mental health · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Laura L EseliusYale School of Public Health, 60 College Street, New Haven, CT 06520-8034, USA.
Paul D Cleary
Alan M Zaslavsky
Haiden A Huskamp
Susan H Busch
Harvard University · USYale University · USDeloitte (United States) · US

Funding

Health Policy Training Program: Promoting Outcomes, Quality, Equity and Diffusion of AdvancesT32MH019733 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI Benjamin Le Cook, Haiden A Huskamp · 1993 to 2026
$7.0M
Economics of Formulary Design and Mental Health PolicyK01MH066109 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI HUSKAMP, HAIDEN A. · 2002 to 2006
$705k
NIMH NIH HHS K01 MH066109NIMH NIH HHS K01 MH66109NIMH NIH HHS T32 MH019733NIMH NIH HHS T-32 MH19733
6 · The paper itself

Abstract

objectiveTo develop a model for adjusting patients' reports of behavioral health care experiences on the Experience of Care and Health Outcomes (ECHO) survey to allow for fair comparisons across health plans. DATA SOURCE: Survey responses from 4,068 individuals enrolled in 21 managed behavioral health plans who received behavioral health care within the previous year (response rate = 48 percent). STUDY

designPotential case-mix adjustors were evaluated by combining information about their predictive power and the amount of within- and between-plan variability. Changes in plan scores and rankings due to case-mix adjustment were quantified. PRINCIPAL

findingsThe final case-mix adjustment model included self-reported mental health status, self-reported general health status, alcohol/drug treatment, age, education, and race/ethnicity. The impact of adjustment on plan report scores was modest, but large enough to change some plan rankings.

conclusionsAdjusting plan report scores on the ECHO survey for differences in patient characteristics had modest effects, but still may be important to maintain the credibility of patient reports as a quality metric. Differences between those with self-reported fair/poor health compared with those in excellent/very good health varied by plan, suggesting quality differences associated with health status and underscoring the importance of collecting quality information.

Indexed as

Behavioral MedicineConsumer BehaviorHealth Maintenance OrganizationsRisk AdjustmentAdolescentAdultAgedFemaleHealth Care SurveysHumansMaleMiddle AgedQuality of Health CareUnited StatesYoung Adult

Identifiers

PMID18783456
PMCPMC2613989
OpenAlexW2149219385

What OpenQuestion holds

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Registered trials

None linked

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.