Evidence map›Paper›PMID 21306366›Full record

ArticleHealth services research2011

Effect of usual source of care on depression among Medicare beneficiaries: an application of a simultaneous-equations model.

Chunyu Li, Andrew W Dick, Kevin Fiscella, Yeates Conwell, Bruce Friedman

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact, top 89% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

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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.

Chunyu LiCenters for Disease Control and Prevention, Epidemiology and Applied Research Branch, Division of Cancer Prevention and Control, 4770 Buford Highway NE, Atlanta, GA, USA.
Andrew W Dick
Kevin Fiscella
Yeates Conwell
Bruce Friedman
University of Rochester · USCenters for Disease Control and Prevention · USRAND Corporation · US

Funding

IP-RISP: The Senior Health and Research AllianceR24MH071604 · NIMH · UNIVERSITY OF ROCHESTER · PI CONWELL, YEATES · 2006 to 2010
$2.5M
NIMH NIH HHS R24 MH071604
6 · The paper itself

Abstract

objectiveTo investigate whether having a usual source of care (USOC) resulted in lower depression prevalence among the elderly. DATA SOURCES: The 2001-2003 Medicare Current Beneficiaries Survey and 2002 Area Resource File. STUDY

designTwenty thousand four hundred and fifty-five community-dwelling person-years were identified for respondents aged 65+, covered by both Medicare Parts A and B in Medicare fee-for-service for a full year. USOC was defined by the question "Is there a particular medical person or a clinic you usually go to when you are sick or for advice about your health?" Ambulatory care use (ACU) was defined by having at least one physician office visit and/or hospital outpatient visit using Medicare claims. Depression was identified by a two-item screen (sadness and/or anhedonia). All measures were for the past 12 months. A simultaneous-equations (trivariate probit) model was estimated, adjusted for sampling weights and study design effects. PRINCIPAL

findingsBased on the simultaneous-equations model, USOC is associated with 3.8 percent lower probability of having depression symptoms (p=.03). Also, it had a positive effect on having any ACU (p<.001). Having any ACU had no statistically significant effect on depression (p=.96).

conclusionsUSOC was associated with lower depression prevalence and higher realized access (ACU) among community-dwelling Medicare beneficiaries.

Indexed as

AgedAged, 80 and overAge FactorsDepressionFemaleHealth Services AccessibilityHealth Services ResearchHealth StatusHumansMaleMedicare Part AMedicare Part BPatient-Centered CareSex FactorsSocioeconomic FactorsUnited States

Identifiers

PMID21306366
PMCPMC3165178
OpenAlexW1592638246

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.