ArticleAnnals of family medicine
Association of patient-centered outcomes with patient-reported and ICD-9-based morbidity 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 50 papers, 1 of them a synthesis that pooled it.
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Who cites it
50 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 citations in OpenAlex.
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- Article
- More patient-centered care, better healthcare: the association between patient-centered care and healthcare outcomes in inpatients.Frontiers in public health · 2023Article
- Multimorbidity patterns and the relation to self-rated health among older Japanese people: a nationwide cross-sectional study.BMJ open · 2022Article
- Healthcare costs related to adverse events in hepatocellular carcinoma treatment: A retrospective observational claims study.Cancer reports (Hoboken, N.J.) · 2022Observational
- Definition of patient complexity in adults: A narrative review.Journal of multimorbidity and comorbidity · 2022Review
- Burden of illness among patients with dementia-related psychosis.Journal of managed care & specialty pharmacy · 2021Article
- Association of the Patient-Centered Medical Home Implementation with Chronic Disease Quality in Patients with Multimorbidity.Journal of general internal medicine · 2020Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
purposeEvaluating patient-centered care for complex patients requires morbidity measurement appropriate for use with a variety of clinical outcomes. We compared the contributions of self-reported morbidity and morbidity measured using administrative diagnosis data for both patient-reported outcomes and utilization outcomes.
methodsUsing a cohort of 961 persons aged 65 years or older with 3 or more medical conditions, we explored 9 health outcomes as a function of 4 independent variables representing different types of morbidity measures: International Classification of Diseases, Ninth Revision (ICD-9), a self-reported weighted count of conditions, and self-reported symptoms of depression and of anxiety. Outcomes varied from self-reported health status to utilization. Depending on the outcome measure, we used multivariate linear, negative binomial, or logistic regression, adjusting for demographic characteristics and length of enrollment to assess associations between dependent and all 4 independent variables.
resultsHigher morbidity measured by ICD-9 diagnoses was independently associated with less favorable levels of 7 of the 9 clinical outcomes. Higher self-reported disease burden was significantly associated with less favorable levels of 8 of the outcomes, controlling for the 3 other morbidity measures. Morbidity measured by diagnosis code was more strongly associated with higher utilization, whereas self-reported disease burden and emotional symptoms were more strongly associated with patient-reported outcomes.
conclusionsA comprehensive assessment of morbidity requires both subjective and objective measurement of disease burden as well as an assessment of emotional symptoms. Such multidimensional morbidity measurement is particularly relevant for research or quality assessments involving the delivery of patient-centered care to complex patient populations.
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