Evidence map›Paper›PMID 25130916›Full record

ArticleHealth services research2014

Using self-reported health measures to predict high-need cases among Medicaid-eligible adults.

Laura R Wherry, Marguerite E Burns, Lindsey Jeanne Leininger

Abstract read
In one paragraph

Article in Health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Can patient-reported data improve predictions about who will be a high-need, high-cost patient in British Columbia?Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  3. Physician and informal care use explained by the Pediatric Quality of Life Inventory (PedsQL) in children with suspected genetic disorders.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Development of a care guidance index based on what matters to patients.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
    Article
  10. Article
  11. Article
  12. Identifying Patients at Risk of High Healthcare Utilization.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2016
    Article
  13. Article
  14. Article
  15. Article
  16. Predicting Health Care Utilization for Children With Respiratory Insufficiency Using Parent-Proxy Ratings of Children's Health-Related Quality of Life.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Article
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

3 authors.

Laura R WherryUniversity of Michigan School of Public Health, Ann Arbor, MI.
Marguerite E Burns
Lindsey Jeanne Leininger

Funding

Scientific and Technical CoreP2CHD047873 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI Katherine J. Curtis · 2014 to 2026
$5.1M
Converting Public Health Insurance into Guideline-Concordant Mental Health CareK01MH092338 · NIMH · UNIVERSITY OF WISCONSIN-MADISON · PI BURNS, MARGUERITE ELIZABETH · 2011 to 2015
$843k
NICHD NIH HHS P2C HD047873NIMH NIH HHS K01 MH092338NIMH NIH HHS K01MH092338
6 · The paper itself

Abstract

objectiveTo assess the ability of different self-reported health (SRH) measures to prospectively identify individuals with high future health care needs among adults eligible for Medicaid. DATA SOURCES: The 1997-2008 rounds of the National Health Interview Survey linked to the 1998-2009 rounds of the Medical Expenditure Panel Survey (n = 6,725). STUDY

designMultivariate logistic regression models are fitted for the following outcomes: having an inpatient visit; membership in the top decile of emergency room utilization; and membership in the top cost decile. We examine the incremental predictive ability of six different SRH domains (health conditions, mental health, access to care, health behaviors, health-related quality of life [HRQOL], and prior utilization) over a baseline model with sociodemographic characteristics. Models are evaluated using the c-statistic, integrated discrimination improvement, sensitivity, specificity, and predictive values. PRINCIPAL

findingsSelf-reports of prior utilization provide the greatest predictive improvement, followed by information on health conditions and HRQOL. Models including these three domains meet the standard threshold of acceptability (c-statistics range from 0.703 to 0.751).

conclusionsSRH measures provide a promising way to prospectively profile Medicaid-eligible adults by likely health care needs.

Indexed as

Diagnostic Self EvaluationEligibility DeterminationSelf ReportAdultFemaleHealth Services Needs and DemandHumansLogistic ModelsMaleMedicaidUnited StatesMedicaidprediction modelsrisk assessmentself-rated health measurement

Identifiers

PMID25130916
PMCPMC4241135

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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.