Evidence map›Paper›PMID 25893158›Full record

ArticleJournal of racial and ethnic health disparities2015

Outcomes of a Seven Practice Pilot in a Pay-For-Performance (P4P)-Based Program in Pennsylvania.

Rhonda M Johnson, Twyla Johnson, Sarah D Zimmerman, Gary M Marsh, Oralia Garcia-Dominic

Open access · bronzeAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 15% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Multicomponent interventions for enhancing primary care: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Pooled it
  2. Review
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.

Rhonda M JohnsonMedical Director of Health Equity & Quality Services at Highmark, Pittsburgh, Pennsylvania, Rhonda.moore.johnson@highmark.com ; 120 Fifth Avenue, Suite FAP 733, Pittsburgh, PA 15222 ;
Twyla JohnsonManager, Provider Engagement, Performance & Partnerships at Highmark, Pittsburgh, Pennsylvania, twyla.johnson@highmark.com ; 120 Fifth Avenue, Suite 893, Fifth Avenue Place Pittsburgh, PA 15222-3099; ;
Sarah D ZimmermanResearch Specialist V at the Center for Occupational Biostatistics and Epidemiology, Department of Biostatistics at University of Pittsburgh. scd27@pitt.edu ; A410 Crabtree Hall A411 DeSoto Street, Pittsburgh, PA 15261.
Gary M MarshProfessor of Biostatistics, Epidemiology and Clinical & Translational Sciences, and Director of the Center for Occupational Biostatistics and Epidemiology at the Department of Biostatistics, Graduate School of Public Health, University of Pittsburgh, Director, gmarsh@pitt.edu A410 Crabtree Hall 130 DeSoto Street, Pittsburgh, PA 15261 ;
Oralia Garcia-DominicHighmark Health Equity Quality Consultant; NIH NCI CRCHD K01 grantee; and Adjunct Assistant Professor of Public Health Sciences, and Biobehavioral Health at The Pennsylvania State University, Milton S. Hershey Medical Center, College of Medicine, Hershey, Pennsylvania, 100 Senate Avenue, Suite SP6N Camp Hill, PA 17011.
Highmark Blue Cross Blue Shield · USUniversity of Pittsburgh · USPenn State Milton S. Hershey Medical Center · US

Funding

The Impact of a Targeted CRC Screening Intervention among Latinos in Central PAK01CA151752 · NCI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI DOMINIC, ORALIA G · 2011 to 2015
$690k
NCI NIH HHS K01 CA151752
6 · The paper itself

Abstract

objectivesThe objective of this study was to examine how targeted six-month interventions impacted Best Practice/Patient Outcomes for minority patients receiving primary care in physician practices participating in a pay-for-performance (P4P) program.

methodsP4P Practices were invited to participate in a pilot intervention study designed to improve care for minority patients with hypertension, diabetes or pediatric asthma. Patient medical records were reviewed to assess how the interventions impacted (n=7 practices): Body mass index, diet and exercise, smoking, compliance with visits as recommended, blood pressure, sodium intake and weight management counseling, medication reconciliation, HbA1c testing, annual lipid profile, and anti-inflammatory medications.

resultsSignificant improvements in various clinical quality measures were observed in all seven practices. Of the 19 specified interventions, 13 were statistically significant at α=0.05 level and 14 met the target proportion. This suggests that the best practice intervention had a significant impact on some of the health care processes in the physician practices.

conclusionsThe most impactful interventions were those related to face-to-face educational discussions, patient medical chart documentations rather than those pertaining to medication adherence. Improvements in measuring reporting and recording of data at post-intervention were also observed.

Indexed as

Minority GroupsReimbursement, IncentiveAdolescentAdultAgedAsthmaBlack or African AmericanChildChild, PreschoolDiabetes MellitusFemaleHealthcare DisparitiesHispanic or LatinoHumansHypertensionInfantBMI and DiabetesHealthcare Health DisparitiesPay-for-PerformancePrimary Care PhysiciansSmoking

Identifiers

PMID25893158
PMCPMC4399862
OpenAlexW2062226879

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.