ArticleDisability and health journal2015
Diagnosis isn't enough: Understanding the connections between high health care utilization, chronic conditions and disabilities among U.S. working age adults.
Article in Disability and health journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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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.
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.
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Who cites it
19 citing papers in PubMed.
- The devil's in the details: Variation in estimates of late-life activity limitations across national cohort studies.Journal of the American Geriatrics Society · 2023Article
- Perspectives of clinicians and survivors on the continuity of service provision during rehabilitation after acquired brain injury.PloS one · 2023Article
- Characterization of People with Functional Limitations from ICF Components Using the Longitudinal Social Protection Survey (ELPS) of Uruguay.International journal of environmental research and public health · 2021Article
- Health service use of Australian unemployment and disability benefit recipients: a national, cross-sectional study.BMC health services research · 2021Article
- Association Between Dynamic Trends of Functional Disability and Poverty Among People Aged 45 and Over.Frontiers in public health · 2021Article
- Health and care service utilisation and cost over the life-span: a descriptive analysis of population data.BMC health services research · 2020Article
- Switching Between Medicare Advantage And Traditional Medicare Before And After The Onset Of Functional Disability.Health affairs (Project Hope) · 2020Article
- Pregnancy Intendedness by Maternal Disability Status and Type in the United States.Perspectives on sexual and reproductive health · 2020Article
- Characterization of high healthcare utilizer groups using administrative data from an electronic medical record database.BMC health services research · 2019Article
- Drilling Deeper on the Impact of the Affordable Care Act on Disability-Related Health Care Access Disparities.American journal of public health · 2019Article
- Adults with Communication Disabilities Experience Poorer Health and Healthcare Outcomes Compared to Persons Without Communication Disabilities.Journal of general internal medicine · 2018Article
- At the intersection of chronic disease, disability and health services research: A scoping literature review.Disability and health journal · 2018Article
- Introducing the Adults with Chronic Healthcare Needs (ACHCN) definition and screening instrument: Rationale, supporting evidence and testing.Disability and health journal · 2018Article
- Live birth, miscarriage, and abortion among U.S. women with and without disabilities.Disability and health journal · 2017Article
- Biochemical strategies for the detection and detoxification of toxic chemicals in the environment.World journal of biological chemistry · 2017Article
- Comparison of 2 Disability Measures, Behavioral Risk Factor Surveillance System, 2013.Preventing chronic disease · 2016Article
- Environmental Chemical Assessment in Clinical Practice: Unveiling the Elephant in the Room.International journal of environmental research and public health · 2016Review
- Disparities in Insurance Coverage, Health Services Use, and Access Following Implementation of the Affordable Care Act: A Comparison of Disabled and Nondisabled Working-Age Adults.Inquiry : a journal of medical care organization, provision and financingArticle
- Access Is Necessary but Not Sufficient: Factors Influencing Delay and Avoidance of Health Care Services.MDM policy & practiceArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundUnder the ACA, new programs are being developed to enhance care coordination and reduce health care costs among people with chronic conditions, disabilities, and high utilization of health care. However, the relationships between these groups are not well understood.
objectivesOur aims were to (1) identify high utilizers of health care in the U.S. working age (18-64) population, (2) examine the overlap between this group and people with chronic conditions and/or disabilities, (3) identify predictors of high service use or cost among these subpopulations, and (4) recommend approaches for stratification of individuals with high health care utilization.
methodsUsing pooled national data from the Medical Expenditure Panel Survey (2006-2008), we created indices to identify elevated or high utilization and cost groups. We performed descriptive analyses, bivariate comparisons and multivariate analyses to examine the relations between these populations and individuals with chronic conditions and/or disabilities.
resultsWhile the large majority of persons with high use/cost had chronic conditions, the minority of persons with chronic conditions had high health care utilization. However, among persons with chronic conditions, disability was a significant predictor of high utilization. Annual expenditures were significantly elevated among people with disabilities, particularly when activities of daily living were limited.
conclusionsWe conclude that medical diagnosis alone is insufficient for the development of eligibility criteria for, or the evaluation of, programs intended to better the delivery or coordination of services for high utilizers of health care services. New approaches are needed to assess functional limitations and identify ongoing needs for services and supports.
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