Evidence map›Paper›PMID 27430035›Full record

ArticleProceedings of the ... International Florida AI Research Society Conference. Florida AI Research Symposium2016

Examining Healthcare Utilization Patterns of Elderly Middle-Aged Adults in the United States.

Cilia E Zayas, Zhe He, Jiawei Yuan, Mildred Maldonado-Molina, William Hogan, François Modave, Yi Guo, Jiang Bian

Abstract read
In one paragraph

Article in Proceedings of the ... International Florida AI Research Society Conference. Florida AI Research Symposium, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  4. Review
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  8. Health care utilization and behavior changes after workplace genetic testing at a large US health care system.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
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  11. Geriatric Telehealth: A Standardized Patient Case for Medical Students.MedEdPORTAL : the journal of teaching and learning resources · 2023
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  12. Article
  13. Potentially Inappropriate Medication Use in Patients with Dementia.International journal of environmental research and public health · 2022
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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

8 authors.

Cilia E ZayasHealth Outcomes and Policy, University of Florida, Gainesville, FL.
Zhe HeSchool of Information, Florida State University, Tallahassee, FL.
Jiawei YuanDepartment of ECSSE, Embry-Riddle Aeronautical University, Daytona Beach, FL.
Mildred Maldonado-MolinaHealth Outcomes and Policy, University of Florida, Gainesville, FL.
William HoganHealth Outcomes and Policy, University of Florida, Gainesville, FL.
François ModaveHealth Outcomes and Policy, University of Florida, Gainesville, FL.
Yi GuoHealth Outcomes and Policy, University of Florida, Gainesville, FL.
Jiang BianHealth Outcomes and Policy, University of Florida, Gainesville, FL.

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI CHRISTIAAN LEEUWENBURGH · 2007 to 2026
$22.8M
NCATS NIH HHS UL1 TR001427NIA NIH HHS P30 AG028740
6 · The paper itself

Abstract

Elderly patients, aged 65 or older, make up 13.5% of the U.S. population, but represent 45.2% of the top 10% of healthcare utilizers, in terms of expenditures. Middle-aged Americans, aged 45 to 64 make up another 37.0% of that category. Given the high demand for healthcare services by the aforementioned population, it is important to identify high-cost users of healthcare systems and, more importantly, ineffective utilization patterns to highlight where targeted interventions could be placed to improve care delivery. In this work, we present a novel multi-level framework applying machine learning (ML) methods (i.e., random forest regression and hierarchical clustering) to group patients with similar utilization profiles into clusters. We use a vector space model to characterize a patient's utilization profile as the number of visits to different care providers and prescribed medications. We applied the proposed methods using the 2013 Medical Expenditures Panel Survey (MEPS) dataset. We identified clusters of healthcare utilization patterns of elderly and middle-aged adults in the United States, and assessed the general and clinical characteristics associated with these utilization patterns. Our results demonstrate the effectiveness of the proposed framework to model healthcare utilization patterns. Understanding of these patterns can be used to guide healthcare policy-making and practice.

Identifiers

PMID27430035
PMCPMC4946167

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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.