Evidence map›Paper›PMID 27546032›Full record

ArticleHealth services research2017

Improving Population Health Management Strategies: Identifying Patients Who Are More Likely to Be Users of Avoidable Costly Care and Those More Likely to Develop a New Chronic Disease.

Judith H Hibbard, Jessica Greene, Rebecca M Sacks, Valerie Overton, Carmen Parrotta

Open access · greenAbstract read
In one paragraph

Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

38 citing papers in PubMed, 80 citations in OpenAlex.

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  8. Parent Activation in the Neonatal Intensive Care Unit.American journal of perinatology · 2023
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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

5 authors at 3 institutions in 1 country.

Judith H HibbardPlanning, Public Policy & Management, University of Oregon, Eugene, OR.
Jessica GreeneNursing, George Washington University, Washington, DC.
Rebecca M SacksNursing, George Washington University, Washington, DC.
Valerie OvertonFairview Health Services, Minneapolis, MN.
Carmen ParrottaFairview Health Services, Minneapolis, MN.
Fairview Health Services · USGeorge Washington University · USUniversity of Oregon · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore using the Patient Activation Measure (PAM) for identifying patients more likely to have ambulatory care-sensitive (ACS) utilization and future increases in chronic disease. DATA SOURCES: Secondary data are extracted from the electronic health record of a large accountable care organization. STUDY

designThis is a retrospective cohort design. The key predictor variable, PAM score, is measured in 2011, and is used to predict outcomes in 2012-2014. Outcomes include ACS utilization and the likelihood of a new chronic disease. DATA: Our sample of 98,142 adult patients was drawn from primary care clinic users. To be included, patients had to have a PAM score in 2011 and at least one clinic visit in each of the three subsequent years. PRINCIPAL

findingsPAM level is a significant predictor of ACS utilization. Less activated patients had significantly higher odds of ACS utilization compared to those with high PAM scores. Similarly, patients with low PAM scores were more likely to have a new chronic disease diagnosis over each of the years of observation.

conclusionsAssessing patient activation may help to identify patients who could benefit from greater support. Such an approach may help ACOs reach population health management goals.

Indexed as

Health Services Needs and DemandAdultAmbulatory CareChronic DiseaseElectronic Health RecordsFemaleForecastingHealth ExpendituresHumansMaleMiddle AgedPublic HealthRetrospective Studiesambulatory care-sensitive utilizationpatient activationRisk

Identifiers

PMID27546032
PMCPMC5517668
OpenAlexW2515138377

What OpenQuestion holds

Textmetadata
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.