Evidence map›Paper›PMID 27769221›Full record

ArticleBMC health services research2016

Estimating healthcare mobility in the Veterans Affairs Healthcare System.

Karen H Wang, Joseph L Goulet, Constance M Carroll, Melissa Skanderson, Samah Fodeh, Joseph Erdos, Julie A Womack, Erica A Abel, Harini Bathulapalli, Amy C Justice and 2 more

Abstract readMulticenter Study
In one paragraph

Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Article
  2. 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

12 authors.

Karen H WangVeterans Affairs Connecticut Healthcare System, West Haven, CT, USA. karen.wang@yale.edu.
Joseph L GouletVeterans Affairs Connecticut Healthcare System, West Haven, CT, USA.
Constance M CarrollDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Melissa SkandersonVeterans Affairs Connecticut Healthcare System, West Haven, CT, USA.
Samah FodehVeterans Affairs Connecticut Healthcare System, West Haven, CT, USA.
Joseph ErdosVeterans Affairs Connecticut Healthcare System, West Haven, CT, USA.
Julie A WomackVeterans Affairs Connecticut Healthcare System, West Haven, CT, USA.
Erica A AbelVeterans Affairs Connecticut Healthcare System, West Haven, CT, USA.
Harini BathulapalliVeterans Affairs Connecticut Healthcare System, West Haven, CT, USA.
Amy C JusticeVeterans Affairs Connecticut Healthcare System, West Haven, CT, USA.
Marcella Nunez-SmithDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Cynthia A BrandtVeterans Affairs Connecticut Healthcare System, West Haven, CT, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Women Veterans Cohort Study 2I01HX000915 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI BRANDT, CYNTHIA A., HASKELL, SALLY · 2014 to 2019
–
Musculoskeletal Diagnoses Cohort: Examining Pain and Pain Care in the VAI01HX000971 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI BRANDT, CYNTHIA A., GOULET, JOSEPH LUCIEN · 2013 to 2013
–
HSRD VA I01 HX000915HSRD VA I01 HX000971NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundHealthcare mobility, defined as healthcare utilization in more than one distinct healthcare system, may have detrimental effects on outcomes of care. We characterized healthcare mobility and associated characteristics among a national sample of Veterans.

methodsUsing the Veterans Health Administration Electronic Health Record, we conducted a retrospective cohort study to quantify healthcare mobility within a four year period. We examined the association between sociodemographic and clinical characteristics and healthcare mobility, and characterized possible temporal and geographic patterns of healthcare mobility.

resultsApproximately nine percent of the sample were healthcare mobile. Younger Veterans, divorced or separated Veterans, and those with hepatitis C virus and psychiatric disorders were more likely to be healthcare mobile. We demonstrated two possible patterns of healthcare mobility, related to specialty care and lifestyle, in which Veterans repeatedly utilized two different healthcare systems.

conclusionsHealthcare mobility is associated with young age, marital status changes, and also diseases requiring intensive management. This type of mobility may affect disease prevention and management and has implications for healthcare systems that seek to improve population health.

Indexed as

Patient Acceptance of Health CareAdolescentAdultAgedAged, 80 and overDelivery of Health CareElectronic Health RecordsEmigration and ImmigrationFemaleHospitals, VeteransHumansMaleMental DisordersMiddle AgedRetrospective StudiesUnited StatesGeographic mobilityHealthcare utilizationMigrationVeterans

Identifiers

PMID27769221
PMCPMC5075153

What OpenQuestion holds

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LicenceCC BY
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.