Evidence map›Paper›PMID 28492449›Full record

ArticleJournal of public health management and practice : JPHMP

Measuring Subcounty Differences in Population Health Using Hospital and Census-Derived Data Sets: The Missouri ZIP Health Rankings Project.

Elna Nagasako, Brian Waterman, Mathew Reidhead, Min Lian, Sarah Gehlert

Abstract read
In one paragraph

Article in Journal of public health management and practice : JPHMP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
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  7. Value-based focused global population health management.Journal of gastrointestinal oncology · 2021
    Review
  8. Review
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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.

Elna NagasakoDivision of General Medical Sciences, Washington University School of Medicine in St. Louis, St. Louis, Missouri (Drs Nagasako and Lian); Center for Clinical Excellence, BJC HealthCare, St. Louis, Missouri (Dr Nagasako); Missouri Hospital Association, Jefferson City, Missouri (Messrs Waterman and Reidhead); George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri (Dr Gehlert); and Alvin J. Siteman Cancer Center, St. Louis, Missouri (Drs Lian and Gehlert).
Brian Waterman
Mathew Reidhead
Min Lian
Sarah Gehlert

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University Institute of Clinical and Translational Sciences (KL2) KL2TR002346 · NCATS · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 2017 to 2026
$14.0M
Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
NCATS NIH HHS KL2 TR000450NCATS NIH HHS KL2 TR002346NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345
6 · The paper itself

Abstract

contextMeasures of population health at the subcounty level are needed to identify areas for focused interventions and to support local health improvement activities.

objectiveTo extend the County Health Rankings population health measurement model to the ZIP code level using widely available hospital and census-derived data sources.

designRetrospective administrative data study.

settingMissouri. POPULATION: Missouri FY 2012-2014 hospital inpatient, outpatient, and emergency department discharge encounters (N = 36 176 377) and 2015 Nielsen data.

main outcome measuresZIP code-level health factors and health outcomes indices.

resultsStatistically significant measures of association were observed between the ZIP code-level population health indices and published County Health Rankings indices. Variation within counties was observed in both urban and rural areas. Substantial variation of the derived measures was observed at the ZIP code level with 20 (17.4%) Missouri counties having ZIP codes in both the top and bottom quintiles of health factors and health outcomes. Thirty of the 46 (65.2%) counties in the top 2 county quintiles had ZIP codes in the bottom 2 quintiles.

conclusionsThis proof-of-concept analysis suggests that readily available hospital and census-derived data can be used to create measures of population health at the subcounty level. These widely available data sources could be used to identify areas of potential need within counties, engage community stakeholders, and target interventions.

Indexed as

CensusesDatasets as TopicHospitalsHumansMissouriPopulation HealthResearch DesignResidence CharacteristicsRetrospective Studies

Identifiers

PMID28492449
PMCPMC5704978

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Registered trials

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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.