Evidence map›Paper›PMID 28804075›Full record

ArticleJournal of health care for the poor and underserved2017

Do Medical Homes Offer Improved Diabetes Care for Medicaid Enrollees with Co-occurring Schizophrenia?

William J Olesiuk, Joel F Farley, Marisa Elena Domino, Alan R Ellis, Joseph P Morrissey

Abstract read
In one paragraph

Article in Journal of health care for the poor and underserved, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

5 authors.

William J Olesiuk
Joel F Farley
Marisa Elena Domino
Alan R Ellis
Joseph P Morrissey

Funding

UNC-CH TRAINING PROGRAM IN HEALTH SERVICES RESEARCHT32HS000032 · AHRQ · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HOLMES, GEORGE M · 1989 to 2024
$8.2M
RESEARCH TRAINING IN MENTAL HEALTH SERVICES &SYSTEMST32MH019117 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DOMINO, MARISA ELENA · 1990 to 2017
$3.6M
Research Training:Health Care Quality &Patient OutcomesT32NR008856 · NINR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MARK, BARBARA A · 2004 to 2013
$2.7M
Research Capability to Study Comparative Effectiveness in Complex PatientsR24HS019659 · AHRQ · NORTH CAROLINA COMMUNITY CARE NETWORKS · PI DUBARD, CAROL ANNETTE · 2010 to 2010
$991k
Continuity of Medication Management in MedicaidR01HS023099 · AHRQ · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FARLEY, JOEL F. · 2014 to 2014
$376k
AHRQ HHS R24 HS019659NIMH NIH HHS T32 MH019117NINR NIH HHS T32 NR008856
6 · The paper itself

Abstract

purposeTo determine whether Medicaid recipients with co-occurring diabetes and schizophrenia that are medical-home-enrolled are more likely to receive guideline-concordant diabetes care than those who are not medical-home-enrolled, controlling for confounders.

methodsWe used administrative data on adult, non-dually eligible North Carolina Medicaid beneficiaries with diagnoses of both diabetes and schizophrenia (N= 3,897) for fiscal years 2008-2010. We evaluated the relationship between medical-home-enrollment and receipt of recommended diabetes care reimbursed by Medicaid (lipid profiles, HbA1c tests, medical attention for nephropathy, and eye exams for those over 30), using fixed-effects regression models on person-month level data.

resultsThere was a statisti-cally significant, positive effect of medical home enrollment on receipt of Medicaid-funded eye exams, HbA1c tests, and medical attention for nephropathy, but not receipt of lipid profiles.

conclusionsFor Medicaid enrollees with diabetes and schizophrenia, medical home enrollment is generally associated with greater likelihood of receiving guideline-concordant diabetes care.

Indexed as

AdultDiabetes MellitusDiabetic NephropathiesDiagnostic Techniques, OphthalmologicalFemaleGlycated HemoglobinGuideline AdherenceHumansInsurance Claim ReviewLipidsMaleMedicaidMiddle AgedNorth CarolinaPatient-Centered CarePractice Guidelines as TopicGlycated HemoglobinLipids

Identifiers

PMID28804075
PMCPMC5826756

What OpenQuestion holds

Textmetadata
LicenceTDM
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.