Evidence map›Paper›PMID 30088272›Full record

ArticleHealth services research2018

Do Medical Homes Improve Quality of Care for Persons with Multiple Chronic Conditions?

Karen E Swietek, Marisa Elena Domino, Christopher Beadles, Alan R Ellis, Joel F Farley, Lexie R Grove, Carlos Jackson, C Annette DuBard

Registry-linked trialAbstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04649853 (Wound Care and Pressure Injury Through the Continuum of Care), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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.

NCT04649853 unknown statusnot on this mapstarted 2020, after this paper: background citation

Wound Care and Pressure Injury Through the Continuum of Care

TypeobservationalSponsorRegional Medical Center of San JoseRan2020 to 2021Enrolled352ConditionsWound, Pressure InjuryArmsStandardized nursing care
3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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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.

Karen E SwietekNORC at the University of Chicago, Boston, MA.ORCID 0000-0003-4074-4867
Marisa Elena DominoDepartment of Health Policy and Management, The Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0003-4845-6261
Christopher BeadlesHealth Care Quality and Outcomes Program, RTI International, Research Triangle Park, NC.
Alan R EllisDepartment of Social Work, North Carolina State University, Raleigh, NC.
Joel F FarleyCollege of Pharmacy, University of Minnesota, Minneapolis, MN.
Lexie R GroveDepartment of Health Policy and Management, The Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC.
Carlos JacksonCommunity Care of North Carolina, Inc., Raleigh, NC.
C Annette DuBardAledade, Inc., Bethesda, MD.

Funding

Research Capability to Study Comparative Effectiveness in Complex PatientsR24HS019659 · AHRQ · NORTH CAROLINA COMMUNITY CARE NETWORKS · PI DUBARD, CAROL ANNETTE · 2010 to 2010
$991k
AHRQ HHS R24 HS019659
6 · The paper itself

Abstract

objectiveTo examine the association between medical home enrollment and receipt of recommended care for Medicaid beneficiaries with multiple chronic conditions (MCC). DATA SOURCES/STUDY

settingSecondary claims data from fiscal years 2008-2010. The sample included nonelderly Medicaid beneficiaries with at least two of eight target conditions (asthma, chronic obstructive pulmonary disease, diabetes, hypertension, hyperlipidemia, seizure disorder, major depressive disorder, and schizophrenia). STUDY

designWe used linear probability models with person- and year-level fixed effects to examine the association between patient-centered medical home (PCMH) enrollment and nine disease-specific quality-of-care metrics, controlling for selection bias and time-invariant differences between enrollees. DATA COLLECTION

methodsThis study uses a dataset that links Medicaid claims with other administrative data sources. PRINCIPAL

findingsPatient-centered medical home enrollment was associated with an increased likelihood of receiving eight recommended mental and physical health services, including A1C testing for persons with diabetes, lipid profiles for persons with diabetes and/or hyperlipidemia, and psychotherapy for persons with major depression and persons with schizophrenia. PCMH enrollment was associated with overuse of short-acting β-agonists among beneficiaries with asthma.

conclusionsThe PCMH model can improve quality of care for patients with multiple chronic conditions.

Indexed as

Multiple Chronic ConditionsQuality of Health CareAdministrative Claims, HealthcareAdultFemaleHumansMaleMedicaidPatient-Centered CareUnited Stateschronic conditionsMedical homesmultimorbidityquality

Identifiers

PMID30088272
PMCPMC6232445

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.