Evidence map›Paper›PMID 30420369›Full record

ArticleAnnals of family medicine2018

Factors Associated With Loss of Usual Source of Care Among Older Adults.

Stephanie K Nothelle, Cynthia Boyd, Orla Sheehan, Jennifer L Wolff

Abstract readEvaluation Study
In one paragraph

Article in Annals of family medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Physical Distancing With Social Connectedness.Annals of family medicine · 2020
    Article
  10. 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

4 authors.

Stephanie K NothelleJohns Hopkins University School of Medicine, Department of Medicine, Baltimore, Maryland snothel1@jhmi.edu.
Cynthia BoydJohns Hopkins University School of Medicine, Department of Medicine, Baltimore, Maryland.
Orla SheehanJohns Hopkins University School of Medicine, Department of Medicine, Baltimore, Maryland.
Jennifer L WolffJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

Funding

Prognostic Significance of Family Caregiver Factors for Older Adult Health EventsR01AG047859 · NIA · JOHNS HOPKINS UNIVERSITY · PI WOLFF, JENNIFER L. · 2015 to 2018
$1.5M
Patient-Centered Care for Older Adults with Multiple Chronic Conditions: Research and Mentoring ProgramK24AG056578 · NIA · JOHNS HOPKINS UNIVERSITY · PI BOYD, CYNTHIA MELINDA · 2017 to 2021
$1.1M
NIA NIH HHS K24 AG056578NIA NIH HHS R01 AG047859
6 · The paper itself

Abstract

purposeAccess to a usual source of care (USC) is associated with better preventive health and chronic disease treatment. Although most older adults have a USC, loss of USC, and factors associated with loss of USC, have not previously been examined.

methodsWe followed 7,609 participants of the National Health and Aging Trends Study annually for up to 6 years (2011-2016). Discrete time-to-event techniques and pooled logistic regression were used to identify demographic, clinical, and social factors associated with loss of USC.

resultsNinety-five percent of older adults reported having a USC in 2011, of whom 5% subsequently did not. Odds of losing a USC were higher among older adults with unmet transportation needs (adjusted odds ratio [aOR] 1.67), who moved to a new residence (aOR 2.08), and who reported depressive symptoms (aOR 1.40). Odds of losing a USC were lower for those who had ≥4 chronic conditions (vs 0-1; aOR 0.42) and with supplemental (aOR 0.52) or Medicaid (aOR 0.67) insurance coverage.

conclusionsWe identified factors associated with older adults' loss of a USC. Potentially modifiable factors, such as access to transportation and supplemental insurance, deserve further investigation to potentially assist older adults with continuous access to care.

Indexed as

AgedAged, 80 and overChronic DiseaseContinuity of Patient CareFemaleHealth Services AccessibilityHumansInsurance CoverageInsurance, HealthLogistic ModelsLongitudinal StudiesMaleMedicarePreventive Health ServicesPrimary Health CareSocioeconomic Factorsaccess to careagingcontinuity of care

Identifiers

PMID30420369
PMCPMC6231941

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.