Evidence map›Paper›PMID 31974901›Full record

Observational studyJournal of general internal medicine2020

Association Between HEDIS Performance and Primary Care Physician Age, Group Affiliation, Training, and Participation in ACA Exchanges.

Jill R Glassman, David S P Hopkins, M Kate Bundorf, Robert M Kaplan, Meera V Ragavan, Alan Glaseroff, Arnold Milstein

Open access · bronzeAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 25% of its field
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 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
  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

7 authors at 2 institutions in 1 country.

Jill R GlassmanClinical Excellence Research Center, School of Medicine, Stanford University, 365 Lasuen Street, Stanford, CA, 94305, USA. jill.r.glassman@stanford.edu.ORCID 0000-0002-9847-9368
David S P HopkinsClinical Excellence Research Center, School of Medicine, Stanford University, 365 Lasuen Street, Stanford, CA, 94305, USA.
M Kate BundorfHealth Research and Policy, School of Medicine, Stanford University, Stanford, CA, USA.
Robert M KaplanClinical Excellence Research Center, School of Medicine, Stanford University, 365 Lasuen Street, Stanford, CA, 94305, USA.
Meera V RagavanClinical Excellence Research Center, School of Medicine, Stanford University, 365 Lasuen Street, Stanford, CA, 94305, USA.
Alan GlaseroffClinical Excellence Research Center, School of Medicine, Stanford University, 365 Lasuen Street, Stanford, CA, 94305, USA.
Arnold MilsteinClinical Excellence Research Center, School of Medicine, Stanford University, 365 Lasuen Street, Stanford, CA, 94305, USA.
Stanford University · USStanford Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are a limited number of studies investigating the relationship between primary care physician (PCP) characteristics and the quality of care they deliver.

objectiveTo examine the association between PCP performance and physician age, solo versus group affiliation, training, and participation in California's Affordable Care Act (ACA) exchange.

designObservational study of 2013-2014 data from Healthcare Effectiveness Data and Information Set (HEDIS) measures and select physician characteristics.

participantsPCPs in California HMO and PPO practices (n = 5053) with part of their patient panel covered by a large commercial health insurance company. MAIN MEASURES: Hemoglobin A1c testing; medical attention nephropathy; appropriate treatment hypertension (ACE/ARB); breast cancer screening; proportion days covered by statins; monitoring ACE/ARBs; monitoring diuretics. A composite performance measure also was constructed. KEY

resultsFor the average 35- versus 75-year-old PCP, regression-adjusted mean composite relative performance scores were at the 60th versus 47th percentile (89% vs. 86% composite absolute HEDIS scores; p < .001). For group versus solo PCPs, scores were at the 55th versus 50th percentiles (88% vs. 87% composite absolute HEDIS scores; p < .001). The effect of age on performance was greater for group versus solo PCPs. There was no association between scores and participation in ACA exchanges.

conclusionsThe associations between population-based care performance measures and PCP age, solo versus group affiliation, training, and participation in ACA exchanges, while statistically significant in some cases, were small. Understanding how to help older PCPs excel equally well in group practice compared with younger PCPs may be a fruitful avenue of future research.

Indexed as

Angiotensin Receptor AntagonistsPhysicians, Primary CareAgedAngiotensin-Converting Enzyme InhibitorsDelivery of Health CareHumansPatient Protection and Affordable Care ActUnited StatesAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor Antagonistshealth care qualityHEDIS performance measuresphysician agephysician characteristicsprimary care

Identifiers

PMID31974901
PMCPMC7280418
OpenAlexW3002602387

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.