Evidence map›Paper›PMID 33168678›Full record

ArticleAnnals of family medicine2020

Patient-Centered Medical Home Activities Associated With Low Medicare Spending and Utilization.

Rachel A Burton, Stephen Zuckerman, Susan G Haber, Vincent Keyes

Open access · diamondAbstract read
In one paragraph

Article in Annals of family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  6. Observational
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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

4 authors at 2 institutions in 1 country.

Rachel A BurtonThe Urban Institute, Washington, DC rachelaburtonmpp@gmail.com.
Stephen ZuckermanThe Urban Institute, Washington, DC.
Susan G HaberRTI International, Waltham, Massachusetts.
Vincent KeyesRTI International, Research Triangle Park, North Carolina.
RTI International · USUrban Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify components of the patient-centered medical home (PCMH) model of care that are associated with lower spending and utilization among Medicare beneficiaries.

methodsRegression analyses of changes in outcomes for Medicare beneficiaries in practices that engaged in particular PCMH activities compared with beneficiaries in practices that did not. We analyzed claims for 302,719 Medicare fee-for-service beneficiaries linked to PCMH surveys completed by 394 practices in the Centers for Medicare & Medicaid Services' 8-state Multi-Payer Advanced Primary Care Practice demonstration.

resultsSix activities were associated with lower spending or utilization. Use of a registry to identify and remind patients due for preventive services was associated with all 4 of our outcome measures: total spending was $69.77 less per beneficiary per month (PBPM) (

conclusionsPractices seeking to deliver more efficient care may benefit from implementing these 6 activities.

Indexed as

AgedAged, 80 and overEmergency Service, HospitalFacilities and Services UtilizationFee-for-Service PlansFemaleHealth ExpendituresHospitalizationHumansMaleMedicarePatient Acceptance of Health CarePatient-Centered CareReferral and ConsultationRegression AnalysisUnited StatesMedicarepatient-centered careprimary health care

Identifiers

PMID33168678
PMCPMC7708292
OpenAlexW3106027085

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.