Evidence map›Paper›PMID 34261728›Full record

ArticleCanadian family physician Medecin de famille canadien2021

Health check guidelines and billing for family physicians caring for adults with intellectual and developmental disabilities: Incentives to improve care.

Karen McNeil, Brian Hennen, Mike Joyce, Emily Gard Marshall

Open access · diamondAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
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.

Karen McNeilAssistant Professor in the Department of Family Medicine at Dalhousie University in Halifax, NS.
Brian HennenProfessor Emeritus at Western University in London, Ont, and at Dalhousie University.
Mike JoyceDirector of Health Economics for the Nova Scotia Department of Health and Wellness in Halifax.
Emily Gard MarshallAssociate Professor in the Department of Family Medicine at Dalhousie University.
Dalhousie University · CANova Scotia Health Authority · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the degree to which Canadian consensus guideline recommendations for annual comprehensive preventive care assessments of adults with intellectual and developmental disabilities (IDD) are being taken up by Nova Scotia family physicians since the introduction of incentive billing codes; and to discuss the importance of complete physical examinations for this patient population, extra time needed in clinic encounters, and challenges for practitioners providing care.

designAnalysis of family physicians' billing of codes 03.04C and 03.03E from April 2012 to December 2016.

settingNova Scotia.

participantsFamily physicians.

main outcome measuresNumber of billings through fee-for-service and alternative payment plans, and number of providers who used these fee codes.

resultsAnalysis yielded 3 key results. Use of incentivized billing codes for adult IDD visits and complete examinations in Nova Scotia has steadily increased for patients since the introduction of the modified codes. There is measurable uptake of the IDD adult visit code in total numbers and numbers of providers billing the code. There is poor uptake of the complete examination code.

conclusionEnhanced billing codes will provide Nova Scotia family physicians with an incentive to employ the newly revised 2018 Canadian consensus guidelines in the care of adults with IDDs. With continued discussion and promotion of annual physical examinations for patients with IDD, more patients and caregivers might make this proactive care item a priority.

Indexed as

Intellectual DisabilityMotivationAdultChildDevelopmental DisabilitiesHumansNova ScotiaPhysicians, FamilyPrimary Health Care

Identifiers

PMID34261728
PMCPMC8279677
OpenAlexW3178224774

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.