Patient-Reported Care Coordination is Associated with Better Performance on Clinical Care Measures
| Autor: | John L. Adams, Jacob W. Dembosky, Carol A. Edwards, Sarah Gaillot, David J. Klein, Megan K. Beckett, Ron D. Hays, Eric C. Schneider, Marc N. Elliott, Amelia M. Haviland |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Aging Clinical Sciences care continuity Cardiovascular care Medicare Advantage quality of ambulatory care Medicare Advantage CAHPS Breast cancer screening 7.1 Individual care needs Clinical Research Diabetes mellitus General & Internal Medicine Patient experience Breast Cancer Internal Medicine medicine Mammography Humans Patient Reported Outcome Measures Clinical care Cancer Original Research Aged Quality of Health Care medicine.diagnostic_test business.industry patient experience Medical record Prevention Arthritis Health Services medicine.disease United States Colo-Rectal Cancer Good Health and Well Being Cross-Sectional Studies Family medicine Medicare Part C Female Management of diseases and conditions Patient Care business Digestive Diseases |
| Zdroj: | J Gen Intern Med Journal of general internal medicine, vol 36, iss 12 |
| Popis: | BACKGROUND: Prior studies using aggregated data suggest that better care coordination is associated with higher performance on measures of clinical care process; it is unclear whether this relationship reflects care coordination activities of health plans or physician practices. OBJECTIVE: Estimate within-plan relationships between beneficiary-reported care coordination measures and HEDIS measures of clinical process for the same individuals. DESIGN: Mixed-effect regression models in cross-sectional data. PARTICIPANTS: 2013 Medicare Advantage CAHPS respondents (n=152,069) with care coordination items linked to independently collected HEDIS data on clinical processes. MAIN MEASURES: Care coordination measures assessed follow-up, whether doctors had medical records during visits, whether doctors discussed medicines being taken, how informed doctors seemed about specialist care, and help received with managing care among different providers. HEDIS measures included mammography, colorectal cancer screening, cardiovascular LDL-C screening, controlling blood pressure, 5 diabetes care measures (LDL-C screening, retinal eye exam, nephropathy, blood sugar/HbA1c |
| Databáze: | OpenAIRE |
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