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High-Need Phenotypes in Medicare Beneficiaries: Drivers of Variation in Utilization and Outcomes
Tamra Keeney, Emmanuelle Belanger, Rich N Jones, Nina R Joyce, David J Meyers, Vincent Mor. Journal of the American Geriatrics Society, 2019-08-27
Topic: Health services, long-term care and technology
Five phenotypes were identified: (1) comorbid ischemic heart disease with hospitalization and skilled nursing facility use (22% of the HN sample), (2) comorbid ischemic heart disease with home care use (23%), (3) home care use (12%), (4) high comorbidity with hospitalization (32%), and (5) Alzheimer's disease/related dementias with functional dependency and nursing home use (11%). Mortality was highest in phenotypes 1 and 2; hospitalizations and expenditures were highest in phenotypes 1, 3, and 4. Our findings represent a first step toward classifying the heterogeneity among HN Medicare beneficiaries. Further work is needed to identify modifiable utilization patterns between phenotypes to improve the value of healthcare provided to these subpopulations. J Am Geriatr Soc 68:70-77, 2019.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Keeney, T., Belanger, E., Jones, R. N., Joyce, N. R., Meyers, D. J., & Mor, V. (2020). High-Need Phenotypes in Medicare Beneficiaries: Drivers of Variation in Utilization and Outcomes. Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.16146
Vancouver
Keeney T, Belanger E, Jones RN, Joyce NR, Meyers DJ, Mor V. High-Need Phenotypes in Medicare Beneficiaries: Drivers of Variation in Utilization and Outcomes. Journal of the American Geriatrics Society. 2020. doi:10.1111/jgs.16146. PMID: 31454082.
BibTeX
@article{keeney2020-31454082,
author = {Keeney, Tamra and Belanger, Emmanuelle and Jones, Rich N and Joyce, Nina R and Meyers, David J and Mor, Vincent},
title = {{High-Need Phenotypes in Medicare Beneficiaries: Drivers of Variation in Utilization and Outcomes}},
journal = {Journal of the American Geriatrics Society},
year = {2020},
doi = {10.1111/jgs.16146},
pmid = {31454082},
url = {https://doi.org/10.1111/jgs.16146}
}
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Key findings
- Five phenotypes were identified: (1) comorbid ischemic heart disease with hospitalization and skilled nursing facility use (22% of the HN sample), (2) comorbid ischemic heart disease with home care use (23%), (3) home care use (12%), (4) high comorbidity with hospitalization (32%), and (5) Alzheimer's disease/related dementias with functional dependency and nursing home use (11%).
- Mortality was highest in phenotypes 1 and 2; hospitalizations and expenditures were highest in phenotypes 1, 3, and 4.
- Our findings represent a first step toward classifying the heterogeneity among HN Medicare beneficiaries.
- Further work is needed to identify modifiable utilization patterns between phenotypes to improve the value of healthcare provided to these subpopulations.
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Study details
- Study designcross-sectional
- Participants415
- Evidence strengthLow
How this study scored 55/100
Published in a peer-reviewed journal, and it is a snapshot of people at one point in time. Scored zero for effect reported and randomised / blinded because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record, multi-centre collaboration and free to read, so those were left out: it earned 31 of the 56 points we could judge it on, which is 55 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of the American Geriatrics Society) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 4 / 12 | A snapshot of people at one point in time |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 2 / 5 | 2020 — within 10 year(s) of the newest study here |
| Sample size | 2 / 4 | 415 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 31454082) |
| Free to read | — / 2 | Access not recorded — left out of this score |
| Points | 31 / 56 | Scored on 10 of 20 parts. We have no data for the rest, so they are left out: 31 of the 56 points we could judge it on is 55 out of 100. |
| Total | 55 / 100 | — |
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