Continuity of care and health care utilization in older adults with dementia in fee-for-service medicare

JAMA Internal Medicine

Volumn 176, Issue 9, 2016, Pages 1371-1378

  Amjad, Halima ^a   Carmichael, Donald ^b   Austin, Andrea M ^b   Chang, Chiang Hua ^b   Bynum, Julie P W ^b,c  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b DARTMOUTH INSTITUTE FOR HEALTH POLICY AND CLINICAL PRACTICE   (United States)

^c DARTMOUTH MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; AMBULATORY CARE; ARTICLE; BRAIN TOMOGRAPHY; COHORT ANALYSIS; COMMUNITY LIVING; COMORBIDITY; COMPARATIVE STUDY; CONTROLLED STUDY; DEMENTIA; EMERGENCY WARD; FEMALE; HEALTH CARE COST; HEALTH CARE UTILIZATION; HOSPITALIZATION; HOUSEHOLD INCOME; HUMAN; LABORATORY TEST; MAJOR CLINICAL STUDY; MALE; MEDICAL FEE; MEDICARE; NURSING HOME; OBSERVATIONAL STUDY; PATIENT CARE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; THORAX RADIOGRAPHY; URINALYSIS; URINE CULTURE; VERY ELDERLY; X-RAY COMPUTED TOMOGRAPHY; AGE; CROSS-SECTIONAL STUDY; DIAGNOSTIC IMAGING; DIAGNOSTIC TEST; HOSPITAL EMERGENCY SERVICE; INCOME; STATISTICS AND NUMERICAL DATA; UNITED STATES; UTILIZATION;

AGE FACTORS; AGED; AGED, 80 AND OVER; COHORT STUDIES; COMORBIDITY; CONTINUITY OF PATIENT CARE; CROSS-SECTIONAL STUDIES; DEMENTIA; DIAGNOSTIC IMAGING; DIAGNOSTIC TESTS, ROUTINE; EMERGENCY SERVICE, HOSPITAL; FEE-FOR-SERVICE PLANS; FEMALE; HEALTH EXPENDITURES; HOSPITALIZATION; HUMANS; INCOME; MALE; MEDICARE; RETROSPECTIVE STUDIES; UNITED STATES;

EID: 84999025995     PISSN: 21686106     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamainternmed.2016.3553     Document Type: Article

References (51)

1. Bynum JP. The long reach of Alzheimer's disease: patients, practice, and policy. Health Aff (Millwood). 2014;33(4):534-540.
2. Hurd MD, Martorell P, Delavande A, Mullen KJ, Langa KM. Monetarycosts of dementiain the United States. N Engl J Med. 2013;368(14):1326-1334.
3. Kelley AS, McGarry K, Gorges R, Skinner JS. The burden of health care costs for patients with dementia in the last 5 years of life. Ann Intern Med. 2015;163(10):729-736.
4. Bynum JP, Rabins PV, Weller W, Niefeld M, Anderson GF, Wu AW. The relationship between a dementia diagnosis, chronic illness, Medicare expenditures, and hospital use. J Am Geriatr Soc. 2004;52(2):187-194.
5. Phelan EA, Borson S, Grothaus L, Balch S, Larson EB. Association of incident dementia with hospitalizations. JAMA. 2012;307(2):165-172.
6. Zhao Y, Kuo TC, Weir S, Kramer MS, Ash AS. Healthcare costs and utilization for Medicare beneficiaries with Alzheimer's. BMC Health Serv Res. 2008;8:108-6963-8-108.
7. Feng Z, Coots LA, Kaganova Y, Wiener JM. Hospital and EDuse among Medicare beneficiaries with dementia varies by setting and proximity to death. Health Aff (Millwood). 2014;33(4):683-690.
8. Inouye SK. Delirium in older persons. N Engl J Med. 2006;354(11):1157-1165.
9. McCloskey RM. Caring for patients with dementia in an acute care environment. Geriatr Nurs. 2004;25(3):139-144.
10. Mecocci P, von Strauss E, Cherubini A, et al. Cognitive impairment is the major risk factor for development of geriatric syndromes during hospitalization: results from the GIFA study. Dement Geriatr Cogn Disord. 2005;20(4):262-269.
11. Pedone C, Ercolani S, Catani M, et al; GIFA Study Group. Elderly patients with cognitive impairment have a high risk for functional decline during hospitalization: The GIFA Study. J Gerontol A Biol Sci Med Sci. 2005;60(12):1576-1580.
12. Sullivan-Marx EM. Achieving restraint-free care of acutely confused older adults. J Gerontol Nurs. 2001;27(4):56-61.
13. Boustani M, Schubert C, Sennour Y. The challenge of supporting care for dementia in primary care. Clin Interv Aging. 2007;2(4):631-636.
14. Geldmacher DS, Kerwin DR. Practical diagnosis and managementof dementia duetoAlzheimer's disease in the primary care setting: an evidence-based approach. Prim Care Companion CNS Disord. 2013;15(4):PCC.12r01474. doi:10.4088/PCC.12r01474.
15. Pham HH, Schrag D, O'Malley AS, Wu B, Bach PB. Care patterns in Medicare and their implications for pay for performance. N Engl J Med. 2007;356 (11):1130-1139.
16. Hinton L, Franz CE, Reddy G, Flores Y, Kravitz RL, Barker JC. Practice constraints, behavioral problems, and dementia care: primary care physicians' perspectives. J Gen Intern Med. 2007;22 (11):1487-1492.
17. Boustani M, Sachs G, Callahan CM. Can primary care meet the biopsychosocial needs of older adults with dementia? J Gen Intern Med. 2007;22(11): 1625-1627.
18. Harris DP, Chodosh J, Vassar SD, Vickrey BG, Shapiro MF. Primary care providers' views of challenges and rewards of dementia care relative to other conditions. J Am Geriatr Soc. 2009;57(12): 2209-2216.
19. Cheng SH, Chen CC, Hou YF. A longitudinal examination of continuity of care and avoidable hospitalization: evidence from a universal coverage health care system. Arch Intern Med. 2010;170(18): 1671-1677.
20. Gill JM, Mainous AG III. The role of provider continuity in preventing hospitalizations. Arch Fam Med. 1998;7(4):352-357.
21. Hussey PS, Schneider EC, Rudin RS, Fox DS, Lai J, Pollack CE. Continuity and the costs of care for chronic disease. JAMA Intern Med. 2014;174(5):742-748.
22. Romano MJ, Segal JB, Pollack CE.The association between continuity of care and the overuseofmedical procedures. JAMA Intern Med. 2015;175(7):1148-1154.
23. Wasson JH, Sauvigne AE, Mogielnicki RP, et al. Continuity of outpatient medical care in elderly men: a randomized trial. JAMA. 1984;252(17):2413-2417.
24. Mainous AG III, Baker R, Love MM, Gray DP, Gill JM. Continuity of care and trust in one's physician: evidence from primary care in the United States and the United Kingdom. Fam Med. 2001;33(1):22-27.
25. Katz DA, McCoy K, Sarrazin MV. Does improved continuity of primary care affect clinician-patient communication inVA? JGen Intern Med. 2014;29 (suppl 2):S682-S688.
26. Fan VS, Burman M, McDonell MB, Fihn SD. Continuity of care and other determinants of patient satisfaction with primary care. J Gen Intern Med. 2005;20(3):226-233.
27. Reddy A, Pollack CE, Asch DA, Canamucio A, Werner RM. The effect of primary care provider turnover on patient experience of care and ambulatory quality of care. JAMA Intern Med. 2015; 175(7):1157-1162.
28. Bodenheimer T, Ghorob A, Willard-Grace R, Grumbach K. The10 building blocks of high-performing primary care. Ann Fam Med. 2014; 12(2):166-171.
29. Longworth DL. Accountable care organizations, the patient-centered medical home, and health care reform: what does it all mean? Cleve Clin J Med. 2011;78(9):571-582.
30. Lin PJ, Kaufer DI, Maciejewski ML, Ganguly R, Paul JE, Biddle AK. An examination of Alzheimer's disease case definitions using Medicare claims and survey data. Alzheimers Dement. 2010;6(4):334-341.
31. Taylor DH Jr, Østbye T, Langa KM, Weir D, Plassman BL. The accuracy of Medicare claims as an epidemiological tool: the case of dementia revisited. J Alzheimers Dis. 2009;17(4):807-815.
32. Bice TW, Boxerman SB. A quantitative measure of continuity of care. Med Care. 1977;15(4):347-349.
33. Shortell SM. Continuity of medical care: conceptualization and measurement. Med Care. 1976;14(5):377-391.
34. Nyweide DJ, Anthony DL, Bynum JP, et al. Continuity of care and the risk of preventable hospitalization in older adults. JAMA Intern Med. 2013;173(20):1879-1885.
35. Christakis DA, Wright JA, Koepsell TD, Emerson S, Connell FA. Is greater continuity of care associated with less emergencydepartment utilization? Pediatrics. 1999;103(4, pt 1):738-742.
36. Jee SH, Cabana MD. Indices for continuity of care: a systematic review of the literature. Med Care Res Rev. 2006;63(2):158-188.
37. Agency for Healthcare Research and Quality. Prevention quality indicators overview. http://www.qualityindicators.ahrq.gov/Modules/PQI-TechSpec.aspx. Accessed July 1, 2015.
38. Dufour AB, Shaffer ML, D'Agata EM, Habtemariam D, Mitchell SL. Survival after suspected urinary tract infection in individuals with advanced dementia. J Am Geriatr Soc. 2015;63(12): 2472-2477.
39. Mitchell SL, Shaffer ML, Loeb MB, et al. Infection management and multidrug-resistant organisms in nursing home residents with advanced dementia. JAMA Intern Med. 2014;174 (10):1660-1667.
40. Gottlieb DJ, Zhou W, Song Y, Andrews KG, Skinner JS, Sutherland JM. Prices don't drive regional Medicare spending variations. Health Aff (Millwood). 2010;29(3):537-543.
41. Wennberg JE, Cooper MM, Birkmeyer J. The Quality of Medical Care in the United States: A Report onthe Medicare Program: The Dartmouth Atlas of Health Care. Chicago, IL: Health Forum Inc; 1999.
42. Pope GC, Kautter J, Ellis RP, et al. Risk adjustment of Medicare capitation payments using the CMS-HCC model. Health Care Financ Rev. 2004;25(4):119-141.
43. Katz DA, McCoy KD, Vaughan-Sarrazin MS. Does greater continuity of veterans administration primary care reduce emergency department visits and hospitalization in older veterans? J Am Geriatr Soc. 2015;63(12):2510-2518.
44. Odenheimer G, Borson S, Sanders AE, et al. Quality improvementin neurology: dementia management quality measures.JAm Geriatr Soc. 2014;62(3):558-561.
45. Kelley AS, Siegler EL, Reid MC. Pitfalls and recommendations regarding the management of acute pain among hospitalized patients with dementia. Pain Med. 2008;9(5):581-586.
46. Mossello E, Pieraccioli M, Nesti N, et al. Effects of low blood pressure in cognitively impaired elderly patients treated with antihypertensive drugs. JAMA Intern Med. 2015;175(4):578-585.
47. Gordon LB, Waxman MJ, Ragsdale L, Mermel LA. Overtreatment of presumed urinary tract infection in older women presenting to the emergency department.J Am Geriatr Soc. 2013;61 (5):788-792.
48. D'Agata E, Mitchell SL. Patterns of antimicrobial use among nursing home residents with advanced dementia. Arch Intern Med. 2008; 168(4):357-362.
49. Patel KK, Vakharia N, Pile J, Howell EH, Rothberg MB. Preventable admissionson ageneral medicine service: Prevalence, causes and comparison with AHRQ prevention quality indicators: a cross-sectional analysis. J Gen Intern Med. 2016;31(6):597-601.
50. Pollack CE, Hussey PS, Rudin RS, Fox DS, Lai J, Schneider EC. Measuring care continuity: a comparison of claims-based methods. Med Care. 2016;54(5):e30-e34.
51. Nyweide DJ. Concordance between continuity of care reportedbypatients and measured from administrative data. Med Care Res Rev. 2014;71(2): 138-155.