Patient-Reported Care Coordination is Associated with Better Performance on Clinical Care Measures

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 wi...

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Bibliographic Details
Published in:Journal of general internal medicine : JGIM 2021-12, Vol.36 (12), p.3665-3671
Main Authors: Elliott, Marc N., Adams, John L., Klein, David J., Haviland, Amelia M., Beckett, Megan K., Hays, Ron D., Gaillot, Sarah, Edwards, Carol A., Dembosky, Jacob W., Schneider, Eric C.
Format: Article
Language:English
Subjects:
Aged
Arthritis
Beneficiaries
Biomedical materials
Blood pressure
Breast cancer
Cancer screening
Colorectal cancer
Colorectal carcinoma
Continuity of care
Coordination
Cross-Sectional Studies
Diabetes
Diabetes mellitus
Female
Glaucoma
Government programs
Health care
Humans
Internal Medicine
Low density lipoprotein
Mammography
Medical records
Medical screening
Medicare Part C
Medicine
Medicine & Public Health
Nephropathy
Older people
Original Research
Osteoporosis
Patient Care
Patient Reported Outcome Measures
Patients
Physicians
Quality of Health Care
Regression analysis
Regression models
Rheumatoid arthritis
United States - epidemiology
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Summary: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
ISSN:0884-8734
1525-1497
DOI:10.1007/s11606-021-07122-8