An interpersonal continuity of care measure for medicare part B claims analyses

Fredric D. Wolinsky, Thomas R. Miller, John F. Geweke, Elizabeth A. Chrischilles, Hyonggin An, Robert B. Wallace, Claire E. Pavlik, Kara B. Wright, Robert L. Ohsfeldt, Gary E. Rosenthal

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Objectives. This article presents an interpersonal continuity of care measure. Methods. We operationalized continuity of care as no more than an 8-month interval between any two visits during a 2-year period to either (a) the same primary care physician or (b) the same physician regardless of specialty. Sensitivity analyses evaluated two interval censoring algorithms and two alternative intervals. We linked Medicare Part A and B claims to baseline survey data for 4,596 respondents to the Survey on Asset and Health Dynamics Among the Oldest Old. We addressed the potential for selection bias by using propensity score methods, and we explored construct validity. Results. Interpersonal continuity with a primary care physician was 17.3%, and interpersonal continuity of care with any physician was 26.1%. Older participants; men; individuals who lived alone; people who had difficulty walking; and respondents with medical histories of arthritis, cancer, diabetes, heart conditions, hypertension, and stroke were most likely to have continuity. Individuals who had never married, were widowed, were working, or had low subjective life expectancy were least likely to have continuity. Discussion. Researchers can measure interpersonal continuity of care using Medicare Part B claims. Replication of these findings and further construct validation, however, are needed prior to widespread adoption of this method.

Original languageEnglish
JournalJournals of Gerontology - Series B Psychological Sciences and Social Sciences
Volume62
Issue number3
Publication statusPublished - 2007 Jan 1
Externally publishedYes

Fingerprint

Medicare Part B
Insurance Claim Review
Continuity of Patient Care
continuity
Primary Care Physicians
Medicare Part A
physician
Mobility Limitation
Physicians
Widowhood
Propensity Score
Heart Neoplasms
Selection Bias
Life Expectancy
Arthritis
Stroke
Research Personnel
Hypertension
hypertension
construct validity

ASJC Scopus subject areas

  • Social Psychology
  • Clinical Psychology
  • Gerontology
  • Geriatrics and Gerontology

Cite this

Wolinsky, F. D., Miller, T. R., Geweke, J. F., Chrischilles, E. A., An, H., Wallace, R. B., ... Rosenthal, G. E. (2007). An interpersonal continuity of care measure for medicare part B claims analyses. Journals of Gerontology - Series B Psychological Sciences and Social Sciences, 62(3).

An interpersonal continuity of care measure for medicare part B claims analyses. / Wolinsky, Fredric D.; Miller, Thomas R.; Geweke, John F.; Chrischilles, Elizabeth A.; An, Hyonggin; Wallace, Robert B.; Pavlik, Claire E.; Wright, Kara B.; Ohsfeldt, Robert L.; Rosenthal, Gary E.

In: Journals of Gerontology - Series B Psychological Sciences and Social Sciences, Vol. 62, No. 3, 01.01.2007.

Research output: Contribution to journalArticle

Wolinsky, FD, Miller, TR, Geweke, JF, Chrischilles, EA, An, H, Wallace, RB, Pavlik, CE, Wright, KB, Ohsfeldt, RL & Rosenthal, GE 2007, 'An interpersonal continuity of care measure for medicare part B claims analyses', Journals of Gerontology - Series B Psychological Sciences and Social Sciences, vol. 62, no. 3.
Wolinsky, Fredric D. ; Miller, Thomas R. ; Geweke, John F. ; Chrischilles, Elizabeth A. ; An, Hyonggin ; Wallace, Robert B. ; Pavlik, Claire E. ; Wright, Kara B. ; Ohsfeldt, Robert L. ; Rosenthal, Gary E. / An interpersonal continuity of care measure for medicare part B claims analyses. In: Journals of Gerontology - Series B Psychological Sciences and Social Sciences. 2007 ; Vol. 62, No. 3.
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