{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T04:10:23Z","timestamp":1718770223408},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:p>We compared prospective risk adjustment models for adjusting patient panels at the San Francisco Department of Public Health. We used 4 statistical models (linear regression, two-part model, zero-inflated Poisson, and zero-inflated negative binomial) and 4 subsets of predictor variables (age\/gender categories, chronic diagnoses, homelessness, and a loss to follow-up indicator) to predict primary care visit frequency. Predicted visit frequency was then used to calculate patient weights and adjusted panel sizes. The two-part model using all predictor variables performed best (<jats:italic toggle=\"yes\">R<\/jats:italic><jats:sup>2<\/jats:sup>= 0.20). This model, designed specifically for safety net patients, may prove useful for panel adjustment in other public health settings.<\/jats:p>","DOI":"10.1097\/jac.0000000000000065","type":"journal-article","created":{"date-parts":[[2016,8,30]],"date-time":"2016-08-30T20:30:21Z","timestamp":1472589021000},"page":"333-342","source":"Crossref","is-referenced-by-count":2,"title":["Multivariate Risk Adjustment of Primary Care Patient Panels in a Public Health Setting"],"prefix":"10.1097","volume":"39","author":[{"given":"Anne M.","family":"Hirozawa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria E.","family":"Montez-Rath","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth C.","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen A.","family":"Solnit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Drennan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitchell H.","family":"Katz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rani","family":"Marx","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"6","key":"R2-20230912","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1109\/TAC.1974.1100705","article-title":"A new look at the statistical model identification","volume":"19","author":"Akaike","year":"1974","journal-title":"IEEE Transactions on Automatic Control"},{"key":"R5-20230912","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1146\/annurev.publhealth.20.1.125","article-title":"Methods for analyzing health care utilization and costs","volume":"20","author":"Diehr","year":"1999","journal-title":"Annual Review of Public Health"},{"issue":"383","key":"R6-20230912","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1080\/01621459.1983.10478017","article-title":"Smearing estimate: A nonparametric retransformation method","volume":"78","author":"Duan","year":"1983","journal-title":"Journal of the American Statistical Association"},{"issue":"2","key":"R7-20230912","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1080\/07350015.1983.10509330","article-title":"A comparison of alternative models for the demand for medical care","volume":"1","author":"Duan","year":"1983","journal-title":"Journal of Business & Economics Statistics"},{"issue":"3","key":"R12-20230912","first-page":"283","article-title":"Chronic disease, functional health status, and demographics: A multi-dimensional approach to risk adjustment","volume":"31","author":"Hornbrook","year":"1996","journal-title":"Health Services Research"},{"issue":"3","key":"R13-20230912","first-page":"29","article-title":"Improving health-based payment for Medicaid beneficiaries: CDPS","volume":"21","author":"Kronick","year":"2000","journal-title":"Health Care Financial Review"},{"issue":"1","key":"R14-20230912","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2307\/1269547","article-title":"Zero-inflated Poisson regressions, with an application in manufacturing","volume":"34","author":"Lambert","year":"1992","journal-title":"Technometrics"},{"issue":"17","key":"R16-20230912","doi-asserted-by":"crossref","first-page":"1552","DOI":"10.1001\/archinternmed.2011.394","article-title":"Electronic medical record reminders and panel management to improve primary care of elderly patients","volume":"171","author":"Loo","year":"2011","journal-title":"Archives of Internal Medicine"},{"issue":"6","key":"R17-20230912","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1097\/PHH.0b013e318211393c","article-title":"Assessing and increasing patient panel size in the public sector","volume":"17","author":"Marx","year":"2011","journal-title":"Journal of Public Health Management Practice"},{"issue":"4","key":"R18-20230912","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1097\/PHH.0b013e31819d81a3","article-title":"Creating a medical home in the San Francisco Department of Public Health: Establishing patient panels","volume":"15","author":"Marx","year":"2009","journal-title":"Journal of Public Health Management and Practice"},{"issue":"4","key":"R19-20230912","first-page":"44","article-title":"Panel size: How many patients can one doctor manage?","volume":"14","author":"Murray","year":"2007","journal-title":"Family Practice Management"},{"issue":"3","key":"R20-20230912","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1093\/biomet\/78.3.691","article-title":"A note on a general definition of the coefficient of determination","volume":"78","author":"Nagelkerke","year":"1991","journal-title":"Biometrika"},{"issue":"3","key":"R21-20230912","first-page":"41","article-title":"Adjusting capitation rates using objective health measures and prior utilization","volume":"10","author":"Newhouse","year":"1989","journal-title":"Health Care Financing Review"},{"issue":"5","key":"R22-20230912","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1377\/hlthaff.2010.0158","article-title":"The Group Health medical home at year two: Cost savings, higher patient satisfaction, and less burnout for providers","volume":"29","author":"Reid","year":"2010","journal-title":"Health Affairs (Millwood)"},{"issue":"4","key":"R23-20230912","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1097\/00004479-199810000-00006","article-title":"Physician profiling using outpatient pharmacy data as a source for case mix measurement and risk adjustment","volume":"21","author":"Roblin","year":"1998","journal-title":"The Journal of Ambulatory Care Management"},{"issue":"2","key":"R26-20230912","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1214\/aos\/1176344136","article-title":"Estimating the dimension of a model","volume":"6","author":"Schwarz","year":"1978","journal-title":"The Annals of Statistics"},{"issue":"3","key":"R27-20230912","first-page":"21","article-title":"Applying population-based case mix adjustment in managed care: The Johns Hopkins Ambulatory Care Group system","volume":"2","author":"Smith","year":"1994","journal-title":"Managed Care Quarterly"},{"issue":"5","key":"R28-20230912","doi-asserted-by":"crossref","first-page":"1493","DOI":"10.1542\/peds.113.S4.1493","article-title":"The medical home, access to care, and insurance: A review of evidence","volume":"113","author":"Starfield","year":"2004","journal-title":"Pediatrics"}],"container-title":["Journal of Ambulatory Care Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00004479-201610000-00007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T03:56:52Z","timestamp":1718769412000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00004479-201610000-00007"}},"subtitle":["A Comparison of Statistical Models"],"short-title":[],"issued":{"date-parts":[[2016,10]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.1097\/jac.0000000000000065","relation":{},"ISSN":["0148-9917"],"issn-type":[{"value":"0148-9917","type":"print"}],"subject":[],"published":{"date-parts":[[2016,10]]}}}