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Does Identification of Previously Undiagnosed Conditions Change Care-Seeking Behavior?

TitleDoes Identification of Previously Undiagnosed Conditions Change Care-Seeking Behavior?
Publication TypeJournal Article
Year of Publication2018
AuthorsMyerson, RM, Colantonio, LD, Safford, MM, Huang, ES
JournalHealth Serv Res
Date Published2018 06

OBJECTIVE: To determine whether identification of previously undiagnosed high cholesterol, hypertension, and/or diabetes during an in-home assessment impacts care seeking among Medicare beneficiaries.DATA SOURCES/STUDY SETTING: Data from the REasons for Geographic And Racial Differences in Stroke (REGARDS) study, which recruited African American and white participants across the continental United States from 2003-2007, were linked to Medicare claims.STUDY DESIGN: We used panel data models to analyze changes in doctor visits for evaluation and management of conditions after participants were assessed, utilizing the study's rolling recruitment to control for secular trends.DATA EXTRACTION METHODS: We extracted Medicare claims for the 24 months before through 24 months after assessment via REGARDS for 5,884 participants.PRINCIPAL FINDINGS: Semi-annual doctor visits for previously undiagnosed conditions increased by 22 percentage points (95 percent confidence interval: 16-28) 2 years following assessment. The effect was similar by gender, race, region, and Medicaid, but it may have been lower among participants who lacked a usual health care provider.CONCLUSIONS: In-home assessment of cholesterol, blood pressure, and blood glucose can increase doctor visits for individuals with previously undiagnosed conditions. However, biomarker assessment may have more limited impact among individuals with low access to care.

Alternate JournalHealth Serv Res
PubMed ID28070913
PubMed Central IDPMC5980362
Grant ListK24 DK105340 / DK / NIDDK NIH HHS / United States
P30 DK092949 / DK / NIDDK NIH HHS / United States
R01 HL080477 / HL / NHLBI NIH HHS / United States
T32 HS000084 / HS / AHRQ HHS / United States
U01 NS041588 / NS / NINDS NIH HHS / United States
K24 HL111154 / HL / NHLBI NIH HHS / United States
R36 HS023964 / HS / AHRQ HHS / United States