wow-inequalities/02-data/intermediate/wos_sample/ca22ae278eeee4aca6c75f281ad754fa-fisher-maxine-d.-an/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'BACKGROUND: Diabetes mellitus remains the leading cause of new cases of
blindness among US adults. Routine dilated eye examinations can
facilitate early detection and intervention for diabetes-related eye
disease, providing an opportunity to reduce the risk for
diabetes-related blindness in working-aged Americans. The Healthcare
Effectiveness Data and Information Set (HEDIS) established criteria for
performing dilated eye examination in patients with diabetes.
OBJECTIVES: To obtain information about adherence and nonadherence to
diabetic eye examinations among insured patients to understand the
barriers to routine dilated eye examinations, and to identify ways to
improve the quality of care for these patients.
METHODS: This retrospective claims analysis is based on administrative
claims from the HealthCore Integrated Research Database, a broad
database representing claims from a large commercially insured
population. Patients with diabetes and who had >= 1 dilated eye
examinations between August 1, 2011, and July 31, 2013, were defined as
adherent to the HEDIS recommendations. The analysis was augmented with
findings from focus groups. The patient focus groups included adherent
and nonadherent patients. The provider focus group participants were
general practice or internal medicine physicians and ophthalmologists
who provided medical care for the study population. For the
administrative claims analysis, comparisons between the adherent and
nonadherent patients were performed using t-tests for continuous data
and chi-square tests for categorical data.
RESULTS: Of 339,646 patients with diabetes identified in a claims data
set, 43\% were adherent and 57\% were nonadherent to the HEDIS eye
examination performance measure. The common barriers to routine eye
examination cited by 29 patients across 4 focus groups included a lack
of understanding of insurance benefits (N = 15), a lack of awareness of
the importance of dilated eye examinations (N = 12), and time
constraints (N = 12). The common barriers cited by 18 providers included
the patient''s level of education (N = 13), eye examinations as a lower
priority than the management of other diabetes-related health issues (N
= 12), and a lack of symptoms (N = 11).
CONCLUSION: Several reasons for patient nonadherence to routine eye
examination were identified, including a lack of understanding of
insurance benefits, a lack of awareness or low prioritization of having
an examination, patient education level, time constraints, and a lack of
symptoms. These may be considered by providers and payers when
developing programs to increase the rates of eye examinations and
improve outcomes among patients with diabetes.'
affiliation: 'Fisher, MD (Corresponding Author), Real World Evidence, Vector Oncol,
Memphis, TN 38119 USA.
Fisher, Maxine D., Real World Evidence, Vector Oncol, Memphis, TN 38119 USA.
Fisher, Maxine D.; Gu, Tao; Singer, Joseph R.; Barron, John, HealthCore, Wilmington,
DE USA.
Rajput, Yamina; Ryu, Seonyoung, Genentech Inc, San Francisco, CA 94080 USA.
Marshall, Amanda R., HealthCore, Res Data Collect, Wilmington, DE USA.
MacLean, Catherine, Hosp Special Surg, 535 E 70th St, New York, NY 10021 USA.'
author: Fisher, Maxine D. and Rajput, Yamina and Gu, Tao and Singer, Joseph R. and
Marshall, Amanda R. and Ryu, Seonyoung and Barron, John and MacLean, Catherine
author_list:
- family: Fisher
given: Maxine D.
- family: Rajput
given: Yamina
- family: Gu
given: Tao
- family: Singer
given: Joseph R.
- family: Marshall
given: Amanda R.
- family: Ryu
given: Seonyoung
- family: Barron
given: John
- family: MacLean
given: Catherine
da: '2023-09-28'
eissn: 1942-2970
files: []
issn: 1942-2962
journal: AMERICAN HEALTH AND DRUG BENEFITS
keywords: 'adherence; diabetes mellitus; dilated eye examination; HEDIS measures;
nonadherence; ophthalmologists; primary care physicians'
keywords-plus: AFRICAN-AMERICANS; CARE; INTERVENTION; KNOWLEDGE; REMINDERS
language: English
month: OCT
number: '7'
number-of-cited-references: '29'
pages: 385-392
papis_id: 08c02c916b9230fc7fe55dff7ba6afde
ref: Fisher2016evaluatingadherence
times-cited: '8'
title: Evaluating Adherence to Dilated Eye Examination Recommendations Among Patients
with Diabetes, Combined with Patient and Provider Perspectives
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000390354300004
usage-count-last-180-days: '0'
usage-count-since-2013: '1'
volume: '9'
web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
year: '2016'