Reporting a regular medical doctor index: A new measure of patient-physician affiliation for health administrative data.
Having a regular medical doctor is associated with better process of care and health outcomes. The goal of this study was to harness the richness in health administrative data to create a measure which accurately predicted whether patients self-identified as having a regular medical doctor. The Cana...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2024-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0314381 |
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| author | Caroline King M Ruth Lavergne Kimberlyn McGrail Erin C Strumpf Quebec-British Columbia Patient Enrolment Project Team |
| author_facet | Caroline King M Ruth Lavergne Kimberlyn McGrail Erin C Strumpf Quebec-British Columbia Patient Enrolment Project Team |
| author_sort | Caroline King |
| collection | DOAJ |
| description | Having a regular medical doctor is associated with better process of care and health outcomes. The goal of this study was to harness the richness in health administrative data to create a measure which accurately predicted whether patients self-identified as having a regular medical doctor. The Canadian Community Health Survey (2007-2012) was linked with health administrative data (HAD) (2002-2012) from Quebec, Canada's second largest province. The Canadian Community Health Survey includes respondents' answer to whether they have a regular medical doctor, but health administrative data does not. We therefore used LASSO and Random Forests to build prediction models that predict whether a patient reports having a regular medical doctor using their data only available in the HAD. Our results show that predicting patient responses to 'do you have a regular medical doctor?' using an average of single-year Usual Provider Continuity over 3 years results in an area under the receiver operator characteristic curve of 0.782 (0.778-0.787). This was almost a 14% improvement in predictive accuracy compared to the frequently used single-year Usual Provider Continuity (0.688 (0.683-0.694)). We have called this new measure the Reporting a Regular Medical Doctor (RRMD) index. The RRMD index is easy to implement in HAD, is an elegant solution to the difficulties associated with low-users having unstable UPC scores, and brings a patient-oriented perspective to previous efforts to capture patient-physician affiliations in HAD. We recommend that researchers seeking to measure whether patients have a regular medical doctor using HAD consider using the RRMD index. |
| format | Article |
| id | doaj-art-e2d30fe2d91b4dfb97c8e5cf88b4ee81 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-e2d30fe2d91b4dfb97c8e5cf88b4ee812024-12-06T05:31:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031438110.1371/journal.pone.0314381Reporting a regular medical doctor index: A new measure of patient-physician affiliation for health administrative data.Caroline KingM Ruth LavergneKimberlyn McGrailErin C StrumpfQuebec-British Columbia Patient Enrolment Project TeamHaving a regular medical doctor is associated with better process of care and health outcomes. The goal of this study was to harness the richness in health administrative data to create a measure which accurately predicted whether patients self-identified as having a regular medical doctor. The Canadian Community Health Survey (2007-2012) was linked with health administrative data (HAD) (2002-2012) from Quebec, Canada's second largest province. The Canadian Community Health Survey includes respondents' answer to whether they have a regular medical doctor, but health administrative data does not. We therefore used LASSO and Random Forests to build prediction models that predict whether a patient reports having a regular medical doctor using their data only available in the HAD. Our results show that predicting patient responses to 'do you have a regular medical doctor?' using an average of single-year Usual Provider Continuity over 3 years results in an area under the receiver operator characteristic curve of 0.782 (0.778-0.787). This was almost a 14% improvement in predictive accuracy compared to the frequently used single-year Usual Provider Continuity (0.688 (0.683-0.694)). We have called this new measure the Reporting a Regular Medical Doctor (RRMD) index. The RRMD index is easy to implement in HAD, is an elegant solution to the difficulties associated with low-users having unstable UPC scores, and brings a patient-oriented perspective to previous efforts to capture patient-physician affiliations in HAD. We recommend that researchers seeking to measure whether patients have a regular medical doctor using HAD consider using the RRMD index.https://doi.org/10.1371/journal.pone.0314381 |
| spellingShingle | Caroline King M Ruth Lavergne Kimberlyn McGrail Erin C Strumpf Quebec-British Columbia Patient Enrolment Project Team Reporting a regular medical doctor index: A new measure of patient-physician affiliation for health administrative data. PLoS ONE |
| title | Reporting a regular medical doctor index: A new measure of patient-physician affiliation for health administrative data. |
| title_full | Reporting a regular medical doctor index: A new measure of patient-physician affiliation for health administrative data. |
| title_fullStr | Reporting a regular medical doctor index: A new measure of patient-physician affiliation for health administrative data. |
| title_full_unstemmed | Reporting a regular medical doctor index: A new measure of patient-physician affiliation for health administrative data. |
| title_short | Reporting a regular medical doctor index: A new measure of patient-physician affiliation for health administrative data. |
| title_sort | reporting a regular medical doctor index a new measure of patient physician affiliation for health administrative data |
| url | https://doi.org/10.1371/journal.pone.0314381 |
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