Study | Population | Data Source | Analysis Method |
---|---|---|---|
McGinnis,8 Schroeder6 | US population | US Vital Statistics | Examined PAF for a range of risk factors associated with defined causes of death. Summed PAF for each determinant across various causes of death |
Wennberg11 | US Medicare recipients aged ≥65 years enrolled in Parts A and B in 2007 | Medicare claims. Deaths among Medicare recipients in 2007 | Evaluated variation in use of health care and age, sex, and race adjusted mortality across 306 HRRs. Applied regression with adjustments for medical diagnoses, poverty, and a behavioral index |
Park12 | US population aggregated at the county level | 2010-2013 County Health Rankings and Roadmaps database included 2,996 (95%) of US counties | LGCM used to estimate health outcome, which was a combination of morbidity and mortality. Four factors (behaviors, clinical care, social/economic, and physical environment) used to explain health outcomes with statistical adjustment for yearly variation and state specific characteristics |
Newhouse10 | 2,750 families including 7,700 individuals aged <65 years randomly assigned to different levels of cost sharinga and followed 3-5 years | Health surveys and physical examinations administered at the beginning and end of the study | Comparisons of experimental groups for self-reported outcomes. Similar comparisons for clinical diagnoses, including hypertension, vision, dental health, and serious symptoms |
HRR = hospital referral region; LGCM = latent growth curve modeling; PAF = population attributable fraction; US = United States.
↵a Levels of cost sharing were 0% (free medical care), 25%, 50%, or 95%.