{"id":"https://openalex.org/W2887937173","doi":"https://doi.org/10.1111/jgs.15491","title":"Association Between Estimated Mortality Risk and Measured Quality of Care in Older Adults","display_name":"Association Between Estimated Mortality Risk and Measured Quality of Care in Older Adults","publication_year":2018,"publication_date":"2018-08-06","ids":{"openalex":"https://openalex.org/W2887937173","doi":"https://doi.org/10.1111/jgs.15491","mag":"2887937173","pmid":"https://pubmed.ncbi.nlm.nih.gov/30080251"},"language":"en","primary_location":{"id":"doi:10.1111/jgs.15491","doi":"https://doi.org/10.1111/jgs.15491","is_oa":false,"landing_page_url":"https://doi.org/10.1111/jgs.15491","pdf_url":null,"source":{"id":"https://openalex.org/S204183829","display_name":"Journal of the American Geriatrics Society","issn_l":"0002-8614","issn":["0002-8614","1532-5415"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-1","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Geriatrics Society","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5041577663","display_name":"Hiroshi Gotanda","orcid":"https://orcid.org/0000-0003-4238-0171","observed_orcids":["https://orcid.org/0000-0003-4238-0171"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]},{"id":"https://openalex.org/I4210156876","display_name":"VA Greater Los Angeles Healthcare System","ror":"https://ror.org/05xcarb80","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210138663","https://openalex.org/I4210156876"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Hiroshi Gotanda","raw_affiliation_strings":["Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California","Geriatric Research, Education, and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California","institution_ids":["https://openalex.org/I161318765"]},{"raw_affiliation_string":"Geriatric Research, Education, and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California","institution_ids":["https://openalex.org/I4210156876"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031034169","display_name":"David A. Ganz","orcid":"https://orcid.org/0009-0004-8512-1641","observed_orcids":["https://orcid.org/0009-0004-8512-1641"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]},{"id":"https://openalex.org/I4210156876","display_name":"VA Greater Los Angeles Healthcare System","ror":"https://ror.org/05xcarb80","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210138663","https://openalex.org/I4210156876"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David A Ganz","raw_affiliation_strings":["Division of Geriatrics, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California","Geriatric Research, Education, and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Geriatrics, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California","institution_ids":["https://openalex.org/I161318765"]},{"raw_affiliation_string":"Geriatric Research, Education, and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California","institution_ids":["https://openalex.org/I4210156876"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5077016562","display_name":"Neil S. Wenger","orcid":"https://orcid.org/0000-0002-9884-3967","observed_orcids":["https://orcid.org/0000-0002-9884-3967"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Neil S Wenger","raw_affiliation_strings":["Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California","institution_ids":["https://openalex.org/I161318765"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5041577663"],"corresponding_institution_ids":["https://openalex.org/I161318765","https://openalex.org/I4210156876"],"apc_list":{"value":4760,"currency":"USD","value_usd":4760},"apc_paid":null,"fwci":0.7629,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.76767025,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":94},"biblio":{"volume":"66","issue":"9","first_page":"1838","last_page":"1844"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.6958000063896179,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.6958000063896179,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.09160000085830688,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.05640000104904175,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.7080000042915344},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.7369999885559082},{"id":"https://openalex.org/keywords/mortality-risk","display_name":"mortality risk","score":0.7289999723434448},{"id":"https://openalex.org/keywords/process-of-care-measures","display_name":"process of care measures","score":0.878000020980835},{"id":"https://openalex.org/keywords/performance-measurement","display_name":"performance measurement","score":0.5180000066757202},{"id":"https://openalex.org/keywords/value-based-payment","display_name":"value-based payment","score":0.8629999756813049},{"id":"https://openalex.org/keywords/performance-penalty","display_name":"performance penalty","score":0.45100000500679016},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.6299999952316284}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9222736358642578},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.6426974534988403},{"id":"https://openalex.org/C2779703844","wikidata":"https://www.wikidata.org/wiki/Q760125","display_name":"Reimbursement","level":3,"score":0.5835811495780945},{"id":"https://openalex.org/C2780777579","wikidata":"https://www.wikidata.org/wiki/Q6806347","display_name":"Medical Expenditure Panel Survey","level":4,"score":0.5504478216171265},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.47492820024490356},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.4742497503757477},{"id":"https://openalex.org/C82789193","wikidata":"https://www.wikidata.org/wiki/Q2142611","display_name":"Relative risk","level":3,"score":0.4450084865093231},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.42028728127479553},{"id":"https://openalex.org/C120195587","wikidata":"https://www.wikidata.org/wiki/Q2138790","display_name":"Absolute risk reduction","level":3,"score":0.41512158513069153},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.38469111919403076},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.20682349801063538},{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.10092243552207947},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005102","descriptor_name":"Health Expenditures","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009026","descriptor_name":"Mortality","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D017064","descriptor_name":"Process Assessment, Health Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1111/jgs.15491","doi":"https://doi.org/10.1111/jgs.15491","is_oa":false,"landing_page_url":"https://doi.org/10.1111/jgs.15491","pdf_url":null,"source":{"id":"https://openalex.org/S204183829","display_name":"Journal of the American Geriatrics Society","issn_l":"0002-8614","issn":["0002-8614","1532-5415"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-1","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Geriatrics Society","raw_type":"journal-article"},{"id":"pmid:30080251","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30080251","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Geriatrics Society","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9922999739646912}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320306127","display_name":"U.S. Department of Veterans Affairs","ror":"https://ror.org/05rsv9s98"},{"id":"https://openalex.org/F4320332502","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":24,"referenced_works":["https://openalex.org/W1601813571","https://openalex.org/W1826454189","https://openalex.org/W1967834969","https://openalex.org/W1980313851","https://openalex.org/W1988158700","https://openalex.org/W2019286098","https://openalex.org/W2021487797","https://openalex.org/W2039415543","https://openalex.org/W2046913611","https://openalex.org/W2055999188","https://openalex.org/W2069178071","https://openalex.org/W2069211921","https://openalex.org/W2099977650","https://openalex.org/W2112868039","https://openalex.org/W2130501785","https://openalex.org/W2136636673","https://openalex.org/W2154032959","https://openalex.org/W2294691402","https://openalex.org/W2308289911","https://openalex.org/W2314799854","https://openalex.org/W2532551703","https://openalex.org/W2567241140","https://openalex.org/W4211174791","https://openalex.org/W4245673782"],"related_works":["https://openalex.org/W2136115801","https://openalex.org/W7096815349","https://openalex.org/W1907349518","https://openalex.org/W2018111431","https://openalex.org/W4298285314","https://openalex.org/W1969031746","https://openalex.org/W6901998128","https://openalex.org/W2143611970","https://openalex.org/W2092107382","https://openalex.org/W6958242218"],"abstract_inverted_index":{"Quality":[0],"measures":[1,30,145,234],"based":[2,53,142],"on":[3,54,143],"processes":[4,111,214],"of":[5,17,72,112,212,224,232,247],"care":[6,52,113,213,246],"(e.g.,":[7],"breast":[8],"cancer":[9],"screening)":[10],"are":[11],"frequently":[12,49],"used":[13],"to":[14,31,80,85,130,237],"compare":[15],"performance":[16,33,95,140,158,180,200],"providers":[18],"and":[19,114,170,215,242],"healthcare":[20],"organizations":[21,243],"in":[22,118,149,171,191,219],"a":[23,65,119],"value-based":[24],"reimbursement":[25],"system,":[26],"but":[27],"using":[28],"these":[29],"make":[32],"comparisons":[34],"could":[35],"penalize":[36],"clinicians":[37,46,241],"caring":[38,99],"for":[39,100,240],"older":[40,122],"adults":[41],"with":[42,98],"multiple":[43],"comorbidities.":[44],"These":[45,227],"may":[47,67,78],"more":[48,217],"withhold":[50],"recommended":[51],"limited":[55],"prognosis,":[56],"patient":[57],"preference,":[58],"or":[59],"potential":[60,94],"adverse":[61],"effects":[62],"and,":[63],"as":[64],"result,":[66],"incur":[68],"financial":[69],"penalties":[70],"because":[71],"poor":[73],"measured":[74],"performance.":[75],"Alternatively,":[76],"they":[77],"need":[79],"perform":[81],"additional":[82],"administrative":[83],"work":[84],"exclude":[86],"patients":[87],"from":[88,127],"quality":[89],"measurement.":[90],"To":[91],"examine":[92],"the":[93,106,128,150,172,192,220],"handicap":[96],"associated":[97],"complex":[101,248],"populations,":[102],"we":[103],"cross-sectionally":[104],"examined":[105],"association":[107],"between":[108],"broad":[109],"outpatient":[110],"5-year":[115],"mortality":[116,154,176,196],"risk":[117,155,177,197],"nationally":[120],"representative":[121],"adult":[123],"sample":[124],"(\u2265":[125],"65)":[126],"2002":[129],"2015":[131],"Medical":[132],"Expenditure":[133],"Panel":[134],"Survey":[135],"(n=26,006).":[136],"In":[137],"adjusted":[138,157,161,179,183,199],"analyses,":[139],"score":[141,159,181,201],"process-of-care":[144,233],"was":[146,207,216],"significantly":[147],"worse":[148],"high-risk":[151],"group":[152,174,194],"(5-year":[153,175,195],"\u226550;":[156],"67.4%;":[160],"absolute":[162,184],"difference":[163,185],"6.7%,":[164],"95%":[165,187],"confidence":[166],"interval":[167],"(CI)=5.3-8.1%,":[168],"p<.001)":[169,189],"intermediate-risk":[173],"25-49%;":[178],"71.7%;":[182],"2.4%,":[186],"CI=1.7-3.1%,":[188],"than":[190],"low-risk":[193],"<25%);":[198],"74.1%":[202],"following":[203],"<25%.":[204],"The":[205],"trend":[206],"overall":[208],"constant":[209],"across":[210],"types":[211],"prominent":[218],"younger":[221],"age":[222],"brackets":[223],"our":[225],"sample.":[226],"results":[228],"suggest":[229],"that":[230],"use":[231],"can":[235],"lead":[236],"disproportionate":[238],"burden":[239],"primarily":[244],"taking":[245],"populations.":[249]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2019,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2018-08-22T00:00:00"}
