ORH PPC
Karl Brown
2024-01-10
Demographic Table
## Warning in chisq.test(table(y, g)): Chi-squared approximation may be incorrect
## Warning in chisq.test(table(y, g)): Chi-squared approximation may be incorrect
## Warning in chisq.test(table(y, g)): Chi-squared approximation may be incorrect| R (N=24) |
U (N=30) |
P-value | |
|---|---|---|---|
| Age | |||
| Mean (SD) | 78.0 (3.89) | 77.8 (6.47) | 0.905 |
| Median [Min, Max] | 78.5 [68.0, 87.0] | 77.0 [65.0, 92.0] | |
| Missing | 0 (0%) | 1 (3.3%) | |
| Sex | |||
| Male | 24 (100%) | 27 (90.0%) | 0.557 |
| Female | 0 (0%) | 2 (6.7%) | |
| Missing | 0 (0%) | 1 (3.3%) | |
| Race | |||
| Declined to answer | 3 (12.5%) | 0 (0%) | 0.0691 |
| White | 21 (87.5%) | 23 (76.7%) | |
| Asian | 0 (0%) | 3 (10.0%) | |
| Black or African American | 0 (0%) | 2 (6.7%) | |
| Native Islander | 0 (0%) | 1 (3.3%) | |
| Missing | 0 (0%) | 1 (3.3%) | |
| Ethnicity | |||
| Declined to answer | 3 (12.5%) | 0 (0%) | 0.173 |
| Not Hispanic or Latino | 21 (87.5%) | 29 (96.7%) | |
| Missing | 0 (0%) | 1 (3.3%) | |
| CAN | |||
| Mean (SD) | 78.3 (18.9) | 81.0 (12.8) | 0.559 |
| Median [Min, Max] | 87.5 [45.0, 99.0] | 85.0 [55.0, 99.0] | |
| Missing | 2 (8.3%) | 1 (3.3%) | |
| ACSC | |||
| Mean (SD) | 60.1 (26.8) | 71.3 (20.9) | 0.151 |
| Median [Min, Max] | 65.0 [8.00, 99.0] | 74.5 [33.0, 99.0] | |
| Missing | 5 (20.8%) | 8 (26.7%) | |
| JFI | |||
| Mean (SD) | 5.96 (1.90) | 5.50 (1.70) | 0.36 |
| Median [Min, Max] | 6.00 [3.00, 10.0] | 6.00 [2.00, 8.00] |
JFI buckets
## `summarise()` has grouped output by 'Rurality'. You can override using the
## `.groups` argument.
## Joining with `by = join_by(Rurality)`
Recommendations summaries
| Bucket | Mean | SD | Total | Max |
|---|---|---|---|---|
| Total recommendations | 4.06 | 3.98 | 219 | 17 |
| Mobility rehab | 0.48 | 0.84 | 26 | 3 |
| All DME | 0.15 | 0.36 | 8 | 1 |
| Speech rehab | 0.09 | 0.29 | 5 | 1 |
| Medications | 0.94 | 2.33 | 51 | 16 |
| Social work | 0.31 | 0.72 | 17 | 3 |
Percentage of people treated for each treatment type
| Treatment | Percentage treated |
|---|---|
| O.PTConsult | 25.9 |
| O.OTConsult | 11.1 |
| O.HomeHealthConsult | 7.4 |
| O.Exercise | 16.7 |
| N.SpeechTherapy | 3.7 |
| N.Audiology | 5.6 |
| N.BlindRehab | 0.0 |
| N.PsychiatryPsychology | 18.5 |
| N.AddictionHealth | 0.0 |
| N.PainTreatment | 3.7 |
| N.DME | 3.7 |
| D.PharmacyConsult | 22.2 |
| D.DME | 5.6 |
| S.SocialSupportServices | 24.1 |
| S.CaregiverSupport | 5.6 |
| DiabeticTasks | 1.9 |
| PhysicalActivity | 1.9 |
| Other | 1.9 |
| D-MedAdded | 44.4 |
| D-MedIncreaseDose | 11.1 |
| D-MedStop | 25.9 |
| D-MedDecreaseDose | 13.0 |
| SelfManageAddTask | 3.7 |
| SelfManageIncreaseFreq | 0.0 |
| SelfManageStopTask | 1.9 |
| SelfManageDecreaseTask | 1.9 |
| LabsAdded | 37.0 |
| RadiologyAdded | 25.9 |
| OtherDiagnosticAdded | 1.9 |
| LabsStopped | 0.0 |
| RadiologyStopped | 0.0 |
| OtherDiagnosticStopped | 0.0 |
| ProcedureAdded | 0.0 |
| ConsultAdded | 24.1 |
| OtherPorCAdded | 3.7 |
| ProcedureStopped | 0.0 |
| ConsultStopped | 0.0 |
| OtherPorCStopped | 0.0 |
| O.ADLTools | 0.0 |
| O.LifeAlerts | 9.3 |
| O.OtherDME | 5.6 |
| S.ReferraltoHBPC | 0.0 |
| S.CommunityBasedResources | 3.7 |
| S.VABenefits | 3.7 |
| S.AdvancedDirectives | 7.4 |
| S.DigitalDivide | 0.0 |
| S.HHHA | 5.6 |
| S.Respite | 0.0 |
| S.AdultDayHealth | 5.6 |
| S.CNH | 0.0 |
| S.Travel | 1.9 |
| S.POLST.LST | 3.7 |
| ReferraltoGeriPACT | 3.7 |
| ReferraltoHBPC | 1.9 |
| Diagnostic.Studies | 0.0 |
| TabletConsultPlaced | 0.0 |
| TechConsultPlaced | 0.0 |
| O-DME | 0.0 |
| SelfManagementChange | 0.0 |
| Weights | 0.0 |
| BloodPressureorHR | 0.0 |
| Diet | 0.0 |
| Procedures/Consults | 0.0 |
Percentage of people treated by bucket
| Treatment | Percentage treated |
|---|---|
| TotalRecs | 81.5 |
| MobilityRehab | 31.5 |
| AllDME | 14.8 |
| SpeechRehab | 9.3 |
| Meds | 38.9 |
| SocialWork | 18.5 |
Recommendations vs. CAN
Correlation = -0.216, 95% CI = (-0.462, 0.060), p = 0.12
Total recommendations = 16 -> 7 labs added, 3 meds added
Total recommendations = 14 -> 3 labs added, 1 med added
Total recommendations = 13 -> 2 labs added, 2 meds added, 2 meds
dropped
Correlation for rural group = -0.373, 95% CI = (-0.687, 0.057), p = 0.09
Correlation for non-rural group = -0.262, 95% CI = (-0.573, 0.116), p = 0.17
Mobility rehab vs. CAN
Correlation for rural group = 0.234, 95% CI = (-0.209, 0.596), p = 0.30
Correlation for non-rural group = 0.120, 95% CI = (-0.257, 0.466), p = 0.53
DME vs. CAN
Correlation for rural group = -0.141, 95% CI = (-0.532, 0.298), p = 0.53
Correlation for non-rural group = -0.096, 95% CI = (-0.447, 0.280), p = 0.62
Speech rehab vs. CAN
Correlation for rural group = -0.133, 95% CI = (-0.525, 0.305), p = 0.55
Correlation for non-rural group = 0.241, 95% CI = (-0.137, 0.559), p = 0.21
Medications vs. CAN
Correlation for rural group = -0.046, 95% CI = (-0.459, 0.383), p = 0.84
Correlation for non-rural group = -0.040, 95% CI = (-0.401, 0.331), p = 0.84
Recommendations vs. JFI
Correlation = -0.106, 95% CI = (-0.364, 0.166), p = 0.44
Correlation for rural group = 0.069, 95% CI = (-0.344, 0.459), p = 0.75
Correlation for non-rural group = -0.143, 95% CI = (-0.478, 0.229), p = 0.45
Total recommendations vs. JFI buckets
Mobility rehab vs. JFI
Correlation for rural group = 0.290, 95% CI = (-0.129, 0.621), p = 0.17
Correlation for non-rural group = 0.130, 95% CI = (-0.241, 0.469), p = 0.49
DME vs. JFI
Correlation for rural group = -0.155, 95% CI = (-0.526, 0.265), p = 0.47
Correlation for non-rural group = 0.049, 95% CI = (-0.316, 0.403), p = 0.79
Speech rehab vs. JFI
Correlation for rural group = 0.250, 95% CI = (-0.171, 0.594), p = 0.24
Correlation for non-rural group = -0.033, 95% CI = (-0.389, 0.331), p = 0.86
Medications vs. JFI
Correlation for rural group = 0.287, 95% CI = (-0.131, 0.619), p = 0.17
Correlation for non-rural group = -0.210, 95% CI = (-0.530, 0.162), p = 0.27
Social work vs. JFI
Correlation for rural group = -0.325, 95% CI = (-0.644, 0.090), p = 0.12
Correlation for non-rural group = 0.036, 95% CI = (-0.329, 0.390), p = 0.85
Recommendations vs. ACSC
Correlation = 0.027, 95% CI = (-0.280, 0.328), p = 0.87
Linear regressions between CAN and recommendation buckets
|
Rural
|
Urban
|
|||||
|---|---|---|---|---|---|---|
| Outcome | Effect of CAN | 95% CI | Effect of CAN | 95% CI | Difference | 95% CI |
| Total recs | -0.039 | (-0.116, 0.038) | -0.087 | (-0.185, 0.011) | -0.048 | (-0.173, 0.077) |
| Mobility rehab | 0.007 | (-0.01, 0.025) | 0.008 | (-0.014, 0.03) | 0.001 | (-0.027, 0.029) |
| All DME | -0.002 | (-0.011, 0.006) | -0.003 | (-0.014, 0.008) | -0.001 | (-0.015, 0.013) |
| Speech rehab | -0.002 | (-0.009, 0.005) | 0.006 | (-0.003, 0.015) | 0.008 | (-0.003, 0.019) |
| Medications | -0.002 | (-0.024, 0.021) | -0.004 | (-0.033, 0.025) | -0.002 | (-0.039, 0.035) |
| Social work | 0.000 | (-0.016, 0.017) | -0.017 | (-0.038, 0.004) | -0.018 | (-0.044, 0.009) |
##
## Call:
## lm(formula = ppc2$TotalRecs ~ ppc2$CAN * ppc2$Rurality)
##
## Residuals:
## Min 1Q Median 3Q Max
## -6.4500 -2.1039 -0.3609 2.1590 9.1151
##
## Coefficients:
## Estimate Std. Error t value Pr(>|t|)
## (Intercept) 5.50303 3.15588 1.744 0.0877 .
## ppc2$CAN -0.03895 0.03924 -0.992 0.3261
## ppc2$RuralityU 6.16516 5.18097 1.190 0.2400
## ppc2$CAN:ppc2$RuralityU -0.04802 0.06364 -0.755 0.4543
## ---
## Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
##
## Residual standard error: 3.396 on 47 degrees of freedom
## (3 observations deleted due to missingness)
## Multiple R-squared: 0.162, Adjusted R-squared: 0.1085
## F-statistic: 3.029 on 3 and 47 DF, p-value: 0.03855##
## Call:
## lm(formula = ppc2$TotalRecs ~ ppc2$CAN * ppc2$Rurality_flipped)
##
## Residuals:
## Min 1Q Median 3Q Max
## -6.4500 -2.1039 -0.3609 2.1590 9.1151
##
## Coefficients:
## Estimate Std. Error t value Pr(>|t|)
## (Intercept) 11.66820 4.10888 2.840 0.00665 **
## ppc2$CAN -0.08697 0.05010 -1.736 0.08916 .
## ppc2$Rurality_flippedR -6.16516 5.18097 -1.190 0.24004
## ppc2$CAN:ppc2$Rurality_flippedR 0.04802 0.06364 0.755 0.45428
## ---
## Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
##
## Residual standard error: 3.396 on 47 degrees of freedom
## (3 observations deleted due to missingness)
## Multiple R-squared: 0.162, Adjusted R-squared: 0.1085
## F-statistic: 3.029 on 3 and 47 DF, p-value: 0.03855
Linear regressions between JFI and recommendation buckets
|
Rural
|
Urban
|
|||||
|---|---|---|---|---|---|---|
| Outcome | Effect of JFI | 95% CI | Effect of JFI | 95% CI | Difference | 95% CI |
| Total recs | 0.082 | (-0.757, 0.922) | -0.401 | (-1.238, 0.435) | -0.484 | (-1.668, 0.701) |
| Mobility rehab | 0.127 | (-0.055, 0.309) | 0.066 | (-0.115, 0.247) | -0.061 | (-0.318, 0.195) |
| All DME | -0.023 | (-0.101, 0.055) | 0.012 | (-0.066, 0.09) | 0.035 | (-0.075, 0.145) |
| Speech rehab | 0.037 | (-0.027, 0.101) | -0.006 | (-0.07, 0.058) | -0.043 | (-0.133, 0.047) |
| Medications | 0.126 | (-0.368, 0.62) | -0.371 | (-0.864, 0.121) | -0.497 | (-1.195, 0.201) |
| Social work | -0.082 | (-0.238, 0.073) | 0.018 | (-0.137, 0.173) | 0.100 | (-0.119, 0.32) |
##
## Call:
## lm(formula = ppc2$TotalRecs ~ ppc2$JFI * ppc2$Rurality)
##
## Residuals:
## Min 1Q Median 3Q Max
## -6.4375 -2.8358 0.0223 2.2044 11.3649
##
## Coefficients:
## Estimate Std. Error t value Pr(>|t|)
## (Intercept) 2.34254 2.67225 0.877 0.385
## ppc2$JFI 0.08237 0.42813 0.192 0.848
## ppc2$RuralityU 4.89738 3.62719 1.350 0.183
## ppc2$JFI:ppc2$RuralityU -0.48357 0.60449 -0.800 0.428
##
## Residual standard error: 3.899 on 50 degrees of freedom
## Multiple R-squared: 0.09363, Adjusted R-squared: 0.03924
## F-statistic: 1.722 on 3 and 50 DF, p-value: 0.1745##
## Call:
## lm(formula = ppc2$TotalRecs ~ ppc2$JFI * ppc2$Rurality_flipped)
##
## Residuals:
## Min 1Q Median 3Q Max
## -6.4375 -2.8358 0.0223 2.2044 11.3649
##
## Coefficients:
## Estimate Std. Error t value Pr(>|t|)
## (Intercept) 7.2399 2.4527 2.952 0.0048 **
## ppc2$JFI -0.4012 0.4267 -0.940 0.3517
## ppc2$Rurality_flippedR -4.8974 3.6272 -1.350 0.1830
## ppc2$JFI:ppc2$Rurality_flippedR 0.4836 0.6045 0.800 0.4275
## ---
## Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
##
## Residual standard error: 3.899 on 50 degrees of freedom
## Multiple R-squared: 0.09363, Adjusted R-squared: 0.03924
## F-statistic: 1.722 on 3 and 50 DF, p-value: 0.1745
ACSC vs Recommendation
Correlation for rural group = 0.308, 95% CI = (-0.170, 0.668), p = 0.20
Correlation for non-rural group = -0.277, 95% CI = (-0.625, 0.164), p = 0.21
Social work vs. CAN
Correlation for rural group = 0.009, 95% CI = (-0.414, 0.429), p = 0.97
Correlation for non-rural group = -0.255, 95% CI = (-0.568, 0.123), p = 0.18
Correlation = 0.016, 95% CI = (-0.267, 0.296), p = 0.91