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Health-Related Outcomes Associated with Patterns of Risk Factors in Primary Care Patients

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Abstract

It is important to find ways to identify prevalent co-occurring health risk factors to help facilitate treatment programming. One method is to use electronic medical record (EMR) data. Funderburk et al. (J Behav Med 31:525–535, 2008) used such data and latent class analysis to identify three classes of individuals based on standard health screens administered in Veterans Affairs primary care clinics. The present study extended these results by examining the health-related outcomes for each of these identified classes. Follow-up data were collected from a subgroup of the original sample (N = 4,132). Analyses showed that class assignment predicted number of diagnoses associated with the diseases that the health screens target and number of primary care behavioral health, and emergency room encounters. The findings illustrate one way an EMR can be used to identify clusters of individuals presenting with multiple health risk factors and where the healthcare system comes in contact with them.

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Acknowledgments

This project was supported by funding from the Center for Integrated Healthcare, Syracuse Veterans Affairs Medical Center, Syracuse, NY. All the work for this project was done at the Syracuse Veterans Affairs Medical Center, 800 Irving Ave., Syracuse, NY 13210. The views expressed herein are those of the authors and do not necessarily reflect those of the Department of Veterans Affairs or other departments of the U.S. government.

Conflict of interest

Jennifer S. Funderburk, Stephen A. Maisto, Allison K. Labbe declare that they have no conflict of interest.

Ethical standard

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. A waiver of informed consent was obtained for all data collected from the electronic medical record.

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Authors and Affiliations

  1. VA Center for Integrated Healthcare, Syracuse Veterans Affairs Medical Center, 800 Irving Ave., (116C), Syracuse, NY, 13210, USA

    Jennifer S. Funderburk, Stephen A. Maisto & Allison K. Labbe

  2. Department of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY, 13244, USA

    Jennifer S. Funderburk, Stephen A. Maisto & Allison K. Labbe

  3. Department of Psychiatry, University of Rochester, Rochester, NY, USA

    Jennifer S. Funderburk

Authors
  1. Jennifer S. Funderburk
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  2. Stephen A. Maisto
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  3. Allison K. Labbe
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Correspondence to Jennifer S. Funderburk.

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Funderburk, J.S., Maisto, S.A. & Labbe, A.K. Health-Related Outcomes Associated with Patterns of Risk Factors in Primary Care Patients. J Clin Psychol Med Settings 21, 10–18 (2014). https://doi.org/10.1007/s10880-013-9376-x

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  • DOI: https://doi.org/10.1007/s10880-013-9376-x

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