Markers of Quality Care for Newly Diagnosed People With Epilepsy on Medicaid.

ABSTRACT:

Background

For newly diagnosed people with epilepsy (PWE), proper treatment is important to improve outcomes, yet limited data exist on markers of quality care.

Objective

Examine markers of quality care for newly diagnosed PWE.

Methods

Using Medicaid claims data (2010-2014) for 15 states we identified adults 18-64 years of age diagnosed with incident epilepsy in 2012 or 2013. We built 5 sequential logistic regression models to evaluate: (1) seeing a neurologist; (2) diagnostic evaluation; (3) antiepileptic medication adherence; (4) serum drug levels checked; and (5) being in the top quartile of number of negative health events (NHEs). We adjusted for demographics, comorbidities, county-level factors, and the outcomes from all prior models.

Results

Of 25,663 PWE

SUBMITTER: Bensken WP 

PROVIDER: S-EPMC8187271 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature