The Role of Usual Source of Care in Cholesterol Treatment

Overview

Journal J Am Board Fam Med

Specialty Public Health

Date 2010 Mar 9

PMID 20207928

Citations 12

Authors

Paul Winters

Daniel Tancredi

Kevin Fiscella

Affiliations

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Abstract

Background: A usual source of care (USOC) has been associated with improved preventive and chronic care, but its relationship with lipid management has not been well described. The objectives of this study were (1) to examine the association of USOC with statin use among persons meeting eligibility guidelines for treatment, and (2) to examine the association of USOC with low-density lipoprotein goal attainment among those receiving statins.

Methods: We examined statin use among adults aged 21 to 79 years who participated in the National Health and Nutrition Examination Survey, 1999 to 2006. We used criteria from the third Adult Treatment Panel about the treatment of high cholesterol to assess eligibility and the examined factors that predicted current use of statins. Among those currently taking statins, we assessed achievement of target low-density lipoprotein cholesterol based on the third Adult Treatment Panel's goals.

Results: Among the 12,979 participants, nearly 14% were eligible. Having a USOC was significantly associated with the use of statins among those who were eligible but not with goal attainment among those taking statins. Significant predictors of goal attainment were higher income and education and being in a more recent cohort.

Conclusion: In a national sample USOC was significantly associated with the use of statins among eligible adults but not with low-density lipoprotein cholesterol goal attainment for those using statins.

Citing Articles

Comparison of Health Care Utilization in Different Usual Sources of Care Among Older People With Cardiovascular Disease in China: Evidence From the Study on Global Ageing and Adult Health.

Xu T, Loban E, Wei X, Zhou Z, Wang W Int J Public Health. 2024; 68:1606103.

PMID: 38234446 PMC: 10792126. DOI: 10.3389/ijph.2023.1606103.

The Association Between Self-Reported Hearing Loss and Loss of Usual Source of Health Care Among Older Medicare Beneficiaries: Evidence From the National Health and Aging Trends Study.

Morales E, Assi L, Powell D, Luu K, Reed N Innov Aging. 2023; 7(1):igad002.

PMID: 36908652 PMC: 9999675. DOI: 10.1093/geroni/igad002.

Determinants of choice of usual source of care among older people with cardiovascular diseases in China: evidence from the Study on Global Ageing and Adult Health.

Xu T, Loban K, Wei X, Wang W BMC Public Health. 2022; 22(1):1970.

PMID: 36303176 PMC: 9615328. DOI: 10.1186/s12889-022-14352-w.

Disparities in Statin Use in New York City: Implications for Health Reform.

Allende C, Gusmano M, Weisz D J Racial Ethn Health Disparities. 2018; 6(3):463-471.

PMID: 30456578 DOI: 10.1007/s40615-018-00543-y.

Factors Associated With Loss of Usual Source of Care Among Older Adults.

Nothelle S, Boyd C, Sheehan O, Wolff J Ann Fam Med. 2018; 16(6):538-545.

PMID: 30420369 PMC: 6231941. DOI: 10.1370/afm.2283.

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