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The importance of continuity of care in the likelihood of future hospitalization: Is site of care equivalent to a primary clinician?

Author

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  • Mainous III, A.G.
  • Gill, J.M.

Abstract

Objectives. This study examined the effect of continuity with clinicians and health care sites on likelihood of future hospitalization. Methods. Delaware Medicaid patient data were analyzed. Logistic regression models supplied adjusted effects of continuity on hospitalization. Results. Patients in the high clinician continuity group had lower odds of hospitalization than patients in the high site/low clinician continuity group (odds ratio [OR] = 0.75, 95% confidence interval [CI] = 0.66, 0.87). The latter group did not differ from the low site/low clinician continuity group (OR = 0.93, 95% CI = 0.80, 1.08). Conclusions. A location providing health care without clinician continuity may not be sufficient to ensure cost-effective care.

Suggested Citation

  • Mainous III, A.G. & Gill, J.M., 1998. "The importance of continuity of care in the likelihood of future hospitalization: Is site of care equivalent to a primary clinician?," American Journal of Public Health, American Public Health Association, vol. 88(10), pages 1539-1541.
    • Handle: RePEc:aph:ajpbhl:1998:88:10:1539-1541_8
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    Cited by:

    1. Deborah Peikes & Grace Anglin & Stacy Dale & Erin Fries Taylor & Ann O'Malley & Arkadipta Ghosh & Kaylyn Swankoski & Jesse Crosson & Rosalind Keith & Anne Mutti & Sheila Hoag & Pragya Singh & Ha Tu & , "undated". "Evaluation of the Comprehensive Primary Care Initiative: Fourth Annual Report," Mathematica Policy Research Reports 31b437e81685456388e78e18b, Mathematica Policy Research.
    2. Topuz, Kazim & Urban, Timothy L. & Yildirim, Mehmet B., 2024. "A Markovian score model for evaluating provider performance for continuity of care—An explainable analytics approach," European Journal of Operational Research, Elsevier, vol. 317(2), pages 341-351.
    3. Gulshan Sharma & Yue Wang & James E Graham & Yong-Fang Kuo & James S Goodwin, 2013. "Provider Continuity Prior to the Diagnosis of Advanced Lung Cancer and End-of-Life Care," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-7, September.
    4. Kyoung Hee Cho & Young Sam Kim & Chung Mo Nam & Tae Hyun Kim & Sun Jung Kim & Kyu-Tae Han & Eun-Cheol Park, 2015. "The Association between Continuity of Care and All-Cause Mortality in Patients with Newly Diagnosed Obstructive Pulmonary Disease: A Population-Based Retrospective Cohort Study, 2005-2012," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-13, November.
    5. Simeonova, Emilia, 2013. "Marriage, bereavement and mortality: The role of health care utilization," Journal of Health Economics, Elsevier, vol. 32(1), pages 33-50.
    6. Kyoung Hee Cho & Eun-Cheol Park & Young Soon Nam & Seon-Heui Lee & Chung Mo Nam & Sang Gyu Lee, 2016. "Impact of Market Competition on Continuity of Care and Hospital Admissions for Asthmatic Children: A Longitudinal Analysis of Nationwide Health Insurance Data 2009-2013," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-13, March.
    7. Hong, Jae-Seok & Kang, Hee-Chung, 2013. "Continuity of ambulatory care and health outcomes in adult patients with type 2 diabetes in Korea," Health Policy, Elsevier, vol. 109(2), pages 158-165.
    8. Nam, Young Soon & Cho, Kyoung Hee & Kang, Hee-Chung & Lee, Kwang-Sig & Park, Eun-Cheol, 2016. "Greater continuity of care reduces hospital admissions in patients with hypertension: An analysis of nationwide health insurance data in Korea, 2011–2013," Health Policy, Elsevier, vol. 120(6), pages 604-611.
    9. Yun-Yi Chen & Cheng-I Hsieh & Kuo-Piao Chung, 2019. "Continuity of Care, Follow-Up Care, and Outcomes among Breast Cancer Survivors," IJERPH, MDPI, vol. 16(17), pages 1-16, August.
    10. Suzanne E Bentler & Robert O Morgan & Beth A Virnig & Fredric D Wolinsky, 2014. "The Association of Longitudinal and Interpersonal Continuity of Care with Emergency Department Use, Hospitalization, and Mortality among Medicare Beneficiaries," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-18, December.

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