IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0150926.html
   My bibliography  Save this article

Impact of Market Competition on Continuity of Care and Hospital Admissions for Asthmatic Children: A Longitudinal Analysis of Nationwide Health Insurance Data 2009-2013

Author

Listed:
  • Kyoung Hee Cho
  • Eun-Cheol Park
  • Young Soon Nam
  • Seon-Heui Lee
  • Chung Mo Nam
  • Sang Gyu Lee

Abstract

Background: Ambulatory care-sensitive conditions, including asthma, can be managed with timely and effective outpatient care, thereby reducing the need for hospitalization. Objective: This study assessed the relationship between market competition, continuity of care (COC), and hospital admissions in asthmatic children according to their health care provider. Methods: A longitudinal design was employed with a 5-year follow-up period, between 2009 and 2013, under a Korean universal health insurance program. A total of 253 geographical regions were included in the analysis, according to data from the Korean Statistical Office. Data from 9,997 patients, aged ≤ 12 years, were included. We measured the COC over a 5-year period using the Usual Provider Continuity (UPC) index. Random intercept models were calculated to assess the temporal and multilevel relationship between market competition, COC, and hospital admission rate. Results: Of the 9,997 patients, 243 (2.4%) were admitted to the hospital in 2009. In the multilevel regression analysis, as the Herfindahl–Hirschman Index increased by 1,000 points (denoting decreased competitiveness), UPC scores also increased (ß = 0.001; p

Suggested Citation

  • 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.
    • Handle: RePEc:plo:pone00:0150926
    DOI: 10.1371/journal.pone.0150926
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0150926
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0150926&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0150926?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Weiss, L.J. & Blustein, J., 1996. "Faithful patients: The effect of long-term physician-patient relationships on the costs and use of health care by older Americans," American Journal of Public Health, American Public Health Association, vol. 86(12), pages 1742-1747.
    2. 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.
    3. Le, Vo Phuong Mai & Minford, Patrick & Nowell, Eric, 2009. "Economic Policy: protectionism as an elite strategy," Cardiff Economics Working Papers E2009/1, Cardiff University, Cardiff Business School, Economics Section.
    4. 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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. 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.
    2. 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.
    3. 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.
    4. 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.
    5. Matthias Kiefer & Edward Jones & Andrew Adams, 2016. "Principals, Agents and Incomplete Contracts: Are Surrender of Control and Renegotiation the Solution?," CFI Discussion Papers 1603, Centre for Finance and Investment, Heriot Watt University.
    6. 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.
    7. Roll, Kathrin, 2012. "The influence of regional health care structures on delay in diagnosis of rare diseases: The case of Marfan Syndrome," Health Policy, Elsevier, vol. 105(2), pages 119-127.
    8. Larch, Mario & Lechthaler, Wolfgang, 2013. "Buy National or Buy International? The optimal design of government spending in an open economy," International Review of Economics & Finance, Elsevier, vol. 26(C), pages 87-108.
    9. Francesco Napolitano & Paola Napolitano & Luca Garofalo & Marianna Recupito & Italo F Angelillo, 2016. "Assessment of Continuity of Care among Patients with Multiple Chronic Conditions in Italy," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-9, May.
    10. Caloghirou, Yannis & Giotopoulos, Ioannis & Kontolaimou, Alexandra & Korra, Efthymia & Tsakanikas, Aggelos, 2021. "Industry-university knowledge flows and product innovation: How do knowledge stocks and crisis matter?," Research Policy, Elsevier, vol. 50(3).
    11. Chun-Pai Yang & Hao-Min Cheng & Mei-Chun Lu & Hui-Chu Lang, 2019. "Association between continuity of care and long-term mortality in Taiwanese first-ever stroke survivors: An 8-year cohort study," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-13, May.
    12. 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.
    13. Jiae Shin & Dongwoo Ham & Hee Young Paik & Sangah Shin & Hyojee Joung, 2021. "Gender Differences in the Risk of Ischemic Heart Disease According to Healthcare Utilization and Medication Adherence among Newly Treated Korean Hypertensive Patients," IJERPH, MDPI, vol. 18(3), pages 1-13, January.
    14. Patty Duijm & Ilke Van Beveren, 2022. "Product diversification as a performance boosting strategy? Drivers and impact of diversification strategies in the property‐liability insurance industry," Risk Management and Insurance Review, American Risk and Insurance Association, vol. 25(3), pages 303-328, September.
    15. Baker, Susan & Paddock, Jessica & Smith, Alastair M. & Unsworth, Richard K.F. & Cullen-Unsworth, Leanne C. & Hertler, Heidi, 2015. "An ecosystems perspective for food security in the Caribbean: Seagrass meadows in the Turks and Caicos Islands," Ecosystem Services, Elsevier, vol. 11(C), pages 12-21.
    16. Zhang, Xuan, 2022. "The effects of physician retirement on patient outcomes: Anticipation and disruption," Journal of Public Economics, Elsevier, vol. 207(C).
    17. Yannis Caloghirou & Ioannis Giotopoulos & Alexandra Kontolaimou & Aggelos Tsakanikas, 2022. "Inside the black box of high-growth firms in a crisis-hit economy: corporate strategy, employee human capital and R&D capabilities," International Entrepreneurship and Management Journal, Springer, vol. 18(3), pages 1319-1345, September.
    18. Kim, Hongsoo & Cheng, Shou-Hsia, 2018. "Assessing quality of primary diabetes care in South Korea and Taiwan using avoidable hospitalizations," Health Policy, Elsevier, vol. 122(11), pages 1222-1231.
    19. Kubiak, Sheryl & Roddy, Juliette & Comartin, Erin & Tillander, Elizabeth, 2015. "Cost analysis of long-term outcomes of an urban mental health court," Evaluation and Program Planning, Elsevier, vol. 52(C), pages 96-106.
    20. Sergey A. Chunikhin & Evgeny A. Kuzmin & Luidmila V. Pushkareva, 2019. "Studying the banking industry’s stability through market concentration indices," Entrepreneurship and Sustainability Issues, VsI Entrepreneurship and Sustainability Center, vol. 6(4), pages 1663-1679, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0150926. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.