NDLI: Longitudinal care continuity and avoidable hospitalization: the application of claims-based measures

Content Provider	Springer Nature : BioMed Central
Author	Cheng, Shou-Hsia Chen, Chi-Chen Lin, Yueh-Yun
Abstract	Background Longitudinal continuity between a patient and his/her primary care physician is an important aspect in measuring continuity of care (COC). The majority of previous studies employed questionnaire surveys to patients to measure the continual relationship between patients and their physicians. This study aimed to construct a provider duration continuity index (PDCI) by using longitudinal claims data and to examine its agreement with commonly used COC measures. Then, this study investigated the effects of the various types of COC measure on the likelihood of avoidable hospitalization while considering the level of comorbidity. Methods This study constructed a 4-year panel (from 2014 to 2017) of the nationwide health insurance claims data in Taiwan. In total, 328,044 randomly selected patients with 3 or more physician visits per year were analyzed. Two PDCIs were constructed to measure the duration of interaction between a patient and his/her physicians over time. The agreement between the PDCIs and three commonly used COC indicators, the Usual Provider of Care index, the Continuity of Care Index, and the Sequential Continuity Index, were examined. Generalized estimating equations were conducted to examine the association between COC and avoidable hospitalization by the level of comorbidity. Results The results showed that the correlations among the three commonly used COC indicators were high (γ = 0.787 ~ 0.958) and the correlation between the two longitudinal continuity measures was moderate (γ = 0.577 ~ 0.579), but the correlations between the commonly used COC indicators and the two PDCIs were low (γ = 0.001 ~ 0.257). All COC measures, both the PDCIs and the three commonly used COC indicators, showed independent protective effects on the likelihood of avoidable hospitalization in three comorbidity groups. Conclusion The duration of interaction between patients and physicians is an independent domain in measuring COC and has a significant effect on health care outcomes.
Related Links	https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-023-09457-w.pdf
Ending Page	10
Page Count	10
Starting Page	1
File Format	HTM / HTML
ISSN	14726963
DOI	10.1186/s12913-023-09457-w
Journal	BMC Health Services Research
Issue Number	1
Volume Number	23
Language	English
Publisher	BioMed Central
Publisher Date	2023-05-27
Access Restriction	Open
Subject Keyword	Public Health Health Administration Health Informatics Nursing Research Continuity of care Longitudinal Duration Claims-based Indicator
Content Type	Text
Resource Type	Article
Subject	Health Policy

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

The devil is in the details: trends in avoidable hospitalization rates by geography in British Columbia, 1990–2000

Continuity of health care: measurement and application in two rural counties of Guangxi Province, China

Association between continuity of care (COC), healthcare use and costs: what can we learn from claims data? A rapid review

Preventable hospitalization and access to primary health care in an area of Southern Italy

Trends in avoidable hospitalizations in a developed City in eastern China: 2015 to 2018

Geographic variations in avoidable hospitalizations in the elderly, in a health system with universal coverage

The association between multimorbidity and hospitalization is modified by individual demographics and physician continuity of care: a retrospective cohort study

Continuity and care coordination of primary health care: a scoping review

Readmission outcomes following infectious hospitalization: same-care unit performed better than different-care unit

Longitudinal care continuity and avoidable hospitalization: the application of claims-based measures

Similar Documents

The devil is in the details: trends in avoidable hospitalization rates by geography in British Columbia, 1990–2000

Continuity of health care: measurement and application in two rural counties of Guangxi Province, China

Association between continuity of care (COC), healthcare use and costs: what can we learn from claims data? A rapid review

Preventable hospitalization and access to primary health care in an area of Southern Italy

Trends in avoidable hospitalizations in a developed City in eastern China: 2015 to 2018

Geographic variations in avoidable hospitalizations in the elderly, in a health system with universal coverage

The association between multimorbidity and hospitalization is modified by individual demographics and physician continuity of care: a retrospective cohort study

Continuity and care coordination of primary health care: a scoping review

Readmission outcomes following infectious hospitalization: same-care unit performed better than different-care unit

Longitudinal care continuity and avoidable hospitalization: the application of claims-based measures