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

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 r

SUBMITTER: Cheng SH 

PROVIDER: S-EPMC10224272 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature