Multi-level factors linked to young adult primary care transitions: evidence from a state all-payer claims analysis.

ABSTRACT:

Objective

Delayed transitions from pediatric to adult primary care leads to gaps in medical care. State all-payer claims data was used to assess multilevel factors associated with timely transition from pediatric to adult primary care.

Materials and methods

We created a cohort of 4,320 patients aged 17-20 in 2014-2017 continuously enrolled in health insurance 36 months between 2014 and 2019 and attributed to a pediatric provider in months 1-12. We also constructed primary care provider networks identifying links between providers who saw members of the same family. Logistic regression was used to predict adult primary care in months 25-36 on family, provider, and county-level factors. Finally, we modeled the effect of county and network cluster membership on care transitions

SUBMITTER: Nowak SA 

PROVIDER: S-EPMC11200814 | biostudies-literature | 2024 Jun

REPOSITORIES: biostudies-literature