Associations among claims-based care fragmentation, self-reported gaps in care coordination, and self-reported adverse events.

ABSTRACT:

Background

Fragmentation of care (that is, the use of multiple ambulatory providers without a dominant provider) may increase the risk of gaps in communication among providers. However, it is unclear whether people with fragmented care (as measured in claims) perceive more gaps in communication among their providers. It is also unclear whether people who perceive gaps in communication experience them as clinically significant (that is, whether they experience adverse events that they attribute to poor coordination).

Methods

We conducted a longitudinal study using data from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study, including a survey on perceptions of healthcare (2017-2018) and linked fee-for-service Medicare claims (for the 12 months prior

SUBMITTER: Kern LM 

PROVIDER: S-EPMC11389281 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature