Patient sharing and quality of care: measuring outcomes of care coordination using claims data.

ABSTRACT:

Background

With the goal of improving clinical efficiency and effectiveness, programs to enhance care coordination are a major focus of health care reform.

Objective

To examine whether "care density"--a claims-based measure of patient sharing by office-based physicians--is associated with measures of quality. Care density is a proxy measure that may reflect how frequently a patient's doctors collaborate.

Research design

Cohort study using administrative databases from 3 large commercial insurance plans.

Subjects

A total of 1.7 million adult patients; 31,675 with congestive heart failure, 78,530 with chronic obstructive pulmonary disease, and 240,378 with diabetes.

Measures

Care density was assessed in 2008. Prevention Quality Indicators (PQIs), 30-day re

SUBMITTER: Pollack CE 

PROVIDER: S-EPMC4384684 | biostudies-literature | 2015 Apr

REPOSITORIES: biostudies-literature