Association between Continuity and Team-Based Care and Health Care Utilization: An Observational Study of Medicare-Eligible Veterans in VA Patient Aligned Care Team.

ABSTRACT:

Objective

It remains unknown whether high-functioning teams can compensate for poor continuity of care to support important patient outcomes.

Data source

Linked VA administrative and Medicare claims data to measure the relationship of team-based care and continuity of care with high-cost utilization.

Study design

Retrospective cohort study of 1.2 million VA-Medicare dual eligible Veterans assigned to a VA primary care provider (PCP) in 2012. Continuity was the proportion of primary care visits to the assigned VA provider of care. Clinics were categorized as low, average, or high-team functioning based on survey data. Our primary outcomes were the number of all-cause hospitalizations, ambulatory care sensitive (ACSC) hospitalizations, and emergency department (ED) visi

SUBMITTER: Reddy A 

PROVIDER: S-EPMC6235808 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature