An integrated continuity of care measure improves performance in models predicting medication adherence using population-based administrative data.

ABSTRACT:

Objectives

Continuity of care (COC) is considered an important determinant of medication adherence based on measures such as the usual provider continuity index (UPCI) that are derived exclusively from physician visit claims. This study aimed to: a) determine if high UPCI values predict physicians who deliver different clinical services; and b) compare UPCI with an integrated COC measure capturing physician visits, prescribing, and a complete medical examination in a multivariable model of patients receiving statin medications.

Methods

This was a retrospective cohort study of new statin users between 2012 and 2017 in Saskatchewan, Canada. We calculated sensitivity/specificity of a high UPCI value for predicting physicians who were prescribers of statins and/or providers of c

SUBMITTER: Yao S 

PROVIDER: S-EPMC8893672 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature