Outpatient care fragmentation in Veterans Affairs patients at high-risk for hospitalization.

ABSTRACT:

Objective

To examine outpatient care fragmentation and its association with future hospitalization among patients at high risk for hospitalization.

Data sources

Veterans Affairs (VA) and Medicare data.

Study design

We conducted a longitudinal study, using logistic regression to examine how outpatient care fragmentation in FY14 (as measured by number of unique providers, Breslau's Usual Provider of Care (UPC), Bice-Boxerman's Continuity of Care Index (COCI), and Modified Modified Continuity Index (MMCI)) was associated with all-cause hospitalizations and hospitalizations related to ambulatory care sensitive conditions (ACSC) in FY15. We also examined how fragmentation varied by patient's age, gender, race, ethnicity, marital status, rural status, history of homelessnes

SUBMITTER: Zulman DM 

PROVIDER: S-EPMC9264453 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature