Impact of continuity of care on preventable hospitalization of patients with type 2 diabetes: a nationwide Korean cohort study, 2002-10
DC Field | Value | Language |
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dc.contributor.author | Cho, Kyoung Hee | - |
dc.contributor.author | Nam, Chung Mo | - |
dc.contributor.author | Choi, Young | - |
dc.contributor.author | Choi, Jae-Woo | - |
dc.contributor.author | Lee, Seon-Heui | - |
dc.contributor.author | Park, Eun-Cheol | - |
dc.date.available | 2020-02-28T00:43:47Z | - |
dc.date.created | 2020-02-07 | - |
dc.date.issued | 2016-09-01 | - |
dc.identifier.issn | 1353-4505 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/7888 | - |
dc.description.abstract | Objective: To determine whether patients with greater continuity of care (COC) have fewer preventable hospitalizations. Design: We conducted a cohort study using a stratified random sample of Korean National Health Insurance enrollees from 2002 to 2010. The COC index was calculated for each year post-diagnosis based on ambulatory care visits. We performed a recurrent event survival analysis via Cox proportional hazard regression analysis of preventable hospitalizations. Study participants: A total of 5163 patients newly diagnosed with type 2 diabetes mellitus in 2003-6 and receiving oral hypoglycemic medication. Main outcome measure: Preventable hospitalization. Results: Of 5163 eligible participants, 6.4% (n = 328) experienced a preventable hospitalization during the study period. The adjusted hazard ratio (HR) was 8.69 (95% CI, 2.62-28.83) for subjects with a COC score of 0.00-0.19, 7.03 (95% CI, 4.50-10.96) for those with a score of 0.20-0.39, 3.01 (95% CI, 2.06-4.40) for those with a score of 0.40-059, 4.42 (95% CI, 3.04-6.42) for those with a score of 0.60-0.79 and 5.82 (95% CI, 3.87-8.75) for those with a score of 0.80-0.99. The difference in cumulative incidence of preventable hospitalizations in patients with COC scores of 0.00-0.19 relative to those with COC scores of 1.00 was the greatest, at 0.97% points. Conclusions: Greater COC was associated with fewer preventable hospitalizations in subjects with type 2 diabetes. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | OXFORD UNIV PRESS | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE | - |
dc.subject | HEALTH-CARE | - |
dc.subject | AMBULATORY-CARE | - |
dc.subject | ELDERLY-PEOPLE | - |
dc.subject | ADULT PATIENTS | - |
dc.subject | PHYSICIAN | - |
dc.subject | SATISFACTION | - |
dc.subject | BEHAVIORS | - |
dc.subject | ADHERENCE | - |
dc.subject | OUTCOMES | - |
dc.subject | ACCESS | - |
dc.title | Impact of continuity of care on preventable hospitalization of patients with type 2 diabetes: a nationwide Korean cohort study, 2002-10 | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000384660300007 | - |
dc.identifier.doi | 10.1093/intqhc/mzw050 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, v.28, no.4, pp.478 - 485 | - |
dc.identifier.scopusid | 2-s2.0-84991782116 | - |
dc.citation.endPage | 485 | - |
dc.citation.startPage | 478 | - |
dc.citation.title | INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE | - |
dc.citation.volume | 28 | - |
dc.citation.number | 4 | - |
dc.contributor.affiliatedAuthor | Lee, Seon-Heui | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | continuity of care | - |
dc.subject.keywordAuthor | preventable hospitalization | - |
dc.subject.keywordAuthor | fragmented care | - |
dc.subject.keywordAuthor | recurrent event survival analysis | - |
dc.subject.keywordPlus | HEALTH-CARE | - |
dc.subject.keywordPlus | AMBULATORY-CARE | - |
dc.subject.keywordPlus | ELDERLY-PEOPLE | - |
dc.subject.keywordPlus | ADULT PATIENTS | - |
dc.subject.keywordPlus | PHYSICIAN | - |
dc.subject.keywordPlus | SATISFACTION | - |
dc.subject.keywordPlus | BEHAVIORS | - |
dc.subject.keywordPlus | ADHERENCE | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | ACCESS | - |
dc.relation.journalResearchArea | Health Care Sciences & Services | - |
dc.relation.journalWebOfScienceCategory | Health Care Sciences & Services | - |
dc.relation.journalWebOfScienceCategory | Health Policy & Services | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | ssci | - |
dc.description.journalRegisteredClass | scopus | - |
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