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Am J Public Health. 1998 October; 88(10): 1539–1541.
PMCID: PMC1508474

The importance of continuity of care in the likelihood of future hospitalization: is site of care equivalent to a primary clinician?

Abstract

OBJECTIVES: This study examined the effect of continuity with clinicians and health care sites on likelihood of future hospitalization. METHODS: Delaware Medicaid patient data were analyzed. Logistic regression models supplied adjusted effects of continuity on hospitalization. RESULTS: Patients in the high clinician continuity group had lower odds of hospitalization than patients in the high site/low clinician continuity group (odds ratio [OR] = 0.75, 95% confidence interval [CI] = 0.66, 0.87). The latter group did not differ from the low site/low clinician continuity group (OR = 0.93, 95% CI = 0.80, 1.08). CONCLUSIONS: A location providing health care without clinician continuity may not be sufficient to ensure cost-effective care.

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Selected References

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  • Clancy CM, Brody H. Managed care. Jekyll or Hyde? JAMA. 1995 Jan 25;273(4):338–339. [PubMed]
  • Gill JM, Mainous AG., 3rd The role of provider continuity in preventing hospitalizations. Arch Fam Med. 1998 Jul-Aug;7(4):352–357. [PubMed]
  • Freeman GK, Richards SC. How much personal care in four group practices? BMJ. 1990 Nov 3;301(6759):1028–1030. [PMC free article] [PubMed]
  • Rappaport SH. Supporting the "clinic without walls" with an event-directed messaging system integrated into an electronic medical record. Proc AMIA Annu Fall Symp. 1996:648–652. [PMC free article] [PubMed]
  • Giuse DA, Mickish A. Increasing the availability of the computerized patient record. Proc AMIA Annu Fall Symp. 1996:633–637. [PMC free article] [PubMed]
  • Weiner JP, Starfield BH, Powe NR, Stuart ME, Steinwachs DM. Ambulatory care practice variation within a Medicaid program. Health Serv Res. 1996 Feb;30(6):751–770. [PMC free article] [PubMed]
  • Stuart M, Steinwachs D, Harlow J, Fox M. Ambulatory practice variation in Maryland: implications for Medicaid cost management. Health Care Financ Rev. 1990 Dec;Spec No:57–67. [PubMed]
  • Starfield B, Powe NR, Weiner JR, Stuart M, Steinwachs D, Scholle SH, Gerstenberger A. Costs vs quality in different types of primary care settings. JAMA. 1994 Dec 28;272(24):1903–1908. [PubMed]
  • Starfield B, Weiner J, Mumford L, Steinwachs D. Ambulatory care groups: a categorization of diagnoses for research and management. Health Serv Res. 1991 Apr;26(1):53–74. [PMC free article] [PubMed]
  • Weiner JP, Starfield BH, Steinwachs DM, Mumford LM. Development and application of a population-oriented measure of ambulatory care case-mix. Med Care. 1991 May;29(5):452–472. [PubMed]

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