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Am J Public Health. 1998 Oct;88(10):1539-41.

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

Author information

  • 1Department of Family Medicine, Medical University of South Carolina, Charleston 29425, USA. mainouag@musc.edu

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.

PMID:
9772859
[PubMed - indexed for MEDLINE]
PMCID:
PMC1508474
Free PMC Article
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