Care Continuity and Care Coordination: A Preliminary Examination of Their Effects on Hospitalization

• Published in: Medical care research and review 2021-10, Vol.78 (5), p.475-489
• Main Authors: Chen, Chi-Chen, Cheng, Shou-Hsia
• Format: Article
• Language: English
• Subjects: Chronic conditions; Chronic illnesses; Comorbidity; Continuity; Coordination; Correlation analysis; Diabetes; Diabetes mellitus; Health care; Hospitalization; Newly diagnosed; Patients; Policy making; Quality of care
• ISSN: 1077-5587; 1552-6801
• DOI: 10.1177/1077558720903882

Both care continuity and care coordination are important features of the health care system. However, little is known about the relationship between care continuity and care coordination, their effects on hospitalizations, and whether these effects vary across patients with various levels of comorbidity. This study employed a panel study design with a 3-year follow-up from 2007 to 2011 in Taiwan’s universal health coverage system. Patients aged 18 years or older who were newly diagnosed with diabetes in 2007 were included in the study. We found that the correlation between care continuity and care coordination was low. Patients with higher levels of care continuity or care coordination were less likely to experience hospitalization for diabetes-related conditions. Furthermore, both care continuity and care coordination showed stronger effects for patients with higher comorbidity scores. Improving care continuity and coordination for patients with multiple chronic conditions is the right direction for policymakers.