Effects of continuity of care on hospital admission in patients with type 2 diabetes: analysis of nationwide insurance data

A system for managing chronic disease including diabetes mellitus based on primary care clinics has been used in Korea since April 2012. This system can reduce copayments for patients that are managed by a single primary-care provider and lead to improve continuity of care. The aim of this study is...

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Bibliographic Details
Published in:BMC health services research 2015-03, Vol.15 (1), p.107-107, Article 107
Main Authors: Cho, Kyoung Hee, Lee, Sang Gyu, Jun, Byungyool, Jung, Bo-Young, Kim, Jae-Hyun, Park, Eun-Cheol
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Analysis
Care and treatment
Chronic Disease - therapy
Chronic diseases
Continuity of Patient Care - organization & administration
Cross-Sectional Studies
Diabetes Mellitus, Type 2 - therapy
Female
Health aspects
Hospitalization - statistics & numerical data
Humans
Male
Methods
Middle Aged
National Health Programs - statistics & numerical data
Odds Ratio
Patient Admission - statistics & numerical data
Primary Health Care - organization & administration
Republic of Korea
Young Adult
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Summary:A system for managing chronic disease including diabetes mellitus based on primary care clinics has been used in Korea since April 2012. This system can reduce copayments for patients that are managed by a single primary-care provider and lead to improve continuity of care. The aim of this study is to determine whether there is an association between continuity of care for outpatients and hospital admission and identify the continuity index that best explains hospital admissions for patients with type 2 diabetes. We performed a cross-sectional study using 2009 National Health Insurance Sample (NHIS) from the Health Insurance Review & Assessment Services (HIRA) of Korea. The dependent variable was hospital admission due to type 2 diabetes mellitus. Continuity of care was measured using the Usual Provider Care index (UPC), Continuity of Care index (COC), Sequential Continuity of Care index (SECON), and Integrated Continuity of Care index (ICOC). Patients with low COC scores (
ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-015-0745-z