- Volume 13 Issue 9
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Effects of the Continuity of Care on Hospital Utilization : Convergence A Propensity Score Matching Analysis
진료지속성이 의료이용에 미치는 영향 : 융복합 성향점수매칭 방법 적용
- Ahn, Lee-Su (Dept. of Public law administration, Shinhan University)
- 안이수 (신한대학교 공법행정학과)
- Received : 2015.07.14
- Accepted : 2015.09.20
- Published : 2015.09.28
This paper examines the level of the primary care continuity for patients with high blood pressure and the effects of the primary care continuity on their convergence health outcomes. We conducted a retrospective cohort study. A total of 315,791 patients who had received new diagnoses of hypertension. We determined standard indices of continuity of care-MFPC, MMCI, and COC and evaluated their association with study outcomes over three years of follow-up. Outcome measures included hospitalization and emergency room visits. The result of the primary care continuity levels and hazard ratios of health outcome showed that, comparing continuity group, non-continuity group had higher rates of hospitalization by 1.655(95% CI: 1.547-1.771) and emergency room visits by 1.669(95% CI: 1.465-1.903). This paper argues that medical costs of chronic diseases will reduce if low continuity of care turns into high continuity of care.
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