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Measuring Care Continuity

A Comparison of Claims-based Methods

Datos Bibliográficos

ID9104083
AutoresCraig Evan Pollack (0000-0003-2464-6415, Johns Hopkins University, autor de correspondencia), Peter S Hussey (RAND Corporation, Santa Monica, CA), Robert S Rudin (0000-0001-9172-5506, RAND Corporation, Santa Monica, CA), D Steven Fox (0000-0002-5587-3226, RAND Corporation, Santa Monica, CA), Debra Fox (RAND Corporation), Julie Lai (0000-0001-9318-7748, RAND Corporation, Santa Monica, CA), Eric C Schneider (0000-0002-1132-5084, RAND Corporation, Santa Monica, CA)
Año2016
Volumen54
Número5
Páginase30-e34
Fecha de publicación2016-05-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000018
PMID24309664
PMCIDPMC4101051
OpenAlexW176472798
IdiomaEN
Citas recibidas10
Referencias citadas12

Background: Assessing care continuity is important in evaluating the impact of health care reform and changes to health care delivery. Multiple measures of care continuity have been developed for use with claims data. Objective: This study examined whether alternative continuity measures provide distinct assessments of coordination within predefined episodes of care. Research Design and Subjects: This was a retrospective cohort study using 2008–2009 claims files for a national 5% sample of beneficiaries with congestive heart failure, chronic obstructive pulmonary disease, and diabetes mellitus. Measures: Correlations among 4 measures of care continuity—the Bice-Boxerman Continuity of Care Index, Herfindahl Index, usual provider of care, and Sequential Continuity of Care Index—were derived at the provider- and practice-levels. Results: Across the 3 conditions, results on 4 claims-based care coordination measures were highly correlated at the provider-level (Pearson correlation coefficient r =0.87–0.98) and practice-level ( r =0.75–0.98). Correlation of the results was also high for the same measures between the provider- and practice-levels ( r =0.65–0.92). Conclusions: Claims-based care continuity measures are all highly correlated with one another within episodes of care

Continuity of care · Health care · Political science · Healthcare Policy and Management · Law

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  • A Quantitative Measure of Continuity of Care

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  • Service Delivery Structure and Continuity of Care

    Naomi Breslau, Marie R Haug•Journal of Health and Social…•1976

Obras citantes distintas10
Citas por año1,25
Intervalo de citas2018 - 2026 (9)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 9
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