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  1. Fulltext. The importance of continuity of care in the likelihood of future hospitalization : Is site of care equivalent to a primary clinician ?

    Article - En anglais

    Fulltext.

    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.

    Mots-clés Pascal : Hospitalisation, Soin, Continu, Epidémiologie, Evaluation, Homme, Etats Unis, Amérique du Nord, Amérique, Organisation santé, Politique sanitaire, Système santé, Continuité soins

    Mots-clés Pascal anglais : Hospitalization, Care, Continuous, Epidemiology, Evaluation, Human, United States, North America, America, Public health organization, Health policy, Health system

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0492164

    Code Inist : 002B30A01B. Création : 19/02/1999.