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The Importance of Continuity of Care in the Likelihood of Future Hospitalization: is Site of Care Equivalent to a Primary Clinician?

Overview
Journal Am J Public Health
Specialty Public Health
Date 1998 Oct 17
PMID 9772859
Citations 66
Authors
A G Mainous 3rd
J M Gill
Affiliations
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Abstract

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.

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