ArticleAnnals of family medicine
Patient-reported care coordination: associations with primary care continuity and specialty care use.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Bibliometric Analysis and Visualization of Decision Support Systems for Healthcare Referral Strategies.International journal of environmental research and public health · 2022Pooled it
- Care coordination for complex cancer survivors in an integrated safety-net system: a study protocol.BMC cancer · 2018Trial
- Article
- Associations among claims-based care fragmentation, self-reported gaps in care coordination, and self-reported adverse events.BMC health services research · 2024Article
- Patients report high information coordination between rostered primary care physicians and specialists: A cross-sectional study.PloS one · 2024Article
- Quantifying Adverse Childhood Experiences in Oklahoma With the Oklahoma Adversity Surveillance Index System (OASIS): Development and Cross-Sectional Study.JMIR public health and surveillance · 2023Article
- Article
- Coordination of Care Is Associated With Survival and Health Care Utilization in a Population-Based Study of Patients With Cirrhosis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2020Article
- Patient social risk factors and continuity of care for Medicare beneficiaries.Health services research · 2020Observational
- Article
- Data-driven modeling of diabetes care teams using social network analysis.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Organizational Coordination and Patient Experiences of Specialty Care Integration.Journal of general internal medicine · 2019Article
- Specialty-care access for community health clinic patients: processes and barriers.Journal of multidisciplinary healthcare · 2018Article
- Effectiveness of Healthcare Coordination in Patients with Chronic Respiratory Diseases.Advances in experimental medicine and biology · 2018Article
- Regional Variation in Primary Care Involvement at the End of Life.Annals of family medicine · 2017Article
- Using a complex adaptive system lens to understand family caregiving experiences navigating the stroke rehabilitation system.BMC health services research · 2016Article
- Effect of continuity of care on hospital utilization for seniors with multiple medical conditions in an integrated health care system.Annals of family medicine · 2015Article
- When to repatriate? Clinicians' perspectives on the transfer of patient management from specialty to primary care.Journal of general internal medicine · 2014Article
- Do primary care physicians coordinate ambulatory care for chronic disease patients in Canada?BMC family practice · 2014Article
- Continuity of care: an Italian clinical experience.Internal and emergency medicine · 2013Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeCare coordination is increasingly recognized as a necessary element of high-quality, patient-centered care. This study investigated (1) the association between care coordination and continuity of primary care, and (2) differences in this association by level of specialty care use.
methodsWe conducted a cross-sectional study of Medicare enrollees with select chronic conditions in an integrated health care delivery system in Washington State. We collected survey information on patient experiences and automated health care utilization data for 1 year preceding survey completion. Coordination was defined by the coordination measure from the short form of the Ambulatory Care Experiences Survey (ACES). Continuity was measured by primary care visit concentration. Patients who had 10 or more specialty care visits were classified as high users. Linear regression was used to estimate the association between coordination and continuity, controlling for potential confounders and clustering within clinicians. We used a continuity-by-specialty interaction term to determine whether the continuity-coordination association was modified by high specialty care use.
resultsAmong low specialty care users, an increase of 1 standard deviation (SD) in continuity was associated with an increase of 2.71 in the ACES coordination scale (P <.001). In high specialty care users, we observed no association between continuity and reported coordination (P= .77).
conclusionsHigh use of specialty care may strain the ability of primary care clinicians to coordinate care effectively. Future studies should investigate care coordination interventions that allow for appropriate specialty care referrals without diminishing the ability of primary care physicians to manage overall patient care.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.