ArticleMedical care2016
Measuring Care Continuity: A Comparison of Claims-based Methods.
Article in Medical care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 113 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
113 citing papers in PubMed.
- Continuity in a fragmented healthcare system: - organizational and individual determinants.Scandinavian journal of primary health care · 2026Article
- Continuity of care in the context of a primary health care reform: a follow-up after the SwedishScandinavian journal of primary health care · 2026Article
- Development of a novel GP continuity measurement for practices without personal lists: a two-practice pilot of the modified SLICC.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- The consequences of medicine shortages on healthcare utilization and care fragmentation.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Outpatient Care Fragmentation and Patient Satisfaction With Care.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Frailty Transforms Care Continuity-Mortality Relationships Across Age Groups: Evidence From Taiwan and South Korea.Journal of cachexia, sarcopenia and muscle · 2026Article
- Article
- Primary Care Access and the Role of Telemedicine for Traditional Medicare Beneficiaries.JAMA health forum · 2026Article
- Healthcare utilization and HIV burden among Black communities in Ontario: a matched cohort study.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Estimated impact of timely, guideline-adherent tuberculosis screening in primary care settings among new permanent residents to British Columbia, Canada: A population-based study.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Comparing health care utilization after hospital discharge in Medicaid managed care versus fee-for-service.Health affairs scholar · 2026Article
- Categorizing continuity of care measures and why you have (probably) been doing it wrong: a methodological discussion and recommendations for researchers.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Association between continuity of care and detection of hypertension in Dutch general practice: a 10-year cohort study.BMJ open · 2026Article
- Patient-Physician Ethnic Concordance and its Impact on Care Continuity: First Evidence from Tibet.Journal of racial and ethnic health disparities · 2026Article
- Primary Care Continuity and Utilization Patterns for Veterans With Homeless Experience.JAMA network open · 2026Observational
- Exploring the Intensity and Continuity of Hospital Care for Patients With Long Covid: Evidence From an English Urban Healthcare System.Health expectations : an international journal of public participation in health care and health policy · 2026Observational
- Continuity of Care and Risks of Hospitalization and Mortality in COPD: A Nationwide Cohort Study.International journal of chronic obstructive pulmonary disease · 2026Article
- Continuity of care for all? Associations between migration background and personal continuity among persons aged 50 and older in Dutch primary care: a registry-based observational study.Family practice · 2025Observational
- Patient perceptions of relational continuity in England: insights from two cross-sectional surveys.BJGP open · 2025Article
- Continuity of Care in Federally Qualified Health Centers: Examining Patient-Provider Relationships and Patient Centered Medical Home Recognition.Journal of the American Board of Family Medicine : JABFM · 2025Article
53 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundAssessing 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.
objectiveThis 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.
resultsAcross 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).
conclusionsClaims-based care continuity measures are all highly correlated with one another within episodes of care.
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Registered trials
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.