ArticleJournal of epidemiology2016
The Effect of Continuity of Care on Emergency Room Use for Diabetic Patients Varies by Disease Severity.
Article in Journal of epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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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
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of continuity of care on health outcomes among patients with diabetes mellitus and/or hypertension: a systematic review.BMC family practice · 2021Pooled it
- Cancer patients' satisfaction with day care unit services have impact on their quality of life.Medicine and pharmacy reports · 2025Article
- Understanding Gaps in the Hypertension and Diabetes Care Cascade: Systematic Scoping Review.JMIR public health and surveillance · 2024Article
- Unmet health care needs: factors predicting satisfaction with health care services among community-dwelling Canadians living with neurological conditions.BMC health services research · 2022Article
- Continuity of Care and the Quality of Life among Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study in Taiwan.Healthcare (Basel, Switzerland) · 2020Article
- Association between continuity of care and emergency department visits and hospitalization in senior adults with asthma-COPD overlap.Health policy (Amsterdam, Netherlands) · 2019Article
- Association between continuity of care and long-term mortality in Taiwanese first-ever stroke survivors: An 8-year cohort study.PloS one · 2019Article
- Continuity of Care Evaluation: The View of Patients and Professionals about Urban Family Physician Program.International journal of preventive medicine · 2017Article
- The Impact of Medicaid Expansion on Acute Diabetes Complication by Care Delivery Settings.Journal of primary care & community healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough many studies have reported that high-quality continuity of care (COC) is associated with improved patient outcomes for patients with diabetes, few studies have investigated whether this positive effect of COC depends on the level of diabetes severity.
methodsA total of 3781 newly diagnosed diabetic patients selected from the 2005 National Health Insurance database were evaluated for the period 2005-2011. Generalized estimating equations combined with negative binomial estimation were used to determine the influence of COC on the overall emergency room (ER) use and diabetes mellitus (DM)-specific ER use. Analyses were stratified according to diabetes severity (measured using the Diabetes Complications Severity Index [DCSI]), comorbidities (measured using the Charlson comorbidity score), and age.
resultsCOC effects varied according to diabetes severity. Stratified analysis showed that the positive effect of COC on DM-specific ER use was the highest for a DCSI of 0 (least severe), with an incidence rate ratio (IRR) of 0.49 (95% CI, 0.41-0.59) in the high-COC group (reference group: low-COC group). Compared with the low-COC group, high-quality COC had a significant beneficial effect on overall ER use in younger patients (IRR 0.51; 95% CI, 0.39-0.66 for the youngest [18-40 years] group, and IRR 0.67; 95% CI, 0.59-0.76 for the oldest [>65 years] group) and those with a high number of comorbidities.
conclusionsThe positive effects of high-quality COC on the treatment outcomes of patient with diabetes, based on the overall and DM-specific ER use, depends on the level of disease severity. Therefore, providing health education to enhance high-quality COC when the disease severity is low may be critical for ensuring optimal positive effects during diabetes disease progression.
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