ArticleBMJ open2020
Continuity of care: evaluating a multidisciplinary care model for people with early CKD via a nationwide population-based longitudinal study.
Article in BMJ open, 2020. 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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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Challenges and strategies for managing early-to-moderate chronic kidney disease in primary care: A systematic integrative review in high-income countries.The European journal of general practice · 2026Pooled it
- Article
- Impact of early interruption from pay-for-performance program on progression and medical utilization for patients with early chronic kidney disease.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- Impact of Multidisciplinary Continuity of Care on Postoperative Outcomes in Liver Cancer Surgical Patients.Journal of multidisciplinary healthcare · 2025Article
- Role of primary care in enhancing continuity of care for adolescents and young adults with chronic kidney disease undergoing transition to adult health services.Pediatric nephrology (Berlin, Germany) · 2024Article
- Effect of multidisciplinary care on diabetic kidney disease: a retrospective cohort study.BMC nephrology · 2024Article
- Physician- versus practice-level primary care continuity and association with outcomes in Medicare beneficiaries.Health services research · 2022Article
- Adherence to multidisciplinary care in a prospective chronic kidney disease cohort is associated with better outcomes.PloS one · 2022Article
- Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo control and prevent the burdens associated with chronic kidney disease (CKD), Taiwan's National Health Insurance Administration (NHIA) launched the 'early-CKD programme' in 2011 to extend care and education to patients with CKD. This study aims to evaluate the effectiveness of the early-CKD programme in terms of continuity of care (COC). DESIGN AND
participantsThis study used secondary data from 2010 to 2014 provided by the NHIA to identify 86 581 participants each for the intervention and control groups. Patients with CKD who participated in the early-CKD programme between 2011 and 2013 were defined as the intervention group. For the control group, propensity score matching was used to select patients with CKD who did not participate in the programme, but were seen by the same group of physicians.
interventionA multidisciplinary care model for patients with early CKD launched in 2011. PRIMARY OUTCOME MEASURES: Outcome variables included the continuity of care index (COCI), which measures a physician's COC; number of essential examinations; and resource utilisation. To better identify the difference between groups, we separated COCI into two groups based on mean: high (above mean) and low (below mean). A generalised estimating equation model was used to examine the effects of the early-CKD programme.
resultsThe programme significantly increased the number of essential examinations/tests administered to patients (β=0.61, p<0.001) and improved COCI between physicians and patients (OR=4.18, p<0.001). Medical expenses (β=1.03, p<0.001) and medication expenses (β=0.23, p<0.001) significantly increased after the programme was implemented, but patients' kidney-related hospitalisations and emergency department visits decreased (β=-0.13, p<0.001).
conclusionFrom the COC viewpoint, the programme in Taiwan showed a positive effect on COCI, number of essential examinations and resource utilisation.
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