Evidence map›Paper›PMID 41587851›Full record

ArticleAnnals of family medicine2026

Effect of Continuity of Care on Emergency Care and Hospital Admissions Among Patients Receiving Home-Based Care: A Population-Based Cohort Study.

Carmen Herranz, Luis González-de Paz, Alicia Borrás-Santos, Sofía Alvarez, Bibiana Contreras, Nuria García, Elena Gómez, Marta Navarro, Amaya Serna, Silvia Roura-Rovira and 2 more

Abstract read
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Article in Annals of family medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

2 · The registry

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Carmen HerranzConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain.
Luis González-de PazConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain gonzalezdepaz@hotmail.com.
Alicia Borrás-SantosPrimary Health Care Transversal Research Group, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Sofía AlvarezConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain.
Bibiana ContrerasConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain.
Nuria GarcíaConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain.
Elena GómezConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain.
Marta NavarroConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain.
Amaya SernaConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain.
Silvia Roura-RoviraConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain.
Jaume Benavent-ÀreuConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain.
Antoni Sisó-AlmirallConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to evaluate continuity of care (CoC) for patients receiving home-based care and assess its effect on urgent care use and hospital admissions.

methodsThis cohort study used data from a population-based electronic health record system across 3 primary health care (PHC) centers in Barcelona, Spain, involving patients receiving permanent home care. We measured CoC with the usual provider of care for general practitioners (GPs) and nurses over a 1-year period. Associations were analyzed using adjusted logistic-mixed regression models. We used time-dependent receiver operating characteristic curves to identify the optimal CoC threshold and adjusted Cox survival models to examine cumulative incidence.

resultsWe studied 1,207 patients (71.5% women) with a mean age of 88.5 years. General practitioners showed a mean CoC of 73.3% and PHC nurses 83.1%. Greater CoC for GPs and PHC nurses was associated with decreased urgent care use and hospital admissions (all odds ratios ≤ 0.45;

conclusionsGreater CoC for GPs and nurses was associated with decreased urgent care and hospital admissions. A threshold of ≥75% of visits with assigned GPs or nurses might optimize health outcomes for these vulnerable patients. Maintaining a high level of relational CoC, particularly for older adults requiring home care services, can lead to more efficient and targeted health care utilization.

Indexed as

Continuity of Patient CareHome Care ServicesHospitalizationPrimary Health CareAgedAged, 80 and overCohort StudiesElectronic Health RecordsEmergency Room VisitsFemaleGeneral PractitionersHumansLogistic ModelsMaleProportional Hazards ModelsSpaincontinuity of patient carehealth services researchhome care servicesprimary health careprofessional-patient relations

Identifiers

PMID41587851
PMCPMC12834597

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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.