ArticleAmerican journal of public health1998
The importance of continuity of care in the likelihood of future hospitalization: is site of care equivalent to a primary clinician?
Article in American journal of public health, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 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
68 citing papers in PubMed.
- Does improved continuity of primary care affect clinician-patient communication in VA?Journal of general internal medicine · 2014Trial
- Design of a community-based intergenerational oral health study: "Baby Smiles".BMC oral health · 2013Trial
- Physicians shortage in primary care: a protocol for updating a systematic review of recruitment and retention strategies.F1000Research · 2026Article
- "Can someone tell me what's going on with my child?": A qualitative study on parental health-seeking behavior for infant regulatory problems.Archives of public health = Archives belges de sante publique · 2025Article
- Closing the gap: addressing telehealth disparities across specialties in the sustained pandemic era.NPJ digital medicine · 2024Article
- Association between continuity of care (COC), healthcare use and costs: what can we learn from claims data? A rapid review.BMC health services research · 2022Review
- Continuity of care and health care cost among community-dwelling older adult veterans living with dementia.Health services research · 2021Article
- Patient Provider Continuity and Prostate Specific Antigen Testing: Impact of Continuity on Receipt of a Non-recommended Test.Frontiers in medicine · 2021Article
- Better continuity of care improves the quality of end-of-life care among elderly patients with end-stage renal disease.Scientific reports · 2020Article
- Measures of care fragmentation: Mathematical insights from population genetics.Health services research · 2020Article
- Maintaining a Sufficient Primary Care Workforce: A Problem We Should Not Have.Frontiers in medicine · 2020Article
- Article
- Associations of Patient Experience in Primary Care With Hospitalizations and Emergency Department Visits on Isolated Islands: A Prospective Cohort Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2019Article
- Continuity of Care, Follow-Up Care, and Outcomes among Breast Cancer Survivors.International journal of environmental research and public health · 2019Article
- Association between Types of Usual Source of Care and User Perception of Overall Health Care Service Quality in Korea.Korean journal of family medicine · 2019Article
- The impact of marital status on health care utilization among Medicare beneficiaries.Medicine · 2019Observational
- The effects of continuity of care on hospital utilization in patients with knee osteoarthritis: analysis of Nationwide insurance data.BMC health services research · 2018Article
- Article
- Article
- Prescriber Continuity and Disease Control of Older Adults.Medical care · 2017Article
8 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
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study examined the effect of continuity with clinicians and health care sites on likelihood of future hospitalization.
methodsDelaware Medicaid patient data were analyzed. Logistic regression models supplied adjusted effects of continuity on hospitalization.
resultsPatients in the high clinician continuity group had lower odds of hospitalization than patients in the high site/low clinician continuity group (odds ratio [OR] = 0.75, 95% confidence interval [CI] = 0.66, 0.87). The latter group did not differ from the low site/low clinician continuity group (OR = 0.93, 95% CI = 0.80, 1.08).
conclusionsA location providing health care without clinician continuity may not be sufficient to ensure cost-effective care.
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What OpenQuestion holds
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.