Cited 8 times in
Impact of Market Competition on Continuity of Care and Hospital Admissions for Asthmatic Children: A Longitudinal Analysis of Nationwide Health Insurance Data 2009-2013.
DC Field | Value | Language |
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dc.contributor.author | 남정모 | - |
dc.contributor.author | 박은철 | - |
dc.contributor.author | 이상규 | - |
dc.date.accessioned | 2017-02-24T11:09:31Z | - |
dc.date.available | 2017-02-24T11:09:31Z | - |
dc.date.issued | 2016 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/146664 | - |
dc.description.abstract | BACKGROUND: Ambulatory care-sensitive conditions, including asthma, can be managed with timely and effective outpatient care, thereby reducing the need for hospitalization. OBJECTIVE: This study assessed the relationship between market competition, continuity of care (COC), and hospital admissions in asthmatic children according to their health care provider. METHODS: A longitudinal design was employed with a 5-year follow-up period, between 2009 and 2013, under a Korean universal health insurance program. A total of 253 geographical regions were included in the analysis, according to data from the Korean Statistical Office. Data from 9,997 patients, aged ≤ 12 years, were included. We measured the COC over a 5-year period using the Usual Provider Continuity (UPC) index. Random intercept models were calculated to assess the temporal and multilevel relationship between market competition, COC, and hospital admission rate. RESULTS: Of the 9,997 patients, 243 (2.4%) were admitted to the hospital in 2009. In the multilevel regression analysis, as the Herfindahl-Hirschman Index increased by 1,000 points (denoting decreased competitiveness), UPC scores also increased (ß = 0.001; p < 0.0001). In multilevel logistic regression analysis, the adjusted odds ratio (OR) for hospital admissions for individuals with lower COC scores (≥ 2 ambulatory visits and a UPC index score of < 1) was 3.61 (95% CI: 2.98-4.38) relative to the reference group (≥ 2 ambulatory visits and a UPC index score of 1). CONCLUSIONS: Market competition appears to reduce COC; decreased COC was associated with a higher OR for hospital admissions. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | e0150926 | - |
dc.language | English | - |
dc.publisher | Public Library of Science | - |
dc.relation.isPartOf | PLOS ONE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Ambulatory Care/statistics & numerical data | - |
dc.subject.MESH | Asthma* | - |
dc.subject.MESH | Child | - |
dc.subject.MESH | Child, Preschool | - |
dc.subject.MESH | Continuity of Patient Care/statistics & numerical data | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Hospitalization/statistics & numerical data* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Infant | - |
dc.subject.MESH | Infant, Newborn | - |
dc.subject.MESH | Insurance, Health/statistics & numerical data* | - |
dc.subject.MESH | Longitudinal Studies | - |
dc.subject.MESH | Male | - |
dc.title | Impact of Market Competition on Continuity of Care and Hospital Admissions for Asthmatic Children: A Longitudinal Analysis of Nationwide Health Insurance Data 2009-2013. | - |
dc.type | Article | - |
dc.publisher.location | United States | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Preventive Medicine | - |
dc.contributor.googleauthor | Kyoung Hee Cho | - |
dc.contributor.googleauthor | Eun-Cheol Park | - |
dc.contributor.googleauthor | Young Soon Nam | - |
dc.contributor.googleauthor | Seon-Heui Lee | - |
dc.contributor.googleauthor | Chung Mo Nam | - |
dc.contributor.googleauthor | Sang Gyu Lee | - |
dc.identifier.doi | 10.1371/journal.pone.0150926 | - |
dc.contributor.localId | A01264 | - |
dc.contributor.localId | A01618 | - |
dc.contributor.localId | A02811 | - |
dc.relation.journalcode | J02540 | - |
dc.identifier.eissn | 1932-6203 | - |
dc.identifier.pmid | 26958850 | - |
dc.contributor.alternativeName | Nam, Jung Mo | - |
dc.contributor.alternativeName | Park, Eun Chul | - |
dc.contributor.alternativeName | Lee, Sang Gyu | - |
dc.contributor.affiliatedAuthor | Nam, Jung Mo | - |
dc.contributor.affiliatedAuthor | Park, Eun Chul | - |
dc.contributor.affiliatedAuthor | Lee, Sang Gyu | - |
dc.citation.volume | 11 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | e0150926 | - |
dc.identifier.bibliographicCitation | PLOS ONE, Vol.11(3) : e0150926, 2016 | - |
dc.date.modified | 2017-02-24 | - |
dc.identifier.rimsid | 47409 | - |
dc.type.rims | ART | - |
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