Cited 19 times in
Greater continuity of care reduces hospital admissions in patients with hypertension: An analysis of nationwide health insurance data in Korea, 2011-2013.
DC Field | Value | Language |
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dc.contributor.author | 박은철 | - |
dc.date.accessioned | 2017-02-27T07:50:00Z | - |
dc.date.available | 2017-02-27T07:50:00Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 0168-8510 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/147005 | - |
dc.description.abstract | OBJECTIVES: To measure the association between time-dependent COC and recurrent hospital admissions in patients with hypertension. DATA SOURCES: Korean National Health Insurance Claims Database (KNHI), between 2011 and 2013. METHODS: We used Korean National Health Insurance Claims Database (KNHI) during 2011-2013 to evaluate the association between continuity of care and hospital admission in adult patients with hypertension. We performed a recurrent event survival analysis analyzing the effect of COC on hospital admissions via Cox proportional hazard regression analysis. RESULTS: The adjusted risk of hospital admission for individuals with less COC (COC index <0.75) increased 42% (HR 1.42; 95% CI, 1.10-1.83) relative to the reference group (COC index≥0.75). Relative to individuals with a medication possession ratio (MPR) of ≥0.75, the adjusted hazard ratio for hospital admission was 2.09 (95% CI, 1.31-3.35) for those with an MPR of 0.00-0.24, 2.10 (95% CI, 1.30-3.39) for those with an MPR of 0.25-0.49, and 1.40 (95% CI, 0.82-2.39) for those with an MPR of 0.50-0.74. After 12 months, the cumulative incidence of hospital admissions was 0.42% for those with less COC and 0.25% for those with greater COC. CONCLUSIONS: Greater COC was associated with a decreased risk of hospital admission in patients with hypertension. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.format.extent | 604~611 | - |
dc.language | English | - |
dc.publisher | Elsevier Scientific Publishers | - |
dc.relation.isPartOf | HEALTH POLICY | - |
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 | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Continuity of Patient Care* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Hypertension/diagnosis* | - |
dc.subject.MESH | Hypertension/drug therapy | - |
dc.subject.MESH | Hypertension/epidemiology | - |
dc.subject.MESH | Incidence | - |
dc.subject.MESH | Insurance Claim Review* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | National Health Programs | - |
dc.subject.MESH | Patient Admission/statistics & numerical data* | - |
dc.subject.MESH | Patient Readmission | - |
dc.subject.MESH | Republic of Korea/epidemiology | - |
dc.title | Greater continuity of care reduces hospital admissions in patients with hypertension: An analysis of nationwide health insurance data in Korea, 2011-2013. | - |
dc.type | Article | - |
dc.publisher.location | Ireland | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Preventive Medicine | - |
dc.contributor.googleauthor | Young Soon Nam | - |
dc.contributor.googleauthor | Kyoung Hee Cho | - |
dc.contributor.googleauthor | Hee-Chung Kang | - |
dc.contributor.googleauthor | Kwang-Sig Lee | - |
dc.contributor.googleauthor | Eun-Cheol Park | - |
dc.identifier.doi | 10.1016/j.healthpol.2016.04.012 | - |
dc.contributor.localId | A01618 | - |
dc.relation.journalcode | J00971 | - |
dc.identifier.eissn | 1872-6054 | - |
dc.identifier.pmid | 27173767 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S0168851016300896 | - |
dc.subject.keyword | Continuity of care | - |
dc.subject.keyword | Hospital admission | - |
dc.subject.keyword | Hypertension | - |
dc.subject.keyword | Recurrent event survival analysis | - |
dc.contributor.alternativeName | Park, Eun Chul | - |
dc.contributor.affiliatedAuthor | Park, Eun Chul | - |
dc.citation.volume | 120 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 604 | - |
dc.citation.endPage | 611 | - |
dc.identifier.bibliographicCitation | HEALTH POLICY, Vol.120(6) : 604-611, 2016 | - |
dc.date.modified | 2017-02-24 | - |
dc.identifier.rimsid | 47038 | - |
dc.type.rims | ART | - |
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