• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

相似文献

1
The associations of continuity of care with inpatient, outpatient, and total medical care costs among older adults with urinary incontinence.连续性护理与老年尿失禁患者住院、门诊和总医疗费用的关联。
BMC Health Serv Res. 2023 Apr 6;23(1):344. doi: 10.1186/s12913-023-09232-x.
2
The effects of continuity of care on hospital utilization in patients with knee osteoarthritis: analysis of Nationwide insurance data.连续性护理对膝骨关节炎患者医院利用情况的影响：基于全国保险数据的分析
BMC Health Serv Res. 2018 Mar 2;18(1):152. doi: 10.1186/s12913-018-2951-y.
3
The effect of continuity of care on medical costs in patients with chronic shoulder pain.连续性护理对慢性肩痛患者医疗费用的影响。
Sci Rep. 2021 Feb 18;11(1):4077. doi: 10.1038/s41598-021-83596-0.
4
Increasing costs of urinary incontinence among female Medicare beneficiaries.女性医疗保险受益人群中尿失禁治疗费用的不断增加。
J Urol. 2006 Jul;176(1):247-51; discussion 251. doi: 10.1016/S0022-5347(06)00588-X.
5
Healthcare resource use and cost burden of urinary incontinence to United States payers.尿失禁对美国支付者的医疗资源利用和费用负担。
Neurourol Urodyn. 2022 Sep;41(7):1553-1562. doi: 10.1002/nau.24989. Epub 2022 Jun 16.
6
Primary and Specialty Outpatient Visits for Older Women With Urinary Incontinence: A Comparison of Nurses to the General Population.老年女性尿失禁患者的初级保健和专科门诊就诊情况：护士与普通人群的比较。
Female Pelvic Med Reconstr Surg. 2021 Sep 1;27(9):551-555. doi: 10.1097/SPV.0000000000000984.
7
Medical resource utilisation and cost of care for women seeking treatment for urinary incontinence in an outpatient setting. Examples from three countries participating in the PURE study.门诊环境中寻求尿失禁治疗的女性的医疗资源利用和护理成本。来自参与PURE研究的三个国家的实例。
Maturitas. 2005 Nov 30;52 Suppl 2:S35-47. doi: 10.1016/j.maturitas.2005.09.004. Epub 2005 Nov 16.
8
The cost-saving effect of continuity of care (COC): an analysis of institutional COC on diabetic treatment costs using panel 2SLS regressions.连续性护理（COC）的成本节约效果：使用面板 2SLS 回归分析机构 COC 对糖尿病治疗成本的影响。
BMC Health Serv Res. 2021 Oct 18;21(1):1113. doi: 10.1186/s12913-021-07052-5.
9
Trends in inpatient female urinary incontinence surgery and costs in Taiwan, 1997-2011.1997 - 2011年台湾地区女性住院尿失禁手术及费用趋势
Taiwan J Obstet Gynecol. 2017 Feb;56(1):32-36. doi: 10.1016/j.tjog.2016.02.020.
10
The quality of care provided to vulnerable older community-based patients with urinary incontinence.为社区中患有尿失禁的弱势老年患者提供的护理质量。
J Am Med Dir Assoc. 2004 May-Jun;5(3):141-6. doi: 10.1097/01.JAM.0000123026.47700.1A.

引用本文的文献

1
Cost of type 2 diabetes mellitus management for households in Northern India - an econometric analysis.印度北部家庭2型糖尿病管理成本——一项计量经济学分析
BMC Health Serv Res. 2025 Jul 22;25(1):965. doi: 10.1186/s12913-025-13040-w.

本文引用的文献

1
Association between continuity of care (COC), healthcare use and costs: what can we learn from claims data? A rapid review.连续性护理（COC）、医疗保健使用与成本之间的关联：从索赔数据中我们能学到什么？快速综述。
BMC Health Serv Res. 2022 May 16;22(1):658. doi: 10.1186/s12913-022-07953-z.
2
The cost-saving effect of continuity of care (COC): an analysis of institutional COC on diabetic treatment costs using panel 2SLS regressions.连续性护理（COC）的成本节约效果：使用面板 2SLS 回归分析机构 COC 对糖尿病治疗成本的影响。
BMC Health Serv Res. 2021 Oct 18;21(1):1113. doi: 10.1186/s12913-021-07052-5.
3
Continuity of care for patients with chronic disease: a registry-based observational study from Norway.慢性病患者的连续护理：来自挪威的基于登记的观察性研究。
Fam Pract. 2022 Jul 19;39(4):570-578. doi: 10.1093/fampra/cmab107.
4
Why does continuity of care with family doctors matter? Review and qualitative synthesis of patient and physician perspectives.家庭医生连续性照护为何重要？患者和医生观点的回顾与定性综合。
Can Fam Physician. 2021 Sep;67(9):679-688. doi: 10.46747/cfp.6709679.
5
Continuity of care in acute survivorship phase, and short and long-term outcomes in prostate cancer patients.前列腺癌患者急性生存阶段的连续性护理及短期和长期预后
Prostate. 2021 Dec;81(16):1310-1319. doi: 10.1002/pros.24228. Epub 2021 Sep 13.
6
Differences in Function and Healthcare Cost of Older Adults with Dementia by Long-Term Care Service Type: A National Dataset Analysis.按长期护理服务类型划分的老年痴呆症患者的功能差异与医疗保健成本：一项全国数据集分析
Healthcare (Basel). 2021 Mar 10;9(3):307. doi: 10.3390/healthcare9030307.
7
Association between continuity of care and subsequent diagnosis of multimorbidity in Ontario, Canada from 2001-2015: A retrospective cohort study.2001-2015 年加拿大安大略省连续性护理与随后多病共存诊断之间的关联：一项回顾性队列研究。
PLoS One. 2021 Mar 11;16(3):e0245193. doi: 10.1371/journal.pone.0245193. eCollection 2021.
8
The effect of continuity of care on medical costs in patients with chronic shoulder pain.连续性护理对慢性肩痛患者医疗费用的影响。
Sci Rep. 2021 Feb 18;11(1):4077. doi: 10.1038/s41598-021-83596-0.
9
Qualitative study of the implementation of the Continuity of Care and Rehabilitation Program for people with severe mental disorders in Peru.秘鲁严重精神障碍患者护理与康复连续性项目实施情况的定性研究。
Rev Panam Salud Publica. 2020 Dec 30;44:e169. doi: 10.26633/RPSP.2020.169. eCollection 2020.
10
Life Experiences with Using Community Care among People with Severe Physical Disabilities: A Comparative Analysis between South Korea and Japan.重度身体残疾者使用社区护理的生活体验：韩国与日本的比较分析。
Int J Environ Res Public Health. 2020 Dec 9;17(24):9195. doi: 10.3390/ijerph17249195.

连续性护理与老年尿失禁患者住院、门诊和总医疗费用的关联。

The associations of continuity of care with inpatient, outpatient, and total medical care costs among older adults with urinary incontinence.

机构信息

Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, South Korea.

出版信息

BMC Health Serv Res. 2023 Apr 6;23(1):344. doi: 10.1186/s12913-023-09232-x.

DOI:10.1186/s12913-023-09232-x
PMID:37024901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10080744/
Abstract

INTRODUCTION

Urinary incontinence is a significant health problem with considerable social and economic consequences among older adults. The objective of this study was to investigate the financial impact of continuity of care (CoC) among older urinary incontinence patients in South Korea.

METHODS

We used the NHIS-Senior cohort patient data between January 1, 2010, and December 31, 2010. Patients who were diagnosed with urinary incontinence in 2010 were included. Operational definition of CoC included referrals, number of providers, and number of visits. A generalized linear model (GLM) with γ-distributed errors and the log link function was used to examine the relationship between health cost and explanatory variables. Additionally, we conducted a two-part model analysis for inpatient cost. Marginal effect was calculated.

RESULTS

Higher CoC was associated with a decrease in total medical cost (-0.63, P < .0001) and in outpatient costs (-0.28, P < .001). Higher Charlson Comorbidity Index (CCI) score was a significant predictor for increasing total medical cost (0.59, P < .0001) and outpatient cost (0.22, P < .0001). Higher CoC predict a reduced medical cost of $360.93 for inpatient cost (P = 0.044) and $23.91 for outpatient cost (P = 0.008) per patient.

CONCLUSION

Higher CoC was associated with decrease in total medical costs among older UI patients. Policy initiatives to promote CoC of older UI patients in the community setting could lead to greater financial sustainability of public health insurance in South Korea.

摘要

介绍

尿失禁是老年人面临的一个严重健康问题，会产生相当大的社会和经济后果。本研究旨在探讨连续性护理（CoC）对韩国老年尿失禁患者的经济影响。

方法

我们使用了 NHIS- Senior 队列患者数据，时间范围为 2010 年 1 月 1 日至 12 月 31 日。纳入在 2010 年被诊断为尿失禁的患者。CoC 的操作定义包括转诊、服务提供者数量和就诊次数。采用具有γ分布误差和对数链接函数的广义线性模型（GLM）来检验健康成本与解释变量之间的关系。此外，我们对住院费用进行了两部分模型分析。计算了边际效应。

结果

较高的 CoC 与总医疗费用的降低（-0.63，P <.0001）和门诊费用的降低（-0.28，P <.001）相关。较高的 Charlson 合并症指数（CCI）评分是总医疗费用增加（0.59，P <.0001）和门诊费用增加（0.22，P <.0001）的显著预测因素。较高的 CoC 可预测每位患者的住院费用降低 360.93 美元（P =.044）和门诊费用降低 23.91 美元（P =.008）。

结论

较高的 CoC 与老年 UI 患者的总医疗费用降低相关。在社区环境中推广老年 UI 患者的 CoC 的政策举措可能会使韩国公共健康保险更具财务可持续性。