连续性护理对未来住院可能性的重要性：护理地点等同于初级临床医生吗？
The importance of continuity of care in the likelihood of future hospitalization: is site of care equivalent to a primary clinician?
作者信息
Mainous A G, Gill J M
机构信息
Department of Family Medicine, Medical University of South Carolina, Charleston 29425, USA.
出版信息
Am J Public Health. 1998 Oct;88(10):1539-41. doi: 10.2105/ajph.88.10.1539.
Abstract
OBJECTIVES
This study examined the effect of continuity with clinicians and health care sites on likelihood of future hospitalization.
METHODS
Delaware Medicaid patient data were analyzed. Logistic regression models supplied adjusted effects of continuity on hospitalization.
RESULTS
Patients 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).
CONCLUSIONS
A location providing health care without clinician continuity may not be sufficient to ensure cost-effective care.
摘要
目的
本研究探讨与临床医生及医疗保健机构保持连续性对未来住院可能性的影响。
方法
对特拉华州医疗补助患者数据进行分析。逻辑回归模型提供了连续性对住院影响的校正效应。
结果
高临床医生连续性组患者的住院几率低于高机构/低临床医生连续性组患者（优势比[OR]=0.75，95%置信区间[CI]=0.66，0.87）。后一组与低机构/低临床医生连续性组无差异（OR=0.93，95%CI=0.80，1.08）。
结论
一个缺乏临床医生连续性的医疗保健场所可能不足以确保具有成本效益的医疗服务。
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